Indian Journal of Physical Medicine and Rehabilitation

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2012 | June | Volume 23 | Issue 2

RESEARCH ARTICLE

ARTICLE NEWS

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/ijopmr-23-2-91a  |  Open Access |  How to cite  | 

EDITORIAL

R.N. Haldar

Undergraduate Medical Education in Physical Medicine and Rehabilitation

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:1] [Pages No:52 - 52]

   DOI: 10.5005/ijopmr-23-2-52  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Keshav Dev

Functional Outcome of Stroke Patients, Correlation with Scandinavian Stroke Scale

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:4] [Pages No:53 - 56]

   DOI: 10.5005/ijopmr-23-2-53  |  Open Access |  How to cite  | 

Abstract

Present hospital based prospective study was conducted in Sawai Man Singh Hospital in Jaipur district of Rajasthan state (west part of India) during the year 2008-2009 to know functional outcome of stroke correlation with Scandinavian stroke scale score. Assessment severity of stroke on Scandinavian stroke scale (SSS) score and functional disability on Barthel Index (BI) were neasured. Out of 200 included cases 11 were dropped out and it was found that incidence of stroke in young individual is significantly less than older individual. Hypertension was most important risk factor. Ratio of R: U=1.38: 1, M: F=1.74: 1 and infarction: hemorrhage= 1.32: 1. Metabolic syndrome was a nonsignificant risk factor for women as well as men (p>0.005). The correlation between the SSS and on functionally outcome was significant (p<0.005).

RESEARCH ARTICLE

D K Khatua, R Pramanik, P P Pan, G Santra

Functional Outcome after Rehabilitation among Different Diagnostic Groups of Childhood Meningoencephalitis

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:5] [Pages No:57 - 61]

   DOI: 10.5005/ijopmr-23-2-57  |  Open Access |  How to cite  | 

Abstract

Objective

To study the functional outcomes in different groups of meningoencephalitis patients after rehabilitation approach in addition to standard medical therapy.

Study period

From January 2007 to January 2009.

Study Design

Prospective longitudinal analytical study.

Study Area

Departmentof Physical Medicine & Rehabilitation, Department of Paediatric Medicine in North Bengal Medical College, Sushrutanagar, Darjeeling, India.

Study population

108 patients.

Material and methods

After taking consent and institutional ethical committee clearance the sample size were assessed. After stabilisation of the affected children with medical therapies, rehabilitation regimen was added.

Outcome measures

Percentage of total Wee FIM score.

Follow up

0, 2weeks, 6 weeks.

Results

Data analysed by McNamara's chi Square test showed disability rate is much higher than other aetiology. Best prognosis is seen in patients with viral infections.

Discussion

In developing countries children in lower socioeconomic group from rural areas are the most victim of tuberculous meningoencephalitis who responded reasonably with rehabilitation regimen.

Conclusion

Rehabilitation regimen is best helpful in viral infection. Tuberculous infection, relatively commoner in India does not respond very well.

RESEARCH ARTICLE

Manasi S Padhyegurjar, Shekhar B Padhyegurjar

Study of Factors Affecting Progress of Locomotor Disability in a Slum in Mumbai

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:6] [Pages No:62 - 67]

   DOI: 10.5005/ijopmr-23-2-62  |  Open Access |  How to cite  | 

Abstract

Locomotor disability is one of the most commonly prevailing type of disability in India. This study was conducted with the aim of assessing the severity and to study the factors affecting progress of locomotor disability. A community based cross-sectional observation study was conducted in an urban slum of Mumbai. Total sample of 3665 individuals were screened; 205 were identified with locomotor disabilities who were subjected to a structured questionnaire and physical examination.

The prevalence of locomotor disabilities is found to be 5.59 %. Females are affected more than the males and unemployment was observed to be very high. Awareness about rehabilitative services was found to be very low and very few individuals had ever taken any treatment. Majority of the individuals detected with locomotor disability were ambulatory, showed good IADL score and muscle power as well as single joint involvement. Advancing age and longer duration of disability have been associated with low scores of IADL, low muscular power, multiple joint involvement and increased duration of disability. Treatment started at young age, on immediate diagnosis will halt the progress of the disease. Availability and awareness of rehabilitation facilities will go a long way in improving the quality of life of individuals with locomotor disabilities.

RESEARCH ARTICLE

PK Sahoo, SK Das, S Pradhan, RN Mohanty

Our Experience with Correction of Angular Deformities of Knee by Flexible Figure of 8-plate Hemiepiphysiodesis

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:6] [Pages No:68 - 73]

   DOI: 10.5005/ijopmr-23-2-68  |  Open Access |  How to cite  | 

Abstract

Background

Genu valgum and genu varum deformity in the lower limb in children results in cosmetic problem, gait disturbance, pain and early joint degeneration. Most of them are physiological and improve to the normal adult femorotibial angle before the age of eight years. Persistent deformities are corrected by osteotomy and internal fixation or gradual correction by external fixation. Osteotomy has got its complications. Gradual correction also can be achieved by stapling, percutaneous drill technique and transphysial screw. Stapling has drawbacks related to implant failure including migration and breakage of implants. Drilling and screwing carries risk of permanent growth arrest. The timing of epiphysiodesis has to be perfect otherwise there may be under correction or overcorrection. 8-plate temporary hemi-epiphysiodesis is a new concept and producing good results with less complication. The objective of this study is to reduplicate the results of 8- plate hemiephiphysiodesis on angular deformities of knee joint.

Methods

We attempted gradual correction through 8-plate in 31 patients with 54 angular deformities around knee. Cases were followed for 38months (range, 24 to 52months) after removal of implants. Measurements were compared pre and postoperatively.

Results

There was statistically significant improvement in all the outcome measures measured. There was gross reduction of intermalleolar distance and reduction in angular deformity.

Conclusions

8-plate hemiepiphysiodesis is an effective means for correcting angular deformity around the knee in skeletally immatured patients.

RESEARCH ARTICLE

B Bhattacharjya, S Mohammad Naser, A Biswas, F Kamal, K Banerjee

Effectiveness of Tolperisone Hydrochloride with Aceclofenac as Combined Therapy in Acute Low Back Pain.

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:5] [Pages No:74 - 78]

   DOI: 10.5005/ijopmr-23-2-74  |  Open Access |  How to cite  | 

Abstract

Objective

An open label, non-randomised, prospective study was conducted to evaluate the effectiveness of tolperisone hydrochloride 150mg thrice daily with aceclofenac 100mg twice daily compared to aceclofenac 100mg twice daily alone for the treatment of acute low back pain (LBP) for 14 days. total (n=242) patients recruited for the study were divided into two treatment groups. One of the group (n=124) received oral tolperisone plus aceclofenac and the other (n=118) Aceclofenac alone. The pain intensity was assessed by visual analogue scale. Patients were informed to report any adverse effect encountered during the study period. The overall effect of the drug (global assessment of the study medication) on pain and adverse effects were assessed by the patients at the end of the trial on a categorical scale. There was significant reduction in pain score in the tolperisone group than aceclofenac group with insignificant adverse effects which didn't require discontinuation of the study. Tolperisone when added with aceclofenac can be more effective than aceclofenac alone for relief of acute LBP with minimum adverse effects.

CASE REPORT

AK Joy, Th Khelendro Singh, Ngampa Sangme

Hypokalaemic Periodic Paralysis Associated with Hypothyroidism

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:3] [Pages No:79 - 81]

   DOI: 10.5005/ijopmr-23-2-79  |  Open Access |  How to cite  | 

Abstract

Periodic paralysis is also seen as one of the uncommon cause of quadriplegia in the physical and rehabilitation medicine practice.

There have been anecdotal reports of periodic paralysis associated with hypothyroidism. However, there is no clear cut evidence of hypothyroidism causing hypokalaemia leading to periodic paralysis or vice versa.

This case report highlights the importance of keeping periodic paralysis as an important cause of the recurrent paralytic attack, importance of serum potassium and thyroid function tests and recovery pattern without active physical therapy intervention which may actually aggravate the disease process. Its occurrence in a young male patient is also a rare phenomenon.

RESEARCH ARTICLE

M K Mathur

Prosthetic Fittings Limitations and Its Present Scenario in India and Abroad

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:7] [Pages No:82 - 88]

   DOI: 10.5005/ijopmr-23-2-82  |  Open Access |  How to cite  | 

Abstract

Dr. Mahendra Kishore Mathur currently working as Chief Consultant Research Development & Training, Bhagwan Mahaveer Viklang Sahayata Samiti (BMVSS), Jaipur. After finishing his MS (Orthopaedics) from S.M.S Medical College Jaipur under guidence of Dr. P.K. Shethy on 1983 he worked as a teacher of PMR in same institute for two decades. He has several National and International level of publications. He also contributed chapters in Manuals of Fabrication of Jaipur Below Knee Systems, Fabrication of Jaipur Above Knee Systems, Fabrication of Jaipur Foot, “Jaipur Artificial Limbs” - First comprehensive Text Book on Jaipur Limb Technology. He is the first orator of Bengal oration of IAPMR on 2012 introduced by West Bengal Chapter of IAPMR.

RESEARCH ARTICLE

P P Pan, R Pramanik

A Rare Clinical Sign - Saviour During a Diagnostic Dilemma

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:1] [Pages No:89 - 89]

   DOI: 10.5005/ijopmr-23-2-89  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB CHALLENGES

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:1] [Pages No:90 - 90]

   DOI: 10.5005/ijopmr-23-2-90  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

BOOK NEWS

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:1] [Pages No:91 - 91]

   DOI: 10.5005/ijopmr-23-2-91  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB QUIZ

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:2] [Pages No:92 - 93]

   DOI: 10.5005/ijopmr-23-2-92  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

P. Thirunavukkarasu

Obituary

[Year:2012] [Month:June] [Volume:23] [Number:2] [Pages:1] [Pages No:94 - 94]

   DOI: 10.5005/ijopmr-23-2-94  |  Open Access |  How to cite  | 

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