Indian Journal of Physical Medicine and Rehabilitation

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2013 | March | Volume 24 | Issue 1

RESEARCH ARTICLE

ARTICLE NEWS

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijopmr-24-1-31a  |  Open Access |  How to cite  | 

EDITORIAL

R. N. Haldar

Global Brief on Hypertension: Silent Killer, Global Public Health Crisis

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:2 - 2]

PDF  |  DOI: 10.5005/ijopmr-24-1-2  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

N. Meena, V. K. Mohandas Kurup, S. Ramesh, R. Sathyamoorthy

Impact of Early Physiotherapy Intervention on Neurodevelopment in Preterm Low Birth Weight Infants during the First Six Months of Life

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:6] [Pages No:3 - 8]

PDF  |  DOI: 10.5005/ijopmr-24-1-3  |  Open Access |  How to cite  | 

Abstract

A prospective, controlled trial was conducted to assess the outcome of early physical therapy intervention on preterm low birth weight infants during the first six months of life. A cohort of 100 preterm low birth weight infants who got admitted in neonatal intensive care unit (NICU) and referral newborn (RNB) of Raja Muthiah Medical College and Hospital (RMMC & H) were included prospectively. Infants who received regular early physiotherapy intervention were assigned as interventional group (EI) and infants who were advised but did not turn up for early intervention as comparison group (NEI). The Amiel-Tison neurologic examination and Denver developmental screening test (DDST) were used and results were compared. Better performance of infants was found in EI group in neurologic and developmental domains. The data suggest significant benefit of the use of EI programme over NEI in the neurodevelopmental outcome of preterm LBW infants at 6 months of corrected age.

REVIEW ARTICLE

U Singh, Gita Handa, K B Sumalatha

Rehabilitation Medicine Implications of Stem Cell Therapy in Spinal Cord Injury–A Review

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:7] [Pages No:9 - 15]

PDF  |  DOI: 10.5005/ijopmr-24-1-9  |  Open Access |  How to cite  | 

Abstract

The life expectancy in spinal cord injury has increased but no cure has been found yet. Stem cell therapy in the spinal cord injury stands high hopes of neural repair and regeneration and getting back to normal life. But for its fruitful result it is essential to know the pathophysiology of the spinal cord injury and also the treatment should be appropriately timed according to the stages of injury. Regular follow-up of these patients is very important as stem cell therapy alone without appropriate rehabilitation may not only result in failure of therapy but also patients may end up in complications such as UTI, bed sores etc. Role of rehab in spinal cord injury with respect to physiological and task oriented neuroplasticity has shown benefits in animal studies. Rehabilitation programme integrated with the stem cell therapy may help to improve the functional outcome.

CASE REPORT

P K Sahoo, J Sahoo, S P Das, R N Mohanty

Whistling-face Syndrome – A Case Report

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:3] [Pages No:16 - 18]

PDF  |  DOI: 10.5005/ijopmr-24-1-16  |  Open Access |  How to cite  | 

Abstract

The craniocarpotarsal, or “whistling face” syndrome was first described by Freeman and Sheldon in 1938. It's an extremely rare condition, comes under one type of distal arthrogryposis category. Prominent deformities include deformity of hand and foot with typical whistling face. Early diagnosis of the condition aware the clinician about resistance to different therapeutic manoeuvres and management is planned accordingly.

CASE REPORT

I.N Krishnaprasad, V Soumya, S Abdulgafoor

Management of Over-Granulation in a Diabetic Foot Ulcer: A Clinical Experience

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:4] [Pages No:19 - 22]

PDF  |  DOI: 10.5005/ijopmr-24-1-19  |  Open Access |  How to cite  | 

Abstract

Over-granulation or exuberant granulation tissue is a common problem encountered in the care of chronic wounds, especially that of diabetic foot ulcers. There are several potential options for the treatment of this challenging problem. Some have an immediate short term effect but may have a longer term unfavourable effect, for example, silver nitrate application and surgical excision, which may delay wound healing by reverting the wound back to the inflammatory phase of healing. Other products, such as foams and silver dressings may offer some effect in short term, but their long term effects are questionable. The more recent research supports Haelan cream and tape as an efficacious and cost effective treatment for over-granulation in a variety of wound types. The future of treating over-granulation may lie with surgical lasers, since lasers can not only remove over-granulation tissue but will also cauterise small blood vessels and are very selective, leaving healing cells alone while removing excess and unhealthy tissue.

Recently Drs Lain and Carrington have demonstrated the utility of imiquimod, an immune-modulator with anti-angiogenic properties, in the treatment exuberant granulation tissue, in a patient with long standing diabetic foot ulcer, resistant to other forms of therapy. We adapted a modified version of their protocol in the management of a similar patient in our hospital and achieved a good result in lesser time than the former.

CASE REPORT

B R Chandy, G Tharion

An Unusual Case of Chronic Lower Limb Pain in an 11-Year-Old Boy

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:4] [Pages No:23 - 26]

PDF  |  DOI: 10.5005/ijopmr-24-1-23  |  Open Access |  How to cite  | 

CASE REPORT

AK Joy, Th Khelendro Singh, Ngampa Sangme, AS Mohes

Indwelling Catheter Related Pressure Ulcer in Groin in a Tetraplegic Patient: A Case Report

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:2] [Pages No:27 - 28]

PDF  |  DOI: 10.5005/ijopmr-24-1-27  |  Open Access |  How to cite  | 

Abstract

Ulcer prevention and its management has been a challenge in the practice of rehabilitation medicine and more so, with the tetraplegic subjects. We herein report a case of a 42-year-old tetraplegic male, who presented with multiple pressure ulcers and atypical grade-II ulcer in the right groin due to mismanagement of indwelling urethral catheter. Groin is extremely an unusual site for ulcer and no similar case has been previously reported with an ulcer in the groin in a spinal cord injury (SCI) patients. This case highlights the importance of proper positioning of indwelling urethral catheter, its care, and prevention of medical devices related (iatrogenic) complications in patients undergoing treatment.

RESEARCH ARTICLE

S.N Mansoor, F A Rathore

The Popeye Sign

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:29 - 29]

PDF  |  DOI: 10.5005/ijopmr-24-1-29  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB CHALLENGES

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:30 - 30]

PDF  |  DOI: 10.5005/ijopmr-24-1-30  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

BOOK NEWS

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:31 - 31]

PDF  |  DOI: 10.5005/ijopmr-24-1-31  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB QUIZ

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:32 - 32]

PDF  |  DOI: 10.5005/ijopmr-24-1-32  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Medical Philately

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:33 - 33]

PDF  |  DOI: 10.5005/ijopmr-24-1-33  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Sanat Kumar Sarkar

Obituary

[Year:2013] [Month:March] [Volume:24] [Number:1] [Pages:1] [Pages No:34 - 34]

PDF  |  DOI: 10.5005/ijopmr-24-1-34  |  Open Access |  How to cite  | 

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