Indian Journal of Physical Medicine and Rehabilitation

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2013 | June | Volume 24 | Issue 2

RESEARCH ARTICLE

ARTICLE NEWS

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:1] [Pages No:0 - 0]

   DOI: 10.5005/ijopmr-24-2-58a  |  Open Access |  How to cite  | 

EDITORIAL

Andrew J. Haig

The International Rehabilitation Forum: Growing New Leadership for Rising Countries

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:2] [Pages No:38 - 39]

   DOI: 10.5005/ijopmr-24-2-38  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

A R Chanu, C Zonunsanga, Hmingthanmawii , M Pertin

Profile of Traumatic Spinal Cord Injury Patients Admitted in Physical Medicine and Rehabilitation Department of a Tertiary Care Hospital: A North East India Experience

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:4] [Pages No:40 - 43]

   DOI: 10.5005/ijopmr-24-2-40  |  Open Access |  How to cite  | 

Abstract

Study Design

Retrospective Descriptive Study.

Setting

Physical Medicine and Rehabilitation (PMR) Department, Regional Institute of Medical Sciences (RIMS), Imphal, a tertiary care teaching hospital in North East India

Study Duration

1st November 2011 to 31st October 2012.

Study Duration

1st November 2011 to 31st October 2012.

Objective

To study the profile of traumatic spinal cord injury (SCI) patients admitted in PMR Department, RIMS.

Materials and Methods

Neurological profile of traumatic SCI patients admitted in PMR Department, RIMS was recorded using a structured proforma and analysed. Demographic profile of the patients, time since injury, functional status and complications were also recorded.

Results

Among all 22 patients, 16(72.7%) were tetraplegics with C5 (59.09%) as the most common neurological level involved. Twelve (54.5%) were American Spinal Injury Association (ASIA) grade A. The mean motor and sensory scores were 45±24.97 and 157.50±69.53 respectively. The mean FIM score (at admission) was 71.50±23.40 and FIM (at discharge) was 82.35±20.72. Spasticity was present in 16 cases (72.7%) with gastrosoleus as most common site. There were 14 patients (63.6%) who had urinary tract infection (UTI). Only 5(22.7%) underwent urodynamic study and all had hyperactive detrussor. The most common mode of bladder management was clean intermittent catheterisation (CIC) which was done in 16 patients (72.7%). Pressure sore was seen in 14(63.6%) of patients with sacrum (78.57%) as the most common site.

Conclusion

Majority of traumatic SCI inpatients were of ASIA grade A and tetraplegics were commoner. Fall from height was the comonest cause of injury. Spasticity, UTI and pressure sores were common complications.

CASE REPORT

P Harshanand, G Anil Kumar, P Vivek, R Jayasree

Mucopolysaccharidosis and Rehabilitation

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:4] [Pages No:44 - 47]

   DOI: 10.5005/ijopmr-24-2-44  |  Open Access |  How to cite  | 

Abstract

Mucopolysaccharidosis is a rare lysosomal storage disorder with overall prevalence of all types is 3.53 per 100,000 live births. Exact figures are not available for Indian population. It has poor prognosis with no easy curative medical or surgical management. This case report describes two cases of mucopolysaccharidosis with type one and type four variant. These cases diagnosed and rehabilitated to increase quality of life. Early identification of such cases by clinical features, supportive investigations and rehabilitation management can help patient to improve functional independence and activities of daily living.

CASE REPORT

Jagannatha Sahoo

Anatomic Reconstruction of the Distal Radio-ulnar Ligament for Distal Radio-ulnar Joint Instability : A Case Report

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:3] [Pages No:48 - 50]

   DOI: 10.5005/ijopmr-24-2-48  |  Open Access |  How to cite  | 

Abstract

Stability of the distal radio-ulnar joint (DRUJ) is provided by bony architecture and by soft tissues such as the triangular fibrocartilage complex (TFCC), the joint capsule, and surrounding muscles. Many authors have made various attempts to restore DRUJ stability surgically following trauma. The objective of this study was to analyse clinical outcomes after anatomic reconstruction of the distal radio-ulnar ligaments in a 26 years male with post-traumatic chronic instability of the DRUJ. Anatomic reconstruction of the major structures responsible for joint stability is the most important principle for the treatment of instability of an injured joint with an intact articular surface by using a palmaris longus tendon graft whose ends were anchored in pre-drilled holes in the radius and the ulna. Anatomical reconstruction of the distal radioulnar ligaments is thought to be an effective procedure for treating post-traumatic DRUJ instability.

CASE REPORT

Deepak Kumar, Gogia Virinder Singh

A Case Report of Hirayama Disease

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:5] [Pages No:51 - 55]

   DOI: 10.5005/ijopmr-24-2-51  |  Open Access |  How to cite  | 

Abstract

Hirayama disease is also known as juvenile muscular amyotrophy of distal upper limb. This type of condition is rare and difficult to differentiate this disease from other disease with similar symptoms such as motor neuron disease. Very few cases reported in Medical science and its management is not much proved. But in our case a 20-year-old male came to department with complaint of slowly progressive muscle atrophy and weakness in distal U/L of right side. This disease had confirmed by MRI of flexed cervical region. Patient was managed by similar protocol: Vitamin B12, exercise of hand, cervical collar and isometric neck muscle exercise. Got benefit to patient for cessation of progressive of disease. It is necessary to early diagnosis of Hirayama disease so that patient got early management. Surgical management is preserved to late stage. In case of similar symptoms of cold paresis, amyotrophy, weakness of distal upper limb then a flexion MRI study should be performed to confirm the diagnosis.

RESEARCH ARTICLE

Balamurugesan Kandan, Viswanathan Stalin

Charcot Arthropathy in Diabetes

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:1] [Pages No:56 - 56]

   DOI: 10.5005/ijopmr-24-2-56  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB CHALLENGES

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:1] [Pages No:57 - 57]

   DOI: 10.5005/ijopmr-24-2-57  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

BOOK NEWS

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:1] [Pages No:58 - 58]

   DOI: 10.5005/ijopmr-24-2-58  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB QUIZ

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:1] [Pages No:59 - 59]

   DOI: 10.5005/ijopmr-24-2-59  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Medical Philately

[Year:2013] [Month:June] [Volume:24] [Number:2] [Pages:1] [Pages No:60 - 60]

   DOI: 10.5005/ijopmr-24-2-60  |  Open Access |  How to cite  | 

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