Indian Journal of Physical Medicine and Rehabilitation

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2014 | June | Volume 25 | Issue 2

RESEARCH ARTICLE

REHAB CHALLENGES

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:1]

   DOI: 10.5005/ijopmr-25-2-61a  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

ARTICLE NEWS

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:1]

   DOI: 10.5005/ijopmr-25-2-62a  |  Open Access |  How to cite  | 

EDITORIAL

R. N. Haldar

Polio Free India - Achievements and Risks

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:1] [Pages No:33 - 33]

   DOI: 10.5005/ijopmr-25-2-33  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Alessandro Giustini

Perspectives for PRM Development: An Italian Point of View

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:10] [Pages No:34 - 43]

   DOI: 10.5005/ijopmr-25-2-34  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

P Das, R Pramanik, M Kataruka, RN Haldar, S Samanta, D Bhakat

The Role of Musculoskeletal USG as Diagonostic Tool of CTS

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:6] [Pages No:44 - 49]

   DOI: 10.5005/ijopmr-25-2-44  |  Open Access |  How to cite  | 

Abstract

Introduction

Over the years NCS has been used to diagnose and monitor the patients with CTS though USG has several advantages as diagnostic tool. This study has been done to find out the diagnostic accuracy of USG in CTS and to compare the efficacy of USG with standard NCS in CTS.

Prospective cross-sectional analytical study was conducted at Dept. of PM&R, IPGME&R, Kolkata from 1st March, 2012 to 31st August 2012 (6 months). Patient with clinical diagnosis of CTS of age >18 year of both sexes were included in this study and on the other hand patient with previous wrist surgery /injury, wrist deformity, diabetes mellitus, anatomical variants of median nerve on ultrasound were excluded from the study.

Methodology

After getting institutional ethical committee clearance, all patients who fulfil the above criteria were included in the study and further diagnostic conformation done by the standard diagnostic criteria of NCS. The same group of patients have been also screened by ultrasonography (USG).

Results

At the end of the study, data analysis showed that sensitivity and specificity were 92.3 and 70.0% respectively. Predictive value of +test, predictive value of -test were 88.9 and 77.8% respectively. Kappa value was 0.64 (between 0.5 and 0.7). It signifies that there is good correlation between NCS and USG as diagnostic tool of CTS. The comparison of the numerical values of median latency, amplitude and CSA USG within the groups with the help of ANOVA followed by Tukey's test showed that there was good correlation between latency and amplitude in mild, moderate, severe and profound CTS but unfortunately it was not correlated with the CSA measured by USG.

Conclusion

USG can be used for screening large population of patients as it is simple, easily available, non-invasive test and has relatively low cost and useful in evaluating and excluding local causes of nerve compression.

RESEARCH ARTICLE

Mohammad Moin Uddin, Aminuddin A Khan, Ahsanul Hoque Chowdhury, Ranjan Kumar Guha

Association of Low Back Pain with Common Risk Factors: A Community Based Study

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:6] [Pages No:50 - 55]

   DOI: 10.5005/ijopmr-25-2-50  |  Open Access |  How to cite  | 

Abstract

Background

Low back pain is very common in Asian communities. It is a major cause of activity limitation. Its risk factors were not studied well in Asian communities. This study was performed in the rural area to see the association of some common posture related and modifiable risk factors of low back pain.

Methods

This is a community based case-control study. Participants of both sexes between 30 and 60 years were selected who had low back pain. Data were collected with a semi-structured questionnaire and fifty-one participants were interviewed from which 32 had back pain (cases). Risk factor association was compared with age and ethnicity matched 19 patients without low back pain (control group).

Results

The point prevalence of low backache was 63%. Mean age of the patients was 45.8 (±10.8 SD) years. Seventy per cent of the back pain patients were females and 30% were males. Back pain was significantly associated with the risk factor ‘bending and twisting movements of the body’ (OR= 4.6 with 95% CI= 1.1 to 18.9, p= 0.041). It was not found to be significantly associated with the other studied risk factors.

Conclusion

Low back pain had a very high prevalence in rural Bangladesh. Bending and twisting movements of spine was the only posture related significant risk factor of low back pain.

CASE REPORT

K Sreejith, TR Sudhil, IN Krishnaprasad, P Sreedevi Menon

Richie Cannieu Anastomosis: A Case Report

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:3] [Pages No:56 - 58]

   DOI: 10.5005/ijopmr-25-2-56  |  Open Access |  How to cite  | 

Abstract

To perform or interpret an electrodiagnostic study, one should have a thorough knowledge about the normal human anatomy. Along with that, one should keep in mind the possibility of various anastomoses which can occur between different nerves. Richie Cannieu anastomosis is an anomalous ulnar to median communication in the palm between the deep branch of the ulnar nerve and the recurrent branch of the median nerve. Such an anastomosis in a setting of median or ulnar nerve injury can produce confusing clinical and electrodiagnostic findings. Correct diagnosis is important especially before planning any surgical intervention. Here we report a case of Richie Cannieu anastomosis to highlight the importance of knowing about such anastomoses.

CASE REPORT

AK Joy, Ngampa Sangme, Annada Sankar Mohes, Th Bidyarani

Dyke Davidoff Masson Syndrome: A Rare Disease Presented without Motor Weakness

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:2] [Pages No:59 - 60]

   DOI: 10.5005/ijopmr-25-2-59  |  Open Access |  How to cite  | 

Abstract

Medical science is full of surprises. We faced one such surprise while treating a 47-year-old male patient with difficulty in walking for 6 months duration along with occasional seizures since childhood. After thorough clinical examination and investigations, patient was diagnosed as a case of Dyke Davidoff Masson syndrome (DDMS). It is a rare syndrome due to hemiatrophy of cerebral hemisphere and associated with hemiplegia or hemiparesis. But in this case, patient had only ankle clonus, causing difficulty in walking without any other motor deficit. Alcohol neurolysis of gastrosoleus muscles was done followed by gait training and improvement of gait was noticed over time.

RESEARCH ARTICLE

Medical Philately

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:1] [Pages No:61 - 61]

   DOI: 10.5005/ijopmr-25-2-61  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

BOOK NEWS

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:1] [Pages No:62 - 62]

   DOI: 10.5005/ijopmr-25-2-62  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB QUIZ

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:1] [Pages No:63 - 63]

   DOI: 10.5005/ijopmr-25-2-63  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

R Pramanik, T Ahmed

Muscle Weakness in Prader Willi Syndrome

[Year:2014] [Month:June] [Volume:25] [Number:2] [Pages:1] [Pages No:64 - 64]

   DOI: 10.5005/ijopmr-25-2-64  |  Open Access |  How to cite  | 

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