Indian Journal of Physical Medicine and Rehabilitation

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2015 | March | Volume 26 | Issue 1

RESEARCH ARTICLE

ARTICLE NEWS

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijopmr-26-1-20a  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Medical Philately

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijopmr-26-1-22a  |  Open Access |  How to cite  | 

EDITORIAL

R. N. Haldar

World Health day 2015- Food Safety

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:1] [Pages No:1 - 1]

PDF  |  DOI: 10.5005/ijopmr-26-1-1  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Vinay Goyal, Nonica Laisram

Grading of Adductor Spasticity in Cerebral Palsy – A New Approach

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:4] [Pages No:2 - 5]

PDF  |  DOI: 10.5005/ijopmr-26-1-2  |  Open Access |  How to cite  | 

Abstract

Spastic cerebral palsy is the most common form of cerebral palsy. Spasticity in hip adductor causes discomfort, stiffness and difficulties in performing physical activities such as seating, transfers and walking. Grading of hip adductor spasticity is still a challenge in the field of rehabilitation. A simple method to assess hip adductor spasticity and use it as outcome measures of intervention is needed in general clinical practice.

We propose a visual method for grading hip adductor spasticity i.e grade 1= touch at ankle, grade 2 = crossing at ankle and grade 3 = crossing at knee in spastic cerebral palsy children. We followed 60 spastic cerebral palsy children over a period of three months on oral antispastic medication and found it very useful to assess response to drug. Intially hip adductor spasticity of grade 3 was observed in 10 %, grade 2- 8.33%, grade 1- 26.66% and 45% patients had no scissoring. After three months of drug therapy improvement was observed as grade 3 seen in 1 %, grade 2 - 7%, grade 1 - 23.33% and patients with no scissoring rose to 63.3%. These observations show that visual method for hip adductor spasticity is a simple and helpful method for grading response to therapeutic intervention.

RESEARCH ARTICLE

Rohini Gupta, SY Kothari, Jaydeep Nandi, Diganta Borah, BB Thukral

Clinical and Imaging Evaluation of Efficacy of Viscosupplementation in Degenerative Osteo-arthritis Knee – A Prospective Interventional Study

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:5] [Pages No:6 - 10]

PDF  |  DOI: 10.5005/ijopmr-26-1-6  |  Open Access |  How to cite  | 

Abstract

In this study 30 patients with osteo-arthritis (OA) knee (total 55 knees) were given weekly injections of high molecular weight (HMW) hyaluronic acid (HA) for 3 weeks. The subjective parameter was Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) score which improved from 97.67±21.4 at baseline to 61.03±24.8 at six months follow-up (p=0.0001). Also the mean range of motion (ROM) of the involved knees was 125.73± 10.8 degrees at baseline and it increased to 132.64±5.2 degrees after six months (p=0.0001) of injection treatment. The objective parameter of disease modification was MRI based semi-quantitive Whole-organ Magnetic Resonence Imaging Score (WORMS) score. The mean of total WORMS score in medial femorotibial joint (MFTJ) and patellofemoral joint (PFJ) improved from baseline (28.382±10.446; 22.64±5.969) to final follow up (27.46±10.32; 21.76± 6.182) which was quite significant (p=0.0321; p=0.0294) and implies a reduced rate of cartilage destruction after injection HA though there is no regrowth of cartilage as such.

RESEARCH ARTICLE

BP Navin, Amitava Dube

Assessment of Autonomic Dysfunction in Chronic Complete Spinal Cord Injury by Heart Rate Variability

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:6] [Pages No:11 - 16]

PDF  |  DOI: 10.5005/ijopmr-26-1-11  |  Open Access |  How to cite  | 

Abstract

Objectives

Non-invasive assessment of cardiac autonomic dysfunction in spinal cord injury (SCI) by means of heart rate variability analysis (HRV). Also, to assess the effect of postural change on neural outflow.

Setting

Rehabilitation research center, Sawai Man Singh Hospital, Jaipur.

Participants

110 patients with SCI were screened, of whom, 12 patients aged between 20 and 30 years with chronic complete SCI and neurological level of T6 or above were included. An equal number of age and sex matched healthy individuals were the controls.

Interventions

Five minute ECG recording, first in supine position and then in sitting position was done.

Outcome measures

Frequency domain measures of heart rate variability.

Results

No significant differences were observed between both the groups in supine rest. On sitting, the absolute power of the low frequency (LF) and high frequency (HF) components were significantly less in the SCI patients than that in the controls. A significantly increased LF-to-HF ratio along with a higher mean heart rate (HR) was observed in the controls on postural change.

Conclusion

On change of posture, the controls showed a physiologically patterned response, which was not observed in the SCI patients. The loss of this homeostatic mechanism in the SCI subjects was observed, which may reflect a dysfunctional autonomic nervous system interplay in patients with complete SCI.

CASE REPORT

Pebam Sudesh, Deepak Kumar

Tibialis Posterior Tendon Transfer in Post Injection Common Peroneal Nerve Palsy in a Paediatric Patient–A Case Report

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:3] [Pages No:17 - 19]

PDF  |  DOI: 10.5005/ijopmr-26-1-17  |  Open Access |  How to cite  | 

Abstract

Post injection foot drop is due to common peroneal nerve damage at site of injection (gluteal region) in which dorsiflexor of foot EHL, EDL and tibialis anterior are weakend or paralysed. It can be managed by reconstructive surgery; tibialis posterior tendon transfer to EHL, EDL and 2nd metatarsal. Here objective is rehabilitation of post injection common peroneal nerve palsy foot drop in a paeditaric patient. Our method and outcome measure as first rehabilitation programme for foot drop paediatric patient (common peroneal nerve palsy) thereafter reconstructive surgery of tibialis posterior transfer to EHL, EDL and 2nd metatarsal. Last we re-educate them to tibialis posterior contraction for dorsiflexion of foot. Our result was patient was able to walk similar as normal, able to elevate her toes and foot. Patient was happy and confident with her functional foot. But patient was advised to avoid heavy work, sprinting, and active aggressive game (like foot ball). Our conclusion is patient gets benefited by this procedure.

RESEARCH ARTICLE

BOOK NEWS

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:1] [Pages No:20 - 20]

PDF  |  DOI: 10.5005/ijopmr-26-1-20  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB QUIZ

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:1] [Pages No:21 - 21]

PDF  |  DOI: 10.5005/ijopmr-26-1-21  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

REHAB CHALLENGES

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:1] [Pages No:22 - 22]

PDF  |  DOI: 10.5005/ijopmr-26-1-22  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

R Pramanik

LMN Type of 7th Cranial Nerve Palsy with Cutaneous Manifestations

[Year:2015] [Month:March] [Volume:26] [Number:1] [Pages:1] [Pages No:23 - 23]

PDF  |  DOI: 10.5005/ijopmr-26-1-23  |  Open Access |  How to cite  | 

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