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PHYSIOTHERAPY
DEPARTMENT
Dr. Sunil Keswani, National Burns
Centre, www.burns-india.com,
nbcairoli@gmail.com
Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com

WHAT IS
PHYSIOTHERAPY???
The specialty areas include:
•Cardiovascular and Pulmonary
•Clinical electrophysiology
•Integumentary
•Neurological
•Ortho...
WHY IN BURNS???

Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com
AIMS:
•Achieve a clear airway and prevent
respiratory complications
•Maintain joint range of movements and
prevent contrac...
Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com

MODALITIES REQUIRED
FOR PHYSIOTHERAPY
D...
Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com

Following equipments are necessary in t...
CHEST PERCUSSOR
Chest Physiotherapy is a technique used
to mobilize or loosen secretions in the
lungs and the respiratory ...
TRACTION MACHINE:






Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com



Spinal tr...
SHORT WAVE DIATHERMY:
Shortwave Diathermy (SWD) is a non
invasive physiotherapy technique in
which radio frequency electro...
INTERFERENTIAL THERAPY:










Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com
...
MUSCLE STIMULATOR:





Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com



Electrica...
TRANSCUTANEOUS ELECTRICAL NERVE
STIMULATION (TENS):
TENS is a method of electrical stimulation.
 It primarily aims to pro...
ULTRASOUND:








Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com



Therapeutic...
CONTINUOUS PASSIVE MOTION:
C.P.M. is a proven modality used to reduce
pain, edema, increase/maintain range of
motion, and ...
CRYOTHERAPY:
Ice packs or cryotherapy are generally more
effective in terms of depth of penetration than other
superficial...
HEAT THERAPY:
 Heat

Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com

packs are thermal...
TRACTION TABLE:

Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com
TABLE FOR DIAGNOSIS AND
TREATMENT:

Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com
CLEARLY ARTICULATED
PLAN IS SIMPLY A

HALLUCINATION"

Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcair...
Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com

MODALITIES
REQUIRED FOR
REHABILITATION
...
Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com

Following equipments are necessary in
t...
PARALLEL BAR:








Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com



Physical t...
EXERCISE MAT:
Exercise mats encourage the development of
motor skills at all levels – a must for
therapeutic, early childh...
EXERCISE STAIRCASE:
Stair climbing is very essential in the rehabilitation
of a burn patient.
 It helps to improve aerobi...
EXERCISE BALLS:










Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com



Exer...
TREADMILL:
Treadmill provides a straightforward and efficient
aerobic workout.
 Advantages:
 Improves strength and endur...
SHOULDER WHEEL:
Shoulder wheel is a therapeutic device used for
rehabilitation of upper limb.
 The benefits are:
 increa...
SHOULDER LADDER:




Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com



Ideal for pro...
WOBBLE BOARD:
Wobble boards are designed for balance and
proprioception training.
 These are also called as Balance Train...
WALKING AIDS:

CRUTCHES

Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com



WALKERS


...
ANKLE EXERCISER:
Ankle exerciser is a therapeutic device used for
 Strengthening dorsiflexors and plantar flexors of
ankl...
EXERCISE BANDS:
Therapeutic exercise bands are used for
strengthening of the muscles.
 The varied colored bands are of di...
HAND GRIP EXERCISER:
Hand exerciser is used for hand rehabilitation.
 It helps in increasing range of motion of all the
f...
FINGER EXERCISE SPRINGS:
Finger exercise springs are used for strengthening
of fingers.
 The varied resistances help in p...
EXERCISE BALLS:
Exercise balls are specially designed for the
improvement of motor skills of the hands.
 The benefits are...
RESISTANCE PUTTY:
Used commonly for hand therapy.
 They are often used in physiotherapy/rehabilitation
exercises and can ...
DUMBBELLS:
Dumbbells are able to target specific muscles and
ligaments in the
arms, chest, shoulder, back, abdomen, and th...
WEIGHT CUFFS:
Weight Cuff set strengthens the weak muscles
through load resisting exercises of both upper and
lower limbs....
STABILITY TRAINER:
Stability forms a large part of the rehabilitation.
 It is the training of specific muscles that stabi...
PEG BOARDS:


Peg Board is used to rehabilitate the patients with
neuromuscular disorder.



It helps in improving fine ...
Dr. Sunil Keswani, National Burns
Centre, www.burnsindia.com, nbcairoli@gmail.com
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Ppt dept design by Dr. Sunil Keswani, National Burns Centre, Airoli

  1. 1. PHYSIOTHERAPY DEPARTMENT Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
  2. 2. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com WHAT IS PHYSIOTHERAPY???
  3. 3. The specialty areas include: •Cardiovascular and Pulmonary •Clinical electrophysiology •Integumentary •Neurological •Orthopedic •Pediatric •Geriatric Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com Physiotherapy is a health care profession primarily concerned with the remediation of impairments and disabilities and the promotion of mobility, functional ability, quality of life and movement potential through examination, evaluation, diagnosis and physical intervention carried out by physical therapists.
  4. 4. WHY IN BURNS??? Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  5. 5. AIMS: •Achieve a clear airway and prevent respiratory complications •Maintain joint range of movements and prevent contractures or deformities •Maintain muscle strength •Regain maximum function •Minimize scarring •Help the patient to gain independence and return to an active lifestyle. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com Burn injuries are for a lifetime and require specialized care. Managing burn injuries properly is essential as it may cause disfiguring and disabling scarring. Physiotherapy is necessary for both in and out patients. The physiotherapist together with other team members must recognize the devastating effect a bad case of burning can have on the family.
  6. 6. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com MODALITIES REQUIRED FOR PHYSIOTHERAPY DEPARTMENT
  7. 7. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com Following equipments are necessary in the department: 1. Chest percussor 2. Cervical and Lumbar Traction machine 3. Short wave Diathermy 4. Interferential therapy 5. Muscle Stimulator 6. Transcutaneous electrical nerve stimulation 7. Ultrasound 8. Continuous passive motion 9. Cryotherapy 10.Heat Therapy 11.Laser therapy 12.Table for Diagnosis and treatment purpose 13.Traction table 14.Evaluation sets • Dynamometer • Goniometer
  8. 8. CHEST PERCUSSOR Chest Physiotherapy is a technique used to mobilize or loosen secretions in the lungs and the respiratory tract.  A chest percussor is used to administer percussion over the chest wall mechanically.  It is a high speed hand held hammer that when held against the chest replaces manual percussion. It's more effective, less tiring and easy to self administer.  It results in breaking up thick secretions in the lungs so that they can be more easily removed.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  9. 9. TRACTION MACHINE:    Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Spinal traction is a therapeutic technique in which manual or mechanical forces are applied to the body in an attempt to stretch the spine. Therapeutic spinal traction is most often used to address compressive pain in conditions like sciatica, herniated discs, degenerative disc disease, and pinched nerves. The goal of traction is to reduce compression in the spinal column, release trapped nerves in turn relieving pain, joint distraction, soft tissue stretching and reduction of disk protrusion. The ultimate goal is to decrease pain, tingling, weakness, and other symptoms caused by compressive spinal conditions.
  10. 10. SHORT WAVE DIATHERMY: Shortwave Diathermy (SWD) is a non invasive physiotherapy technique in which radio frequency electromagnetic energy of sufficient high intensity is directed at biological tissues which causes heating.  It is generally used to provide relief from pain and inflammation in the joints and muscles.  It increases blood flow and elasticity of connective tissue.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  11. 11. INTERFERENTIAL THERAPY:       Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Interferential therapy is an electrical modality that applies currents at around 4000 Hz through the affected area of a patient. Four electrodes are placed in such a way that allows two currents to cross each other and penetrate deep within a joint or body area. Indications : Pain relief Increase in blood flow to promote tissue healing reduce swelling/ inflammation Muscle stimulation to activate weak muscles and overcome muscle inhibition caused by the injury
  12. 12. MUSCLE STIMULATOR:    Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Electrical stimulation uses an electrical current to cause a single muscle or a group of muscles to contract. Contracting the muscle via electrical stimulation helps strengthen the affected muscle. It also promotes blood supply to the area that assists in healing. It is applied to stimulate sensory and motor nerves, facilitate muscle contraction, re-educate muscle, improve circulation and prevent contractures.
  13. 13. TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS): TENS is a method of electrical stimulation.  It primarily aims to provide a degree of symptomatic pain relief by exciting sensory nerves and thereby stimulating either the pain gate mechanism and/or the opioid system.  The different methods of applying TENS relate to these different physiological mechanisms.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  14. 14. ULTRASOUND:      Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Therapeutic Ultrasound is a treatment method that uses a transducer transmitting sound waves to treat pain, inflammation and muscle spasms by stimulating the body with high-frequency micro vibrations. Primary benefits are: speeding up of the healing process by increased blood flow decrease in pain from the reduction of swelling and edema. gentle massage of muscles tendons and/ or ligaments and any scar tissue is softened. It also helps in softening of scar tissues.
  15. 15. CONTINUOUS PASSIVE MOTION: C.P.M. is a proven modality used to reduce pain, edema, increase/maintain range of motion, and help prevent adhesions, contractures (muscle/joint stiffness).  It provides hours of passive range of motion which allows the patient to focus on more effective Active range of motion and strengthening exercises during their limited visit.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  16. 16. CRYOTHERAPY: Ice packs or cryotherapy are generally more effective in terms of depth of penetration than other superficial thermal modalities.  Intramuscular temperatures can actually be reduced by 3-7 degrees C.  This is helpful in reducing local metabolism, inflammation, and pain.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  17. 17. HEAT THERAPY:  Heat Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com packs are thermal modalities used for relief of pain.  This is also helpful in improving circulation.
  18. 18. TRACTION TABLE: Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  19. 19. TABLE FOR DIAGNOSIS AND TREATMENT: Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  20. 20. CLEARLY ARTICULATED PLAN IS SIMPLY A HALLUCINATION" Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com "A VISION WITHOUT A
  21. 21. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com MODALITIES REQUIRED FOR REHABILITATION UNIT
  22. 22. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com Following equipments are necessary in the rehabilitation unit: 1. Parallel Bar 2. Exercise mat 3. Exercise staircase 4. Exercise balls 5. Treadmill 6. Shoulder wheel 7. Shoulder ladder 8. Wobble board 9. Walker 10. Crutches 11. Ankle exerciser 12. Exercise bands 13. Hand grip exerciser 14. Finger exercise springs 15. Hand exercise balls 16. Resistance putty 17. Dumbbells 18. Weight cuffs 19. Stability trainer 20. Peg boards 21. Recreational activities
  23. 23. PARALLEL BAR:     Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Physical therapy parallel bars are devices used in rehabilitation facilities to assist patients in learning to walk after injury or disability. They are used to help patients regain strength, balance, range of motion and independence. They are used for coordination exercises and concise movements that work more than one joint and muscle. This type of training progresses to walking with mobility aids such as walkers, crutches, or walking canes. Gait training can help patients regain their normal ambulatory motion.
  24. 24. EXERCISE MAT: Exercise mats encourage the development of motor skills at all levels – a must for therapeutic, early childhood, and gross motor play.  Each mat is impervious to fluids and easy to clean.  Therapy mats are versatile.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  25. 25. EXERCISE STAIRCASE: Stair climbing is very essential in the rehabilitation of a burn patient.  It helps to improve aerobic and anaerobic conditioning and lower body strength.  It also increases independence of the patient and restores the functional ability of the individual.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  26. 26. EXERCISE BALLS:       Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Exercise balls are inflatable balls made of soft elastic with a diameter of approximately 35 to 85 centimeters filled with air. These are equipments effective at targeting core muscles, which are essential for stability and good posture. The benefits are: Posture re-education Increase lumbar (low back) mobility Increase balance and stability Develop overall control and strength of the core body muscles
  27. 27. TREADMILL: Treadmill provides a straightforward and efficient aerobic workout.  Advantages:  Improves strength and endurance  Incline setting can allow for consistent "uphill" training  Rate settings force a consistent pace  Improves cardiovascular endurance  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  28. 28. SHOULDER WHEEL: Shoulder wheel is a therapeutic device used for rehabilitation of upper limb.  The benefits are:  increase strength of upper limb muscles  increases joint range of motion  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  29. 29. SHOULDER LADDER:   Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  Ideal for progressive range for shoulder motion Improves strength of upper limb muscles Increases flexibility of joints
  30. 30. WOBBLE BOARD: Wobble boards are designed for balance and proprioception training.  These are also called as Balance Training Boards.  It features as a sensory stimulation surface.  It provides a multi-planar challenge.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  31. 31. WALKING AIDS: CRUTCHES Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com  WALKERS  These are used as assistive devices for walking.
  32. 32. ANKLE EXERCISER: Ankle exerciser is a therapeutic device used for  Strengthening dorsiflexors and plantar flexors of ankle  Increasing ankle joint range of motion  Improving joint flexibility  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  33. 33. EXERCISE BANDS: Therapeutic exercise bands are used for strengthening of the muscles.  The varied colored bands are of different resistances which can be used for progressive resisted exercises.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  34. 34. HAND GRIP EXERCISER: Hand exerciser is used for hand rehabilitation.  It helps in increasing range of motion of all the fingers.  It increases the strength of the muscles of the hand.  It is used as a progressive resisted exercise for hand.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  35. 35. FINGER EXERCISE SPRINGS: Finger exercise springs are used for strengthening of fingers.  The varied resistances help in providing feedback to the patients of increasing strength of the muscles.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  36. 36. EXERCISE BALLS: Exercise balls are specially designed for the improvement of motor skills of the hands.  The benefits are:  Improves strength  Improves gripping activities  Helps in prehension and precision training  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  37. 37. RESISTANCE PUTTY: Used commonly for hand therapy.  They are often used in physiotherapy/rehabilitation exercises and can help prevent future hand and wrist problems.  The goal is to increase the strength of muscles tendons and joints of the hand.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  38. 38. DUMBBELLS: Dumbbells are able to target specific muscles and ligaments in the arms, chest, shoulder, back, abdomen, and the legs.  Dumbbells are used for rehabilitation purpose.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  39. 39. WEIGHT CUFFS: Weight Cuff set strengthens the weak muscles through load resisting exercises of both upper and lower limbs.  These are iron pellets filled cuff which are double sewn & has long wrap around straps to hold it securely.  These weights come in 1/2kg, 1kg, 1.5kg, 2kg, 2.5kg and 3kg weights.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  40. 40. STABILITY TRAINER: Stability forms a large part of the rehabilitation.  It is the training of specific muscles that stabilize the trunk to provide balance and control.  The reformer provides finely tuned exercise resistance that allows individuals to work very precisely to develop good alignment, core strength, and flexibility.  Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com
  41. 41. PEG BOARDS:  Peg Board is used to rehabilitate the patients with neuromuscular disorder.  It helps in improving fine motor skills. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com 
  42. 42. Dr. Sunil Keswani, National Burns Centre, www.burnsindia.com, nbcairoli@gmail.com

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