Satisfactory presentation on adhesive capsulitis because of satisfactory results in 2 weeks.
Can do these exercises to increase range
Muscle strength and overall well being.
Case of Prolapse intervertebral Disc, lumbar disc prolapse, case, physiotherapy management, Assessment, recent Advance, orthopaedic case presentation, musculoskeletal physiotherapy case presentation, orthopaedic physiotherapy, case of a low back pain patient, lumbar radiculopathy, final year,
Assessment and Management of Frozen ShoulderThe Arm Clinic
The Arm Clinic's Mr Mike Walton presents his thoughts on assessment and management of Frozen Shoulder. Presentation for The Arm Clinic educational event #stiffshoulder at The Wilmslow Hospital, 29th April 2016.
Case of Prolapse intervertebral Disc, lumbar disc prolapse, case, physiotherapy management, Assessment, recent Advance, orthopaedic case presentation, musculoskeletal physiotherapy case presentation, orthopaedic physiotherapy, case of a low back pain patient, lumbar radiculopathy, final year,
Assessment and Management of Frozen ShoulderThe Arm Clinic
The Arm Clinic's Mr Mike Walton presents his thoughts on assessment and management of Frozen Shoulder. Presentation for The Arm Clinic educational event #stiffshoulder at The Wilmslow Hospital, 29th April 2016.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
28,000 ankle sprains occur daily in the US (Kaminski 2013)
Ankle is the 2nd most commonly injured body site. (Ferran 2006)
Ankle sprains are the most common type of ankle injury. (Ferran 2006)
A sprained ankle can happen to athletes and non-athletes,
children and adults.
Inversion injury most common mechanism (Ferran 2006)
Only risk factor is previous ankle sprain (Ferran 2006)
Sex , generalized joint laxity or anatomical foot types are
not risk factors. (Beynnon et al. 2002 )
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
28,000 ankle sprains occur daily in the US (Kaminski 2013)
Ankle is the 2nd most commonly injured body site. (Ferran 2006)
Ankle sprains are the most common type of ankle injury. (Ferran 2006)
A sprained ankle can happen to athletes and non-athletes,
children and adults.
Inversion injury most common mechanism (Ferran 2006)
Only risk factor is previous ankle sprain (Ferran 2006)
Sex , generalized joint laxity or anatomical foot types are
not risk factors. (Beynnon et al. 2002 )
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Brief description about "How to evaluate a patient presenting with chronic pain by a Pain Physician".
History taking and examination of patients is the most important step towards reaching the correct diagnosis.
This presentation is a comprehensive summary about all aspects of back pain. Back pain is one of the most common orthopaedic morbidity or orthopedic disability. Sciatica and lumbar disc diseases are common cause of spinal disability. Back pain are divided into Red flags, green flags and yellow flags for quick clinical screening. both treatment, prevention aspects are covered. Spinal anatomy and Biomechanics are covered. Epidemiology and role of various types of spine surgery, microdiscectomy, endoscopic spine surgery are also described.
IT IS CASE OF TOTAL KNEE REPLACEMENT
I HAVE MADE A CASE ON PATAIENT
HOW THE PAIN START
ASSEMENT OF PATAIENT
PRE OPRETATION EXERCISE
POST OPRETATION EXERCISE
ADVICE AND FOLLOWE UP FROM PATATION.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
3. DEMOGRAPHIC DATA
• Name : Prarthana Chaudhary
• Age: 49 years
• Sex: female
• Occupation: housewife
•
• Date of examination: 31.10.2019
• Patient ‘s complaint : inability to lift arm above head level and
difficulty in activities like ,combing ,dressing,
bathing etc due to shoulder pain
4. HISTORY
• Duration of symptoms : 3-4 months
• Onset of symptoms: insidious onset of pain and restriction of movements.
• PAIN
• Location : anterolateral arm and shoulder
• Quality : intermittent
• Intensity : 6-7 on VAS
• Aggravating factors : Overhead activities, touching back ,
• Relieving factor : HWF
6. OBSERVATION
POSTURE
• Cervical spine : no forward head posture
• Shoulder : Normal
• Scapula : Normal ( not protracted or abducted)
• Thoracic spine : normal
• Lumbar : normal lordosis present
• Pelvis : no abnormal tilt
• Scapulohumeral rhythm: excessive scapular movements during elevation
in initial phase
7. INSPECTION
• Skin
Color - normal , no signs of inflammation
Scar – not present
• Soft tissue inspection
Swelling- not present
Muscle contours- normal when compared with normal side.
• Gait - inadequate arm swing
• Attitude of affected upper extremity- arm by the side
• End feel : firm
8. MOBILITY
Range of motion:shoulder Active range of motion Passive range of motion
Flexion 120 125°
Extension 20 25
Abduction (frontal plane) 80° 90°
Elevation in scapular
plane
110 120
External rotation with 0°
abduction
10° 12°
Internal rotation with 90°
abduction
25° 30°
10. MANUAL MUSCLE TESTING
•Shoulder muscle test in the available range
Muscle group Left shoulder
(affected)
Resisted isometrics
(Affected)
Right shoulder
(normal side)
Flexors 3+ Painfree in neutral
Painful in mid range
5
Extensor 4- Painfree
Abductors 3+ Painful in middle range 5
Adductors 4+ Painfree 5
Horizontal adductors 4+ Painfree 5
External rotators 4- Painfree 5
Internal rotators 4 Painfree 5
11. SCAPULA MUSCLE TEST
Muscle Left (affected) Right (normal)
Serratus anterior Cannot be tested bcoz of pain 5
Middle trapezius 3 +(applying resistance –painful) 5
Lower trapezius Cannot be tested bcoz of
limited range
5
Rhomboids Cannot be tested 5
12. SPECIAL TEST
• Apleys scratch test – positive
ROTATOR CUFF lesion/impingement/tendinitis
.Hawkins Kennedy test-
.speed test –
Empty can test-
* False positive on day 1 because of pain and muscle spasm
15. MANAGEMENT
• AIM
1. Pain relief
2. To gain range of motion
3. muscle strengthening
4. Maintain range of motion and muscle strength
5. return to Functional activitise
1. PAIN RELIEF
Hot pack on left shoulder -10 min
To relax muscles ,pain relief and increase pliability of soft tissues.
.Pulsed ultrasound 0.8 W /cm2 to increase extensibility of joint
capsule
. Night pain – cold pack for 15 min
16. DAY 1 &2
Exercise protocol
. Scapular PNF pattern
for scapula stabilization
And pain relief
.hold relax - shoulder adductors
- shoulder extenders
To relax and stretch adductors and extensors
.oscillations for pain relief
18. HOME EXERCISE PROTOCOL
1. Codman’s exercises
2. Active assisted flexion
3. Isometric shoulder external /internal rotation
4. Active abduction/against wall
5. Anterior Capsular stretching
19. DAY 5 ONWARDS
• Mobilization of shoulder
10 glides ( inferior ,anterior ,posterior)
• Mobilization with movement for scapula in scaption plane and frontal plane
strengthening (alternating isometrics)
• Hold relax ,contract relax stretching
• Capsular stretching (anterior capsule ,posterior capsule ,inferior capsule)
Finger ladder for active assisted flexion and abduction
24. SHOULDER PAIN & DISABILITY INDEX
(SPADI)
Pain scale Before PT management After 2 wks of PT
1. At its worst ?
2. When lying on the involved
side ?
3. Reaching for something on
a high shelf?
4. Touching back of your
neck?
5. Pushing with the involved
arm?
7
5
6
3
7
6
3
5
2
4
5×10=50 28 20
Total pain score (%) (28÷50)×100=56% 40%
25. DISABILITY SCALE
Functional activities Before After 2 wks
1. Washing your hair?
2. Washing your back?
3. Putting on undershirt?
4. Putting on your suit?
5. Putting on your salwar?
6. Placing an object on a high
shelf ?
7. Carring a heavy object ?
8. Removing something from
your back pocket
6
7
5
7
3
7
6
7
4
5
4
5
1
5
5
5
Total disability score 80 48 34
Disability Percentage 60% 42.5%
Total SPADI SCORE 58.46% 41.53%
28. • Can Hold end position in newly gained range of motion
. Night pain : before treatment 6-7
After PT treatment 2
. Special test
Empty can test – negative
Speed test – negative
SPADI decreased from 58 % to 41%