This document discusses conservative treatment options for scoliosis. Scoliosis is an abnormal curvature of the spine, while kyphosis is excessive curvature in the sagittal plane. Conservative treatments aim to stop progression, prevent respiratory issues, and improve aesthetics. Options include observation, bracing, and physical therapy techniques like the FITS method, which involves myofascial release, strengthening, and teaching correct posture. Bracing is recommended for curves between 25-35 degrees in females to prevent worsening. The FITS method focuses on three-dimensional correction through functional exercises and awareness of proper alignment.
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 )
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 )
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Waddling gait- definition|role of muscle|gait analysis|kinematic and spatiote...jasna ok
This powerpoint is about WADDLING GAIT,muscle that cause waddling gait , its causes, reasons for why this gait is called duck gait and pregnancy gait, gait analysis , and its physical therapy treatment
Here discuss some important bio mechanical aspects of the orthosis we use use in daily physio-therapeutic rehabilitation.
We also discuss the principles under which all the orthosis works. references are various articles from pubmed. For furthur read refer Atlas of orthosis and assistive aids.
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Waddling gait- definition|role of muscle|gait analysis|kinematic and spatiote...jasna ok
This powerpoint is about WADDLING GAIT,muscle that cause waddling gait , its causes, reasons for why this gait is called duck gait and pregnancy gait, gait analysis , and its physical therapy treatment
Here discuss some important bio mechanical aspects of the orthosis we use use in daily physio-therapeutic rehabilitation.
We also discuss the principles under which all the orthosis works. references are various articles from pubmed. For furthur read refer Atlas of orthosis and assistive aids.
SCOLIOSIS - Presentation on SCOLIOSIS .docZaherRahat1
Scoliosis is where the spine twists and curves to the side.
It can affect people of any age, from babies to adults, but most often starts in children aged 10 to 15. Scoliosis can improve with treatment, but it is not usually a sign of anything serious and treatment is not always needed if it's mild.
Idiopathic scoliosis is a condition that causes the spine to curve to the side. While the cause of scoliosis is unknown, it usually runs in families and typically affects girls and young women more often and severely than boys and young men. Mild cases that do not cause pain or discomfort require no treatment. However, cases that are moderate to severe and with or without pain or discomfort require treatment which is determined on a case by case basis.
http://www.davidsfeldmanmd.com/specialties/scoliosis
SCOLIOSIS - S.R.SHYAMALA FINAL YEAR.pdfDRSRSHYAMALA
SCOLIOSIS IS A INTERESTING DEFORMITY WERE WE CAN LEARN A MANY THINGS AT DIFFERENT LEVELS. AT NEUROLOGIC LEVELS ,CARDIO LEVELS,BIOMECHANICAL LEVELS , RESEARCH LEVELS ETC....
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
2. DEFENTIONS
Kyphosis is excessive curvature of the spine in the
sagittal (A-P) plane. The normal back has 20° to
45° of curvature in the upper back, and anything in
excess of 45° is called kyphosis.
Scoliosis is abnormal curvature of the spine in the
coronal (lateral) plane. Scoliosis of between 10°
and 20° is called mild. Less than 10° is postural
variation.
Lordosis or hyperlordosis is excessive curving of
the lower spine and is often associated with
scoliosis or kyphosis. It can be exaggerated by poor
posture.
3. NOTE
'structural scoliosis', or just scoliosis, is very
different from 'functional scoliosis', which is a spinal
curvature secondary to known extra-spinal causes
(eg, shortening of a lower limb or paraspinal muscle
tone asymmetry). It is usually partially reduced or
completely subsides after the underlying cause is
eliminated
4. Definitions and staging
• Infantile scoliosis occurs before age 3 and is seen more
frequently in boys. Although neurological involvement is
possible, many resolve spontaneously but some may
progress to severe deformity.
• Juvenile scoliosis is found more frequently in girls
between the ages of 3 and 10. These curves are at a
high risk for progression and often require surgical
intervention.
• AIS occurs between age 10 and maturity. AIS may start
at the onset of puberty or become apparent during an
adolescent growth spurt. Females are at higher risk,
often requiring surgical treatment, if non-operative
treatment fails to halt curvature.
• Adult scoliosis occurs after maturity.
5. Symptoms
• Mild disease is usually painless but, as deformity
grows, pain will usually increase.
• Scoliosis in children or adolescents is often
detected on routine screening.
• Patients with AIS most often present with unlevel
shoulders, waistline asymmetry (one hip 'sticking
out' more than the other), or a rib prominence.[2]
• Ask about family history of scoliosis.
6.
- Sideways curvature of the spine
- Sideways body posture
- One shoulder raised higher than the other
- Clothes not hanging properly
- Local muscular aches
- Local ligament pain
7.
8. Decreasing pulmonary function is a major
concern in progressive severe scoliosis. The
progression of scoliosis leads to thoracic
cage deformity and concomitant pulmonary
compromise. Based on the results of the
present study, impairment of function was
seen in more severe cases of spinal
deformity, proximally-located curvature and
older patients
9.
I. Conservative treatment
With regard to conservative treatment of patients with congenital scoliosis, it
should be noted that there are limited data available in the literature. A
review (level of evidence 2) concluded that patients with specific types of
segmentation failures, like unilateral unsegmented bars, will not benefit from
conservative treatment, while the same applies to formation failures with
curves of > 20 degrees in infancy. Nevertheless, there are reports that a
conservative approach might be beneficial in mild cases with formation
failures in the first three years of life. Furthermore, the review concluded that
in patients with formation failures further investigation is needed to document
where a conservative approach (bracing treatment) would be necessary. In
general, most congenital scoliotic curves are not flexible and therefore are
resistant to repair with bracing. For this reason, the use of braces mainly
aims to prevent the progression of secondary curves that develop above and
below the congenital curve, causing imbalance. In these cases, they may be
applied until skeletal maturity[12].
10. Some physical therapists recommend a brace to prevent
the worsening of the scoliosis. An often used brace is
the Milwaukee brace. Nevertheless the evidence for
bracing is controversial. Maruyama T., Nakao Y. and
Takeshita T. studied the effect of bracing in a review
(2011). They compared brace treatment with no-
treatment, other conservative treatments or surgery. The
analyzed outcome measures were the radiological
progression of the curve, surgery and quality of life.
Results demonstrate that brace treatment is better than
no-treatment (observation) or electrical stimulation.
There is also no negative influence on the quality of life
of patients with an idiopathic scoliosis. We can conclude
that bracing is recommended as a treatment for female
patients with a Cobb angle of 25-35°. The evidence level
of some studies in the review was limited, so further
research is necessary.
11. Types of scoliosis
• Idiopathic (80%). This is not associated with dysmorphic
features, skin lesions or neuromuscular disease.
• Congenital malformations of the vertebrae (10%) can
cause deformity. These are commonly associated with
genitourinary anomalies.
• Neuromuscular conditions (15%) include cerebral
palsy, spina bifida and poliomyelitis.
• Metabolic problems such as Hunter's syndrome.
• Crush fracture from
trauma, osteoporosis, tuberculosis or malignancy.
• Dysmorphic syndromes such
as neurofibromatosis, Marfan's syndrome, osteogenesis
imperfecta.
12. INVESTIGATIONS
PA and lateral X-rays of the spine. A commonly
used parameter is Cobb's angle:
To use the Cobb's method of measuring the degree
of scoliosis, the most tilted vertebrae above and
below the apex of the curve are chosen.
The angle between intersecting lines drawn
perpendicular to the top of the top vertebrae and
the bottom of the bottom vertebrae is Cobb's angle.
As a general rule, a Cobb's angle of 10° is regarded
as the minimum angulation to define scoliosis.
13. MANAGEMENT
Management depends upon the type of condition,
the severity, the prognosis and the patient's
tolerance for various interventions. Early diagnosis
and intervention are beneficial. Management may
be divided into:
• Observation
• Orthosis
• Operation
14. The aims of comprehensive conservative treatment
of idiopathic scoliosis are:
To stop curve progression at puberty (or possibly
even reduce it).
To prevent or treat respiratory dysfunction.
To prevent or treat spinal pain syndromes.
To improve aesthetics via postural correction.
15. Conservative scoliosis therapy according to the
FITS Concept is applied as a unique treatment or in
combination with corrective bracing. The aim of the
study was to present author's method of diagnosis
and therapy for idiopathic scoliosis FITS-Functional
Individual Therapy of Scoliosis and to analyze the
early results of FITS therapy in a series of
consecutive patients.
16. Methods
The analysis comprised separately: (1) single structural
thoracic, thoracolumbar or lumbar curves and (2) double
structural scoliosis-thoracic and thoracolumbar or lumbar
curves. The Cobb angle and Risser sign were analyzed at the
initial stage and at the 2.8-year follow-up. The percentage of
patients improved (defined as decrease of Cobb angle of
more than 5 degrees), stable (+/- 5 degrees), and progressed
(increase of Cobb angle of more than 5 degrees) was
calculated. The clinical assessment comprised: the Angle of
Trunk Rotation (ATR) initial and follow-up value, the plumb
line imbalance, the scapulae level and the distance from the
apical spinous process of the primary curve to the plumb line.
17. DESCRIPTION OF THE FITS METHOD
Main principles of FITS concept
1.To make the child aware of existing deformation of
the spine and the trunk as well as indicate a direction
of scoliosis correction.
2.To release myofascial structures which limit three-
plane corrective movement.
3.To increase thoracic kyphosis through myofacial
release and joint mobilization.
4.To teach correct foot loading to improve position of
pelvis and to realign scoliosis.
18. 5.To strengthen pelvis floor muscles and short rotator muscles of
the spine in order to improve stability in the lower trunk.
6.To teach the correct shift of the spine in frontal plane in order to
correct the primary curve while stabilizing (or maintaining in
correction) the secondary curve.
7.To facilitate of three-plane corrective breathing in functional
positions (breathing with concavities).
8.To indicate correct patterns of scoliosis correction and any
secondary trunk deformation related to curvature (asymmetry of
head position, asymmetry of shoulders' lines, waist triangles and
pelvis).
9.To teach balance exercises and improvement of neuro-muscular
coordination with scoliosis …
10. To teach correct pelvis weight bearing in sitting and correction of
other spine segments in gait and ADL.
19. STAGES
Stage I
Examination of child with scoliosis using classical assessment but also in terms of
FITS method.
Stage II
Preparation for correction-examination, detection and elimination of myofascial
restriction which limits three-plane corrective movement by using different
techniques of myofascial relaxation.
Stage III
Three-dimensional correction-building and fixation of new corrective patterns in
functional positions.
Stage I. Patient examination and making the child aware of the trunk deformity
Classical assessment includes: history, course of treatment, X-ray analysis and
examination of patient in three different planes. Afterwards clinical assessment is
performed according to FITS:
□ Distance from plumb line to: anal cleft, the apex of primary and secondary curve,
the edge of the scapula,
20. Stage I. Patient examination and making the child aware of the trunk
deformity
Classical assessment includes: history, course of treatment, X-ray
analysis and examination of patient in three different planes. Afterwards
clinical assessment is performed according to FITS:
□ Distance from plumb line to: anal cleft, the apex of primary and
secondary curve, the edge of the scapula,
□ checking position of both scapulas,
□ observation of type and location of compensation,
□ position of pelvis and measurement of angle trunk rotation (ATR) using
Bunnell scoliometer,
□ assessment of the settings of the lower limbs in standing and gait,
□ assessment of the length of muscles in lower limbs, pelvic girdle,
shoulder girdle and trunk,