Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
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.
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
Introduction to muscle energy techniques (METs)Fared Alkordi
The use of Muscle Energy Techniques (METs) to reduce muscle pain and improve muscle length. Types, physiological mechanisms and practical techniques in clinical settings.
Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
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.
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
Introduction to muscle energy techniques (METs)Fared Alkordi
The use of Muscle Energy Techniques (METs) to reduce muscle pain and improve muscle length. Types, physiological mechanisms and practical techniques in clinical settings.
PHYSIOTHERAPY IS AN EXTENSIVE FIELD TO TREAT WOUND BY NON INVASIVE WAYS. IN THIS PRESENTATION WE ATTEMPT TO EXPLAIN VARIOUS THERAPEUTIC MEASURES FOR WOUND CARE AND HEALING.
Management of ulcers,physical therapy interventions, characteristics, how to asses different ulcer,examination, prognosis, evidence based medicine, drug therapy and other therapies
Abin Abraham Mammen.
Background: Trigger point is a extremely irritable local spot of exquisite tenderness in the nodule
within the tangible taut muscle band. The prevalence studies have shown that the occurrence of myofascial trigger point in the general population.
Objective: The aim of the study was compare the effects of low level laser therapy( LLLT) Vs
ultrasound therapy in the management of active trapezius trigger point.
Methodology: The participants will be allocated into two groups using simple random sampling.
One group has to be given Low level laser therapy (LLLT) and Moist Heat and other group treated
with US and Moist Heat. Both group receive treatment for 3 times a week. Total number of 9
session has to be given in 21 days. The outcome measure has to be taken at the first day and end
of the day.
Conclusion: Based on the above results we conclude that Low Level Laser Therapy can be used as a therapeutic device in the management of Active Trapezius Trigger points.
RecoveryRx® Accelerated healing and better pain reliefMax Poritzky
See why Doctors are switching their patients to RecoveryRx® for reliable, drug-free pain relief and faster healing with no side-effects. Safer, and more effective, see why RecoveryRx is the #1 most innovative pain and healing product and is now available in the US.
Morality and Ethics in Physiotherapy ProfessionSreeraj S R
As health care is considered divine and moral activity, physiotherapy professionals too are held to moral standards with expectations of ethical conduct.
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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
6. 1. Healing by primary intention
2. Healing by secondary intention
3. Delayed primary closure
7. Infection
Poor hygiene
Local blood supply
Oedema
Inhibited wound
oxygenation
Smoking
Cooling of the wound
Delayed inflammatory
response
Insufficient diet or
malnutrition
Proteins
Carbohydrates
Fats
Vitamins
Minerals
Psychological Stress
Age effects
Diabetes mellitus
8. Sreeraj S R
The purpose of any wound measurement is to
monitor the progress of healing through changes in
the length, width, area or volume of a wound.
Part of initial assessment
Aids re-evaluation
for accurate communication between professionals
Objective form of assessment
Enhances quality of patient care
Monitors treatment efficacy
May help predict healing
Enhances overall wound management
9. Sreeraj S R
Simple measurements: measuring its linear dimensions with a tape
measure or ruler like length x width.
Wound tracing: a pen is used to trace the outline of the wound directly
onto sterile transparent film.
Moulds: A three-dimensional mould of the wound can be created by
taking a cast of the wound cavity using a saline or alginate filling.
Scaled photographs: This uses a photograph processed by a special
used to calculate length and width, which are expressed in simple
measurements.
Planimetrics: A transparent sheet of graph paper is laid over the
photograph or wound tracing, and the number of complete graph
squares within the boundaries of the wound are added up to produce a
scale area calculation by using either manually or using a computer.
Computerized stereophotogrammetry:This uses two pictures of the
same area taken from different known positions to produce a three-
dimensional image for measurement.
12. Sreeraj S R
High Frequency modalities used to promote
wound healing are…
1. Ultrasound
2. LASER
3. Ultraviolet
4. PSW
13. Sreeraj S R
Ultrasound benefit wound healing in..
1. Inflammatory Phase :
causes a degranulation of mast cells
resulting in the release of histamine.
2. Proliferative Phase :
effect fibroblasts and stimulate them to
secrete collagen.This can accelerate the
process of wound contraction and increase
tensile strength of the healing tissue
14. Sreeraj S R
1. Treat at the lowest intensity.
2. Assure that the applicator is kept in constant
motion throughout treatment
3. Proper acoustic coupling medium is used.
4. Reduce the intensity or terminate treatment
if the patient complains of any increase in
pain.
15. 1. remove dressings and clean
wound
2. A hydro gel sheet should be
placed in direct contact with
the wound bed and wound
margins
3. In cases of cavity type of
wound a sterile aqueous hydro
gel filler should be used.The
cavity is filled with the aqueous
gel and then covered wit the
hydro gel sheet
4. Apply an ultrasonic coupling
gel on top of the sheet.
5. Remove all underlying air
bubbles
16. Sreeraj S R
frequency of 3 MHz
20 % duty cycle
intensity usually 0.3 to 0.5 watts/cm 2.
Duration 5 to 10 minutes
17. Sreeraj S R
1 MHz, continuous ultrasound
intensity is typically set to between 1 and 1.5
watts/cm 2.
Initial treatment is about 2-3 minutes per
zone.
can be increased by 30 second increments to
a maximum of 5 minutes per zone and
delivered 3 times per week.
18. Sreeraj S R
20% Zink Oxide ointment
frequency of 3 MHz
20 % duty cycle
intensity usually 0.3 to 0.5 watts/cm2
Duration 5 to 10 minutes
Should not be given to patients sensitive to
metal
19. Sreeraj S R
Stimulate ATP production
Increase immune system
Increase collagen synthesis
21. Sreeraj S R
UVC is the frequency band most commonly used
because it:
enhances epithelialisation
destroys bacteria
Causes minimal erythema
and is absorbed almost equally by all skin colours
Antibiotic effects of UVR - C ( 100 – 280 nm) used for
Sterilization of wound
UVR – A and UVR – B known to
1. Promote granulation tissue
2. Remove slough
3. Stimulate epidermal growth
23. Sreeraj S R
Goldin et al (1981) list the following as the primary
effects of pulsed SWD:
1. Reduction (resolution) of the inflammatory
process.
2. Increased number of white cells, histocytes &
fibroblasts in a wound.
3. Improved rate of oedema dispersion.
4. Encourages absorption of heamatoma.
5. Prompts a more rapid rate of fibrin fibre
orientation & deposition of collagen.
6. Encourages collagen layering at an early stage.
26. Sreeraj S R
The body has its own bioelectric system
A current termed the "current of injury" is generated
between the skin and inner tissues when there is a break
in the skin.
Healing of the injured tissue is arrested or will be
incomplete if these currents no longer flow while the
wound is open.
A rational for applying electrical stimulation is that it
mimics the natural current of injury and will jump start or
accelerate the wound healing process
27. Sreeraj S R
Up regulates insulin receptors on fibroblasts.
Up regulation ofTGF-β.
(Transforming growth factor beta) is
a protein that controls proliferation, cellular
differentiation in most cells
Increases angiogenesis
Decreases bacterial burden
Increases blood flow
Increases wound tensile strength
28. Sreeraj S R
Pressure Ulcers
Diabetic ulcers
Venous Ulcers
TraumaticWounds
SurgicalWounds
Ischemic Ulcers
Donor Sites
Wound Flaps
Burn wounds
29. Sreeraj S R
There are three types of electrical current that
assist in wound closure and healing:
Direct current (DC)
Alternating current, and
Pulsed current (PC)
1. HighVoltage Pulsed current, monophasic
2. LowVoltage Pulsed Current, monophasic/biphasic
30. Application of high voltage, low
amperage and direct current to a
specific region of the body
Characteristics of HVPS include:
a very short pulse
duration between 20-200µs,
voltage greater than 100 volts
stimulation range between 0-
150Hz,
unique twin peak monophasic
waveform
31. Sreeraj S R
Pulse frequency: 100 pps
Pulse duration: 20 to 100 µ sec.
Polarity:
+ ve for anti microbial effects and
– ve to enhance granulation tissue
formation and re epithelialization
Intensity: 100-150 volts
Treatment duration: 45 to 60 min. 5 to 7 days
per week.
33. Sreeraj S R
Have supplies ready before undressing the wound.
Position patient for ease of access by staff and comfort of
both.
Remove the dressing and place in an infectious waste
bag.
Cleanse wound thoroughly to remove slough, exudates
and any petrolatum products
Open gauze pads and soak in normal saline solution,
squeeze out excess liquid.
Fill the wound cavity with gauze including any
undermined/tunneled spaces. Pack gently.
An alternative is to use an amorphous hydro gel
impregnated gauze/ Hydro gel sheets
34. Sreeraj S R
Stimulating Electrode Placement:
Place over the gauze packing and hold in place with
bandage tape.
Connect to stimulator lead
Dispersive electrode placement:
Usually placed proximal to the wound
Place over soft tissues, avoid bony prominences
Place a wet lint pad under the dispersive electrode
Dispersive pad should be larger than the sum of the
areas of the active electrodes and wound packing.
The greater the separation between the active and
dispersive electrode the deeper the current path. Use
for deep and undermined wounds
35. Sreeraj S R
1. Georgina G.The importance of continuous wound measuring. Wounds UK, 2006,Vol
2, No 2. 60-68
2. http://www.worldwidewounds.com/2006/january/Fette/Clinimetric-Analysis-
Wound-Measurement-Tools.html#ref10
3. http://medicaledu.com/ultrasnd.htm
4. http://www.campbellteaching.co.uk/sample.pdf
5. Electrotherapy explained, 4th edition, Low & Reed, Elsevier
6. Clayton’s electrotherapy, 10th edition, Sheila Kitchen
7. Handbook of practical electrotherapy, Mitra PK, Jaypee publications
8. Physical Agents in Rehabilitation, From Research to Practice, 2nd edition, Michelle
H. Cameron, Saunders Elsevier
9. David Cukjati, Rajmond Savrin. Electric Current Wound Healing.
10. Katheriene Lampe, Electrotherapy inTissue Repair, Journal of HandTherapy, 1998,
131 – 138
11. Julia Shaw , Patrick M. Bell. Wound Measurement in Diabetic Foot Ulceration.
Global Perspective on Diabetic Foot Ulcerations. InTech 2011. 72 - 82