Physiotherapy management of spasticity using diffrent modalities as well as manual techniques is described along with possible dosage ijn clinical use is also menstined.
PPT that made a short and crisp description on physiotherapy role in women's health at a glimpse.
Physical therapist plays a over all role in all stages of a women.Physiotherapist or a pelvicfloor physicall therapist plays a all arounder in childbirth educator, as a labour doula, as lactation expert , as a postpartum doula, as a pelvicrehab practitioner etc.. So all you need to understand is a WOMEN'S HEALTH/ PELVICFLOOR PT is a person who benifits women at all the stages.
Its about the axillary nerve which can get damage or compress which leads to loss of the sensation in shoulder area.
It also affects the range of motion of the affected side .
This can be treated conservatively.
Physiotherapy management of spasticity using diffrent modalities as well as manual techniques is described along with possible dosage ijn clinical use is also menstined.
PPT that made a short and crisp description on physiotherapy role in women's health at a glimpse.
Physical therapist plays a over all role in all stages of a women.Physiotherapist or a pelvicfloor physicall therapist plays a all arounder in childbirth educator, as a labour doula, as lactation expert , as a postpartum doula, as a pelvicrehab practitioner etc.. So all you need to understand is a WOMEN'S HEALTH/ PELVICFLOOR PT is a person who benifits women at all the stages.
Its about the axillary nerve which can get damage or compress which leads to loss of the sensation in shoulder area.
It also affects the range of motion of the affected side .
This can be treated conservatively.
Tenosynovitis is inflammation of the protective sheath (the synovial membrane) that surrounds your tendons. It can be painful and make it hard to move your joints like you usually can.
A brief topic presentation I made about Cubital Tunnel Syndrome, its definition, anatomy, causes, clinical features, risk factors, diagnosis, differential diagnosis and treatment. This presentation was done at the HSA staff in Cayman Islands
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.
Asthma is a chronic inflammatory condition associated with airway hyperresponsiveness (an exaggerated airway-narrowing response to specific triggers such as viruses, allergens and exercise).
Physiotherapy can provide relief from symptoms of uncontrolled asthma, including coughing, wheezing, tightness in the chest, shortness of breath and QOL.
The rehabilitation team conventionally includes the physiatrist, rehabilitation nurse, physical and occupational therapist, speech pathologist, rehabilitation psychologist, and social worker or case manager, with availability of other services such as nutrition and respiratory therapy.
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.
Tenosynovitis is inflammation of the protective sheath (the synovial membrane) that surrounds your tendons. It can be painful and make it hard to move your joints like you usually can.
A brief topic presentation I made about Cubital Tunnel Syndrome, its definition, anatomy, causes, clinical features, risk factors, diagnosis, differential diagnosis and treatment. This presentation was done at the HSA staff in Cayman Islands
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.
Asthma is a chronic inflammatory condition associated with airway hyperresponsiveness (an exaggerated airway-narrowing response to specific triggers such as viruses, allergens and exercise).
Physiotherapy can provide relief from symptoms of uncontrolled asthma, including coughing, wheezing, tightness in the chest, shortness of breath and QOL.
The rehabilitation team conventionally includes the physiatrist, rehabilitation nurse, physical and occupational therapist, speech pathologist, rehabilitation psychologist, and social worker or case manager, with availability of other services such as nutrition and respiratory therapy.
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.
Golf Shoulder Injuries | Dr. Peter Millett | Orthopedic Surgeon - Vail Colorado Peter Millett MD
Although often perceived as a leisurely activity, golf can be a demanding sport, which can result in shoulder injuries, usually from overuse and sometimes from poor technique. The shoulder is a commonly affected site, with the lead shoulder, or the left shoulder in the right-handed golfer, particularly vulnerable to injury. A thorough understanding of the biomechanics of the golf swing is help- ful in diagnosing and managing these injuries. Common shoulder injuries affecting golfers include subacromial impingement, acromioclavicular arthrosis, rotator cuff tear, glenohumeral instability, and glenohumeral arthrosis. Although the majority of patients with these disorders will respond to nonsurgical treatment, including rest and a structured program of physical therapy, further benefits can be obtained with subtle modifications of the golf swing. Those golfers who fail to respond to nonsurgical management can often return to competitive play with appropriate surgical treatment. For more studies visit Dr. Peter Millett, Orthopedic Surgeon - Vail Colorado http://drmillett.com/shoulder-studies
Form B1 Rubrik Observasi Presentasi Visi Misi -1.docx
Golfers elbow
1.
2. Golfer’s elbow syndrome adalah suatu
keadaan nyeri pada siku bagian
dalam, tepatnya pada tendon otot flexor
carpi radialis dan otot pronator teres, yang
disebabkan karena gerakan flexi
pergelangan tangan dan pronasi siku hentak
dan berulang kali. Keadaan ini semakin nyeri
bila dipakai beraktifitas flexi pergelangan
tangan disertai pronasi, seperti pada
gerakan menggenggam atau memegang atau
saat posisi tendon tersebut terulur
3. a. Mikro trauma berulang akibat gerak flexi
pergelangan tangan dan/atau pronasi
siku, sehingga mengakibatkan kerobekan
(rupture) tendon otot flexor carpi radialis
dan/atau pronator teres.
b. Strain otot flexor carpi radialis dan pronator
teres,
c. Trauma langsung pada sendi siku bagian dalam,
d. Degenerasi jaringan tendon karena trauma
kecil yang berulang
e. Inflamasi kronis pada tendon otot carpi
radialis dan pronator teres.
4. Terjadi pada orang yang berumur tiga puluh lima
sampai lima puluh empat tahun dengan puncak antara
umur empat puluh tahun dan lima puluh tahun. Adanya
bengkak lokal pada sendi, Ada tanda-tanda peradangan
pada permukaan kulit baik lihat maupun disentuh.
Nyeri muncul bila tendon mendapat tekanan (kontraksi
maupun terulur), Peradangan terjadi kerena ada
kerobekan dan atau adanya cedera pada
jaringan, sehingga terjadi respon fisiologis berupa
Gangguan sistim sirkulasi, dimana terjadi fase
vasokontriksi pada menit ke 5-10 pada daerah
cedera, fase vasodilatasi pada cedera karena adanya
kerobekan membrane sel maupun pembuluh
darah, sehingga terjadi peningkatan suplai darah
sebagai reaksi dalam transportasi untuk pembentukan
fibrinogen dan transportasi sel darah putih sebagai
reaksi antibodi tubuh.
5. lanjutan
Terjadi reaksi kimia atau disebut juga
chemotaxis, dimana akibat cedera maka
permeabilitas membrane pembuluh darah terbuka
atau melebar sehingga bradykinin dan histamine
ada pada daerah interstitial menimbulkan impuls
nyeri, sebagai alarm tubuh karena ada ketidak
beresan pada jaringan, ditambah lagi adanya
produksi sel darah putih yang melakukan fagositas
dan regenerasi sel, (Protaglandin, leukotrienes dan
thromboxanes).
Masa dimana sel yang mengalami gangguan
sistim, secara fisiologis berusaha untuk melakukan
regenerasi.
6. a. Nyeri pada tulang yang letaknya agak didalam
pada sendi siku.
b. Kelemahan pada otot-otot pergelangan
tangan.
c. Nyeri pada siku bagian dalam ketika
menggenggam sesuatu yang keras
d. Nyeri pada saat dilakukan fleksi dengan
diberikan tahanan
e. Nyeri saat pronasi dengan diberi tahanan
8. a. Tes Epicondillus Medial
Cara : Palpasi epikondilus medialis lalu gerakan ke arah
supinasi lengan bawah disertai ekstensi elbow dan wrist
joint. (+) bila ada nyeri diatas epikondilus.
b. Medial ligamentous Laxity
Cara : shoulder pasien flesi 60 derajat, elbow
supinasi.Tangan terapis yang kiri memegang epikondilus
lateralis dan yang kanan memegang distal ulna dekat
wrish lalu ke dua tangan saling menekan, yang kanan
menekan ke luar dan yang kiri menekan ke dalam.
c. Pengukuran Nyeri dengan VAS/VDS
d. Pengukuran Antropometri
9. a. Pemberian modalitas US dengan dengan dosis sbg berikut :
Dosis: FITT: Frekwensi 2-3 x per minggu. Intensitas 1,5-2,0
watt/cm2. Time 6 menit (luas area 6 cm2 dengan diameter head
transducer 1 cm). Tipe continuous. Arah gerak transducer
longitudional tendon atau otot.
b. Pemberian Massage dengan teknik sbg berikut :
Deep transverse friction: Posisi pasien telentang dengan elbow
ekstensi penuh, pronasi, wrist palmar fleksi dan ulnar deviasi
(posisi terulur maksimal). Praktikan melakukan deep transverse
friction.
Dosis: FITTR: Frekwensi: 3 x per minggu. Intensitas: tekanan
yang dalam dan ritmis. Time: 5 menit. Tipe: arah gerakan
transversal serabut otot atau tendon. Repetition: 3 sesi, tiap sesi
6 kali friction, istirahat 1 menit tiap sesi
10. Free active execise semua gerakan elbow dan wrist
joint: Posisi pasien duduk/berdiri, melakukan gerakan-
gerakan fleksi-ekstensi, supinasi-pronasi elbow, palmar
fleksi-dorsi fleksi, ulnar deviasi-radial deviasi wrist.
Strengthening exercise (2-3 x per minggu), endurance
otot (3-5x per minggu) : Holten method.
Functional exercise: Membuka dan menutup handle
pintu, menyisir, mandi dengan gayung, memeras dll.
Upaya preventif: Melakukan tahap pemanasan secara
baik dan benar sebelum melakukan latihan yang
sebenarnya/inti misalnya dengan gerakan-gerakan
ringan dan stretching, penggunaan elbow decker.
