Zaid Hjab
In rehabilitation of children, varying approaches and techniques are
used, ranging from very conservative and conventional techniques, such as muscle
strengthening, manual stretching, and massage, to more complex motor learningbased theories, such as neurodevelopmental treatment, conductive education, and
several others. The motor disorders seen in pediatric are frequently accompanied
by disturbances of sensation, cognition, communication, perception, and/or
behavior disorders; thus, therapy approaches are arranged to meet the individual
child’s needs. The approaches can be divided into two groups as with equipment
and without equipment. Examples for without equipment rehabilitation
approaches are neurodevelopmental treatment, conductive education constraintinduced movement therapy, and task-oriented therapy, whereas robotic therapy,
virtual reality, and horse-back riding therapy are the examples of rehabilitation
approaches with equipment. Application of evidence-based methods ensures
maximum gains in children. The concept that intense, task-specific exercises
capitalize on the potential plasticity of the CNS and thus improve motor recovery
has led to the development of several successful interventions for children. Also
approaches that improve the patient’s motivation and target the activities of daily
living and participation are the most effective approaches for functional recovery
of the children.
Holistic concept in treatment of Cerebral Palsy jitendra jain
it is very difficult to manage cerebral palsy because we cant repair brain damage but we can give good quality of independent life by combination good rehabilitation tool which include advance therapeutic technique, botulinum toxin early age child and SEMLOSSS surgical concept in others. Our aim of management is to take these person to their highest capability and decrease their physical limitation as much as possible. This ppt have brief review about latest concept in mx of cerebral aplsy
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
Holistic concept in treatment of Cerebral Palsy jitendra jain
it is very difficult to manage cerebral palsy because we cant repair brain damage but we can give good quality of independent life by combination good rehabilitation tool which include advance therapeutic technique, botulinum toxin early age child and SEMLOSSS surgical concept in others. Our aim of management is to take these person to their highest capability and decrease their physical limitation as much as possible. This ppt have brief review about latest concept in mx of cerebral aplsy
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
Neurodevelopmental Therapy
Neurodevelopmental treatment (NDT) is a hands-on treatment approach used by physical therapists, occupational therapists, and speech-language pathologists
Without NDT interventions, the patient likely will develop a limited set of movement patterns that he or she will apply to nearly all tasks.
این ارائه توسط دکتر خیاط زاده در کارگاه رویکرد جدید بوبات در توانبخشی کودکان مبتلا به فلج مغزی ارائه گردیده است.
برای مطالعه مطالب بیشتر در این زمینه، به وب سایت فروردین مراجعه نمایید.
https://www.farvardin-group.com
Controlled use of sensory stimulus.
Specific Motor response
Normalization of muscle tone
Use of Developmental sequences.
Sensorimotor development = from lower to higher level.
Use of activity to demand a purposeful response.
Practice of sensory motor response is necessary for motor learning.
early intervention in high risk infants.pptxibtesaam huma
Early Intervention in High Risk Infants
-Dr. Quazi Ibtesaam Huma (MPT)
Dr. Suvarna Ganvir (Phd, Prof & HOD)
Dept. of Neurophysiotherapy
DVVPF’s College of Physiotherapy
Objectives
By the end of the seminar one would know
What is high risk infants?
Determinants of high risk infants
Monthwise neurodevelopment of infants in gestational age
Early intervention
General NICU guidelines for high risk infants
Recent advances
What is High Risk Infant?
A High risk infant is broadly defined as one who requires more than the standard monitoring and care offered to a healthy term newborn infant.
According to American Academy of Pediatrics, High risk infant may be defined as
Preterm Infant
Infant with special healthcare needs or dependence on technology
Infant at risk because of family issues.
Infant with anticipated early death.
High-Risk Clinical Signs
At 4 months of age, hypertonicity of the trunk or extremities is recognized as a high-risk clinical sign.
Less alternate kicking movement compared with typically developing LBW infant.
Abnormalities of kicking described by Prechtl as “cramped-synchronized,” that is, limited in variety and characterized by “rigid movement with all limbs and the trunk contracting and relaxing almost simultaneously,”
Preterm Infant
Preterm infant is the infant which is born before 36 weeks of gestation
Usually preterm infant have low birth weight i.e. less than 2.5 kgs
Determinants of High Risk Infant
Biological Risk
Attributed to medical/physical condition presence of
Asphyxia
Neonatal seizures
Prenatal exposure to drugs or alcohol
Brain-lesions
Low birth weight
Established Risk
Associated with diagnosis that is clearly established like,
Congenital malformation
Chromosomal abnormalities
CNS disorders
Metabolic disease.
Environmental & social risk
Refers to competency in parenting roles and factors in family dynamics
Suboptimal levels of stimulation and interaction in NICU
Inadequate parent-infant attachment
Insufficient educational preparation for caregiver roles
Meager financial resources of parents
Limited or absent family support to assist in taking care of and nurturing the infants in home environment.
The systems of infants develop in their stipulated time during gestational period prenatal or preterm results in specific injury
Commonest condition which requires early intervention
Newborn Maturity Rating—Ballard Score
Widely adopted because of the time efficiency
Ballard instrument involves only six physical and six neurological criteria, with a 0 to 5 scale and a maturity rating
designed to be used for neonates (20 to 44 weeks gestation) from birth through 3 days of age and has demonstrated concurrent validity with the Dubowitz gestational age calculation tool.
Neonatal Behavioral Assessment Scale
30- to 45-minute examination consists of observing, eliciting, and scoring 28 behavioral items on a 9-point scale and 18 reflex items on a 4-point scale
Six behavioral state categories are outlined in the NBAS: deep sleep,
Occupational Therapy in Cerebral PalsyAlbert840788
Occupational Therapy and Cerebral Palsy involves developing one’s ability to perform daily functions and activities.
CP occupational therapy aims at improving one’s strength, dexterity, and coordination when performing day-to-day activities. It also helps in improving cognitive abilities such as decision-making, problem-solving, reasoning, perception, memory, etc.
In this way, simple day-to-day tasks such as eating, bathing, brushing teeth can be performed with relative ease.
PHYSIOTHERAPY MANAGEMENT IN CEREBRAL PALSY.pptxStutiGaikwad5
Physiotherapy management in Cerebral palsy is a vast topic to study and learn so here is a presentation in which all aspects have been tried to be covered. As it is essential for the children with cerebral palsy to be able to function with minimum dependence it becomes important for the therapists along with the caregivers to be aware of all the knowledge about what can be done further for the rehabilitation for this population. All the prerequisites and individual need of each patient might differ with age group and the severity of impairment. So specific goals both long term and short term need to be the focus of treatment planning. Each session requires evaluation and planning skills so to aid the child with the optimum treatment.
Sensory integration therapy is used to help children to learn to use all their senses together. That is touch,smell,taste,sight and hearing can improve difficulties/problems in children with special need.
Physiotherapy in MND
Dr. Quazi Ibtesaam Huma (MPT)
Dr. Suvarna Ganvir (Phd, Prof & HOD)
Dept. of Neurophysiotherapy
DVVPF’s College of Physiotherapy
Content
Introduction
Types of MND
Clinical Features of MND
Diagnostic Procedure
Management: 1) Pharmaceutical
2) Physiotherapy
Motor Neuron Disease
Motor Neuron Disease are a group of neurodegenerative disorders that affects the nerves in the spine and brain to progressively lose its function.
Motor neuron diseases (MND) include a heterogeneous spectrum of inherited and sporadic (no family history) clinical disorders of the upper motor neurons (UMNs), lower motor neurons (LMNs), or a combination of both.
Types of MND
Amyotrophic Lateral Sclerosis
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease, characterized by progressive degeneration of motor neurons in the spinal cord, brain stem, and motor cortex, leading to progressive muscle atrophy and weakness.
Clinical Features
UPPER MOTOR NEURON
Loss of Dexterity
Muscle Weakness
Spasticity
Hyperreflexia
Pathological reflexes
LOWER MOTOR NEURON
Muscle Weakness
Muscle Atrophy
Hypotonicity
Hyporeflexia
Fasciculation
Muscle Cramp
Impairment related to LMN
Other clinical features
Diagnostic Criteria
Diagnostic Procedure
EMG-
It include signs of active denervation, such as fibrillation potentials and positive sharp waves;
Signs of chronic denervation, such as large motor unit potentials (increased duration, increased proportion of polyphasic potentials, increased amplitude)
Unstable motor unit potential
Nerve Conduction Velocity Studies,
Muscle And Nerve Biopsies,
Neuroimaging Studies - MRI
Management- Multidisciplinary Approach
Physical Therapy Examination
Cognition
Pain
Psychosocial Function
Joint integrity, ROM and Muscle strength.
Motor Function: Gross motor and Fine motor
Muscle tone and reflexes
Cranial nerve integrity
Sensations
Gait
Respiratory Function
Physiotherapy goals in MND treatment.
Pain reduction
Prevention for contractures
Maintenance of joint mobility
Regular review of posture
Positioning to relieve discomfort
House Modification and ergonomic advice.
Management of Sialorrhea and Pseudobulbar Affect
Management for Dysphagia
PEG procedure.
A PEG may be recommended as the disease progresses.
A PEG is a type of gastrostomy tube inserted via endoscopic surgery that creates a permanent opening into the stomach for the introduction of food.
Studies have found that PEG insertion may prolong survival. Patients with PEG were found to live 1 to 4 months longer than those individuals who refused it.
Management of Dysphagia
A palatal lift prosthesis may be prescribed for individuals with good articulation but who have a breathy voice quality or decreased loudness because of excessive air loss through the nose.
The device, a dental appliance designed to attach to the existing teeth and to elevate the soft palate, is custom-made by a prosthodontist.
Ataxia Physiotherapy Presentation - COAP study dayAtaxia UK
This is a presentation given by Anita Watson, Lecturer in Physiotherapy, at the Care of Ataxia Patients (COAP) study day on 18 November 2011 in Manchester. It is an overview of physiotherapy treatment options for people with ataxia.
Therapeutic Technique to improve neck holding in cerebral palsy jitendra jain
Head control is the first motor milestone to be achieved in early life. Good head control lays the foundation for the development and refinement of other milestones. It also enables the child to explore the environment effectively in play and to develop more advanced skills. Thus attaining head control is frequently used as the starting point in therapeutic intervention for the children with cerebral palsy or other developmental disabilities by the pediatric occupational therapist. It also very important to have good neck control before the age of two year because if child dont develop good neck vontrol before the age of two year then developemnent of ambulatory capability in child became remote pssiblity.
This book is primarily designed for students preparing for various competitive examinations. It will also be helpful for those preparing for midterm exams in schools or universities. The aim of this book is twofold: first, to help the students preparing for competitive examina- tions, seeking admission to universities or schools, or prepare for job interviews. Second, it will also be helpful for those studying CHILD DEVELOPMENT & PEDAGOGY. This book contains more than 8911 questions from the core areas of CHILD DEVELOPMENT & PEDA- GOGY. The questions are grouped chapter-wise. There are total 1 chapters, 58 sections and 8911+ MCQ with answers. This reference book provides a single source for multiple choice questions and answers in CHILD DEVELOPMENT & PEDAGOGY. It is intended for students as well as for developers and researchers in the field.
This book is highly useful for faculties and students. One can use this book as a study guide, knowledge test questions bank, practice test kit, quiz book, trivia questions . . . etc. The strategy used in this book is the same as that which mothers and grandmothers have been using for ages to induce kids in the family to sip more soup (or some other nutritious drink). The children are told that some cherries (their favourite noodles or cherries ) are hidden somewhere in the bowl, and that serves as an incentive for drinking the soup. In joint families, by the time the children are old enough to know the trick played by their grandma, there is usually another group of kids ready to fall for it! They excite the kids, but the real nutrition lies not in the noodles but in the soup. The problems given in this book are like those noodles/cherries while solving all these problems are nutritious soup. Now it is your choice to drink the nutritious soups or not!!!.
At the end of the lecture, the students should be able to:
Discuss the theoretical basis of the neurodevelopmental approaches
Discuss the concepts and principles underlying the Bobath approach
Discuss the concepts and principles underlying the Brunnstrom approach
Neurodevelopmental Therapy
Neurodevelopmental treatment (NDT) is a hands-on treatment approach used by physical therapists, occupational therapists, and speech-language pathologists
Without NDT interventions, the patient likely will develop a limited set of movement patterns that he or she will apply to nearly all tasks.
این ارائه توسط دکتر خیاط زاده در کارگاه رویکرد جدید بوبات در توانبخشی کودکان مبتلا به فلج مغزی ارائه گردیده است.
برای مطالعه مطالب بیشتر در این زمینه، به وب سایت فروردین مراجعه نمایید.
https://www.farvardin-group.com
Controlled use of sensory stimulus.
Specific Motor response
Normalization of muscle tone
Use of Developmental sequences.
Sensorimotor development = from lower to higher level.
Use of activity to demand a purposeful response.
Practice of sensory motor response is necessary for motor learning.
early intervention in high risk infants.pptxibtesaam huma
Early Intervention in High Risk Infants
-Dr. Quazi Ibtesaam Huma (MPT)
Dr. Suvarna Ganvir (Phd, Prof & HOD)
Dept. of Neurophysiotherapy
DVVPF’s College of Physiotherapy
Objectives
By the end of the seminar one would know
What is high risk infants?
Determinants of high risk infants
Monthwise neurodevelopment of infants in gestational age
Early intervention
General NICU guidelines for high risk infants
Recent advances
What is High Risk Infant?
A High risk infant is broadly defined as one who requires more than the standard monitoring and care offered to a healthy term newborn infant.
According to American Academy of Pediatrics, High risk infant may be defined as
Preterm Infant
Infant with special healthcare needs or dependence on technology
Infant at risk because of family issues.
Infant with anticipated early death.
High-Risk Clinical Signs
At 4 months of age, hypertonicity of the trunk or extremities is recognized as a high-risk clinical sign.
Less alternate kicking movement compared with typically developing LBW infant.
Abnormalities of kicking described by Prechtl as “cramped-synchronized,” that is, limited in variety and characterized by “rigid movement with all limbs and the trunk contracting and relaxing almost simultaneously,”
Preterm Infant
Preterm infant is the infant which is born before 36 weeks of gestation
Usually preterm infant have low birth weight i.e. less than 2.5 kgs
Determinants of High Risk Infant
Biological Risk
Attributed to medical/physical condition presence of
Asphyxia
Neonatal seizures
Prenatal exposure to drugs or alcohol
Brain-lesions
Low birth weight
Established Risk
Associated with diagnosis that is clearly established like,
Congenital malformation
Chromosomal abnormalities
CNS disorders
Metabolic disease.
Environmental & social risk
Refers to competency in parenting roles and factors in family dynamics
Suboptimal levels of stimulation and interaction in NICU
Inadequate parent-infant attachment
Insufficient educational preparation for caregiver roles
Meager financial resources of parents
Limited or absent family support to assist in taking care of and nurturing the infants in home environment.
The systems of infants develop in their stipulated time during gestational period prenatal or preterm results in specific injury
Commonest condition which requires early intervention
Newborn Maturity Rating—Ballard Score
Widely adopted because of the time efficiency
Ballard instrument involves only six physical and six neurological criteria, with a 0 to 5 scale and a maturity rating
designed to be used for neonates (20 to 44 weeks gestation) from birth through 3 days of age and has demonstrated concurrent validity with the Dubowitz gestational age calculation tool.
Neonatal Behavioral Assessment Scale
30- to 45-minute examination consists of observing, eliciting, and scoring 28 behavioral items on a 9-point scale and 18 reflex items on a 4-point scale
Six behavioral state categories are outlined in the NBAS: deep sleep,
Occupational Therapy in Cerebral PalsyAlbert840788
Occupational Therapy and Cerebral Palsy involves developing one’s ability to perform daily functions and activities.
CP occupational therapy aims at improving one’s strength, dexterity, and coordination when performing day-to-day activities. It also helps in improving cognitive abilities such as decision-making, problem-solving, reasoning, perception, memory, etc.
In this way, simple day-to-day tasks such as eating, bathing, brushing teeth can be performed with relative ease.
PHYSIOTHERAPY MANAGEMENT IN CEREBRAL PALSY.pptxStutiGaikwad5
Physiotherapy management in Cerebral palsy is a vast topic to study and learn so here is a presentation in which all aspects have been tried to be covered. As it is essential for the children with cerebral palsy to be able to function with minimum dependence it becomes important for the therapists along with the caregivers to be aware of all the knowledge about what can be done further for the rehabilitation for this population. All the prerequisites and individual need of each patient might differ with age group and the severity of impairment. So specific goals both long term and short term need to be the focus of treatment planning. Each session requires evaluation and planning skills so to aid the child with the optimum treatment.
Sensory integration therapy is used to help children to learn to use all their senses together. That is touch,smell,taste,sight and hearing can improve difficulties/problems in children with special need.
Physiotherapy in MND
Dr. Quazi Ibtesaam Huma (MPT)
Dr. Suvarna Ganvir (Phd, Prof & HOD)
Dept. of Neurophysiotherapy
DVVPF’s College of Physiotherapy
Content
Introduction
Types of MND
Clinical Features of MND
Diagnostic Procedure
Management: 1) Pharmaceutical
2) Physiotherapy
Motor Neuron Disease
Motor Neuron Disease are a group of neurodegenerative disorders that affects the nerves in the spine and brain to progressively lose its function.
Motor neuron diseases (MND) include a heterogeneous spectrum of inherited and sporadic (no family history) clinical disorders of the upper motor neurons (UMNs), lower motor neurons (LMNs), or a combination of both.
Types of MND
Amyotrophic Lateral Sclerosis
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease, characterized by progressive degeneration of motor neurons in the spinal cord, brain stem, and motor cortex, leading to progressive muscle atrophy and weakness.
Clinical Features
UPPER MOTOR NEURON
Loss of Dexterity
Muscle Weakness
Spasticity
Hyperreflexia
Pathological reflexes
LOWER MOTOR NEURON
Muscle Weakness
Muscle Atrophy
Hypotonicity
Hyporeflexia
Fasciculation
Muscle Cramp
Impairment related to LMN
Other clinical features
Diagnostic Criteria
Diagnostic Procedure
EMG-
It include signs of active denervation, such as fibrillation potentials and positive sharp waves;
Signs of chronic denervation, such as large motor unit potentials (increased duration, increased proportion of polyphasic potentials, increased amplitude)
Unstable motor unit potential
Nerve Conduction Velocity Studies,
Muscle And Nerve Biopsies,
Neuroimaging Studies - MRI
Management- Multidisciplinary Approach
Physical Therapy Examination
Cognition
Pain
Psychosocial Function
Joint integrity, ROM and Muscle strength.
Motor Function: Gross motor and Fine motor
Muscle tone and reflexes
Cranial nerve integrity
Sensations
Gait
Respiratory Function
Physiotherapy goals in MND treatment.
Pain reduction
Prevention for contractures
Maintenance of joint mobility
Regular review of posture
Positioning to relieve discomfort
House Modification and ergonomic advice.
Management of Sialorrhea and Pseudobulbar Affect
Management for Dysphagia
PEG procedure.
A PEG may be recommended as the disease progresses.
A PEG is a type of gastrostomy tube inserted via endoscopic surgery that creates a permanent opening into the stomach for the introduction of food.
Studies have found that PEG insertion may prolong survival. Patients with PEG were found to live 1 to 4 months longer than those individuals who refused it.
Management of Dysphagia
A palatal lift prosthesis may be prescribed for individuals with good articulation but who have a breathy voice quality or decreased loudness because of excessive air loss through the nose.
The device, a dental appliance designed to attach to the existing teeth and to elevate the soft palate, is custom-made by a prosthodontist.
Ataxia Physiotherapy Presentation - COAP study dayAtaxia UK
This is a presentation given by Anita Watson, Lecturer in Physiotherapy, at the Care of Ataxia Patients (COAP) study day on 18 November 2011 in Manchester. It is an overview of physiotherapy treatment options for people with ataxia.
Therapeutic Technique to improve neck holding in cerebral palsy jitendra jain
Head control is the first motor milestone to be achieved in early life. Good head control lays the foundation for the development and refinement of other milestones. It also enables the child to explore the environment effectively in play and to develop more advanced skills. Thus attaining head control is frequently used as the starting point in therapeutic intervention for the children with cerebral palsy or other developmental disabilities by the pediatric occupational therapist. It also very important to have good neck control before the age of two year because if child dont develop good neck vontrol before the age of two year then developemnent of ambulatory capability in child became remote pssiblity.
This book is primarily designed for students preparing for various competitive examinations. It will also be helpful for those preparing for midterm exams in schools or universities. The aim of this book is twofold: first, to help the students preparing for competitive examina- tions, seeking admission to universities or schools, or prepare for job interviews. Second, it will also be helpful for those studying CHILD DEVELOPMENT & PEDAGOGY. This book contains more than 8911 questions from the core areas of CHILD DEVELOPMENT & PEDA- GOGY. The questions are grouped chapter-wise. There are total 1 chapters, 58 sections and 8911+ MCQ with answers. This reference book provides a single source for multiple choice questions and answers in CHILD DEVELOPMENT & PEDAGOGY. It is intended for students as well as for developers and researchers in the field.
This book is highly useful for faculties and students. One can use this book as a study guide, knowledge test questions bank, practice test kit, quiz book, trivia questions . . . etc. The strategy used in this book is the same as that which mothers and grandmothers have been using for ages to induce kids in the family to sip more soup (or some other nutritious drink). The children are told that some cherries (their favourite noodles or cherries ) are hidden somewhere in the bowl, and that serves as an incentive for drinking the soup. In joint families, by the time the children are old enough to know the trick played by their grandma, there is usually another group of kids ready to fall for it! They excite the kids, but the real nutrition lies not in the noodles but in the soup. The problems given in this book are like those noodles/cherries while solving all these problems are nutritious soup. Now it is your choice to drink the nutritious soups or not!!!.
Theoretical framework of infant physiotherapyAnwesh Pradhan
MPT class- Theoretical framework of infant physiotherapy. Require 3 class. Help us to decide the paediatric physiotherapy approach for paediatric patient.
Assistive Cognitive Technology for EldersVivek Misra
Assistive technology (AT) is any item, piece of equipment, software program, or product system that is used to increase, maintain, or improve the functional capabilities of persons with disabilities.
Kids Care Rehab Center (Therapy Center for Children) & Physio Care,Chennai,IndiaRadha Balachandar
We are committed to serve children and women and "Our mission is to bring hopes in life".
Kids Care Rehab Center & Women Physio Care is committed to serve children and women in efficient manner through their qualified and experienced therapists.
Kids Care Rehab Center & Women Physio Care is committed to serve children and women in efficient manner through their qualified and experienced therapists.
We specialize in Physiotherapy, Speech Therapy, Sensory Integration Therapy, Brain Fitness exercises, Brain Gym, Psychological Counseling, Parenting Training, Handwriting Therapy and Special Education for Children and Women Physio Care.
Children: Every child is special and unique to us. Our treatment is in line with the learning and Development of the child to enable him/her achieves his/her maximum potential to function independently with confidence.
Women: They are the pillars of a developing Society. We take utmost care in treating women, so that they are able to multitask without facing any difficulties. We, at Kids Care Rehab Center engage ourselves as a patient team, render individual care, provide hands on therapeutic treatment and ensure the child learns qualitatively and quantitatively.
Zaid Hjab
The ear is the part of the body that is used for hearing. Information about the
world is acquired through hearing. Anybody that hears nothing around him, no
matter how loud the sound is should be seen as having ear problem. It is a condition
or rather an impairment which is a physical, observable condition of tissue that can
affect the function of the organ system of which that tissue is a part. Hearing
impairment is a disability that can affect the effective functioning of the total
personality no matter the period of onset. Among the earliest attempt to define
hearing impaired was the one made by the committee of Nomenclature of the
conference of Executives of American schools for the deaf (1938) which says
that the deaf are those people in whom the sense of hearing is non-functioning for
the ordinary purpose of life. According to them also, the hard-of-hearing can be
defined as those in whom the sense of hearing although defective is functional with
or without a hearing aid.
Zaid Hjab
The term thoracic outlet syndrome (TOS) encompasses numerous scenarios
of compression (neurological and vascular) in the thoracic outlet region of the
shoulder girdle. The syndrome can be divided into two sub classify cations: TOS
caused by neurological factors and TOS caused by vascular problems. Neurological
and vascular conditions also may be observed together.
Zaid Hjab
college of health and medical technology - baghdad/Physiotherapy and Rehabilitation Department
Alcohol is the most commonly abused substance in most parts of the world
and is associated with significant morbidity and mortality. While common in the
general population, alcohol use disorders are even more frequent in hospital
patients, including 25%–50% of medical-surgical patients and up to 50%–60% of
psychiatric inpatients in some settings. People who misuse alcohol are commonly
referred to as “alcoholic” by the lay public.
There are two to three men for each woman with an alcohol use disorder,
and the usual age at onset is between ages 16 and 30. Onset is earlier in men than
women, although the medical complications progress more rapidly in women.
People in certain occupations are prone to alcohol use disorder, including
bartenders, construction workers, and writers. Other groups prone to alcoholism
include individuals who use tobacco; those with mood and anxiety disorders; those
with antisocial personality disorder; and those with a gambling disorder.
ACL Reconstruction Rehabilitation
One of the most common complications following ACL reconstruction is loss of motion, especially loss of extension. Loss of knee extension has been shown to result in a limp, quadriceps muscle weakness, and anterior knee pain. Studies have demonstrated that the timing of ACL surgery has a significant influence on the development of postoperative knee stiffness. The highest incidence of knee stiffness occurs if Acl surgery is performed when the knee is swollen, painful, and has a limited range of motion. The risk of developing a stiff knee after surgery can be significantly reduced if the surgery is delayed until the acute inflammatory phase has passed, the swelling has subsided, a normal or near normal range of motion (especially extension) has been obtained, and a normal gait pattern has been reestablished.
Mentally prepare the patient for surgery Before proceeding with surgery the acutely injured knee should be in a quiescent state with little or no swelling, have a full range of motion, and the patient should have a normal or near normal gait pattern
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!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
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
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.
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The prostate is an exocrine gland of the male mammalian reproductive system
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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1. Methods used in pediatric rehabilitation
Report about
College of
Health and medical technology
Baghdad
Department of
Physiotherapy & Rehabilitation
Done by
Zaid Hjab Tawfeeq
4th
stage student
Supervised by
Dr. Rana Moayad
2. 1
INTRODUCTION:
In rehabilitation of children, varying approaches and techniques are
used, ranging from very conservative and conventional techniques, such as muscle
strengthening, manual stretching, and massage, to more complex motor learning-
based theories, such as neurodevelopmental treatment, conductive education, and
several others. The motor disorders seen in pediatric are frequently accompanied
by disturbances of sensation, cognition, communication, perception, and/or
behavior disorders; thus, therapy approaches are arranged to meet the individual
child’s needs. The approaches can be divided into two groups as with equipment
and without equipment. Examples for without equipment rehabilitation
approaches are neurodevelopmental treatment, conductive education constraint-
induced movement therapy, and task-oriented therapy, whereas robotic therapy,
virtual reality, and horse-back riding therapy are the examples of rehabilitation
approaches with equipment. Application of evidence-based methods ensures
maximum gains in children. The concept that intense, task-specific exercises
capitalize on the potential plasticity of the CNS and thus improve motor recovery
has led to the development of several successful interventions for children. Also
approaches that improve the patient’s motivation and target the activities of daily
living and participation are the most effective approaches for functional recovery
of the children.
3. 2
A-Methods without using any equipment:
1-Bobath concept:
The Bobath approach, also known as neurodevelopmental treatment (NDT). The
concept was based on observations of how abnormal tone interfered with the
child’s ability to develop functional activity. The Bobaths developed a theoretical
framework for practice based on the neurophysiological knowledge of the day. The
Bobath concept says that normal quality of tone is necessary for effective
movement. In Bobath concept, therapists use specialized handling techniques that
improve the quality of tone and facilitate the movement patterns in the execution
of everyday tasks. Also, active participation of the child is emphasized throughout
treatment with the specific aim and controlling the activity. The Bobaths
emphasized the need for movement strategies learnt in treatment to be carried
over into everyday life activities. When planning the most appropriate activity,
therapists draw on an in-depth knowledge of normal motor development and the
control of movement.
2- Strength training programs:
Enhancing muscular fitness and higher levels of muscular strength causes
significantly better cardio metabolic risk factor profiles, lower risk of all-cause
mortality, fewer cardiovascular disease events, and lower risk of developing
functional limitations. Muscle weakness is a primary impairment, and there is
strong evidence showing that children are significantly weaker than children with
typical development.
3- Goal attainment therapy:
Most children with developmental disabilities, is to facilitate the child’s
participation in everyday life situations, e.g., to communicate with parents, siblings,
and peers; to move from one place to another; to dress and undress; to eat; and to
play. The choice of goals for therapy is dependent on many factors: the child’s
likings and the family’s preferences, the society and environment in which the
family lives, and the child’s degree of disability.
4. 3
4- Conductive education:
Conductive education (CE) is a combined educational and task-oriented approach
for children. Specially trained ‘conductors’ give education to homogeneous groups
of children with motor disorders. This approach has its origins in learning theory.
The movement problems experienced by children are thought of primary learning
process problems. Training takes place in an educational setting. The conductor
who is trained in all aspects of motor and cognitive development structures the
activities, especially the self-care activities. Group work is important as a motivating
factor, and there is a strong emphasis on the importance of anticipation, with
forward planning of activities and volitional control in acquisition of new skills. CE
approach aims to educate people with physical disabilities to acquire new
experiences in activities of daily living (ADLs).
5- Sensory Integration Training:
Sensory integration therapy is based on the idea that some kids experience
“sensory overload” and are oversensitive to certain types of stimulation. When
children have sensory overload, their brains have trouble processing or filtering
many sensations at once. Meanwhile, other children are under sensitive to some
kinds of stimulation. Children who are under sensitive do not process sensory
messages quickly or efficiently. These children may seem disconnected from their
environment. In either case, children with sensory integration issues struggle to
organize, understand, and respond to the information they take in from their
surroundings. Sensory integration therapy exposes children to sensory stimulation
in a structured, repetitive manner. The theory behind this treatment approach is
that, over time, the brain will adapt and allow them to process and react to
sensations more efficiently.
5. 4
6- Constraint-induced movement therapy (CIMT):
Constraint-induced movement therapy (CIMT) is specifically used to improve upper
limb function in children with hemiplegia. CIMT aims to increase spontaneous use
of the impaired arm by forcing the child to use it by restraining the other one. It is
characterized by the following elements: restraining of the unaffected side,
concentrated and intensive practice (over 2–3 treatment weeks for 6–7 days with
the unaffected hand restrained 90% of the waking hours, followed by 10 days of a
6-hour intensive program).
7- Bimanual training:
The Bimanual training (BIT) provides bimanual training activities, which focus on
improving the coordination of both arms using structured tasks in bimanual play
and functional activities with intensive practice. BIT also focuses on improving
coordination of the two hands using structured task practice embedded in
bimanual play and functional activities.
8- Family-centered models:
Family-centered care refers to how healthcare professionals interact and involve
children’s family in the care. A family-centered approach is characterized by
therapist’s practices that respect to families, where information is exchanged,
where there is responsiveness to the family priorities and choices, and where
family-therapist partnerships are fundamentally important. The family-centered
practice has emphasis on child and family strengths rather than deficits. This
approach facilitates family choice and control.
6. 5
B-Methods with using equipment’s:
1-Treadmill training:
A typical form of gait training has been performed over ground with assistive
devices or parallel bars. The treadmill has recently gained more attention as an
instrument for gait training and assessment with several advantages over
conventional methods. The treadmill can help clinicians overcome space
constraints, reduce physical demands, and establish a convenient set-up for gait
evaluation.
2- Robot-assisted therapy:
Robot-assisted therapy (RAT) is conducted using robotic devices that enable the
patients to perform specific limb movements. The main interest in using robots is
to allow the patients to achieve a large amount of movement in a limited time.
Additionally, the attractive human machine interface has the capacity to motivate
the child to perform his or her therapy through playful games, such as car races, or
to perform exercises that mimic ADLs. Moreover, robotic devices allow the patient
to receive visual, auditory, or sensory feedbacks. Finally, the robot gives
performance-based assistance to the patients.
7. 6
3- Virtual reality:
Virtual reality has been defined as the use of interactive simulations created with
computer to perform users in virtual environments that appear, sound, and feel
similar to real-world objects and events. Users interact with virtual objects by
moving and manipulating them. The therapeutic aims of virtual reality and
interactive computer play are to provide users with more than just an entertaining
experience. The use of virtual reality in pediatric rehabilitation is based on its
distinctive attributes that provide ecologically valid opportunities for active
learning, which are enjoyable and motivating yet challenging and safe.
4-Cardiorespiratory endurance training:
Many children, have reduced cardiorespiratory endurance (the capacity of the
body to perform physical activity that depends mainly on the aerobic or oxygen-
requiring energy systems), muscle strength, and habitual physical activity
participation. Cardiorespiratory training can effectively increase cardiorespiratory
endurance in children.
5-Hippo-therapy:
Hippo-therapy is a rehabilitation strategy performed with a moving horse, which
has demon‐ started its potential to improve the mobility of children. This therapy
is designed to improve motor functioning and quality of movement in children. The
warmth and shape of the horse and the rhythmic, three-dimensional movement of
horseback riding improve the flexibility, posture, balance, and mobility of the rider.
Hippo-therapy can be described as a low frequency, high repetition treatment
strategy. Muscle contractions and postural adjustments are required to react to the
horse’s movements.