This document discusses muscle structure and function, different types of muscle fibers, and exercise physiology. It provides details on muscle fiber components like myofibrils, sarcomeres, and proteins. It also covers topics like muscle fiber types, contraction types, Frank-Starling law, and therapeutic exercises for conditions like low back pain, shoulder replacement, and ACL reconstruction. The key goals of exercise therapy are to increase mobility, strength, endurance, and proprioception while preventing deconditioning. Exercises must be tailored based on a person's pain pattern and underlying pathology.
Principles of Pathological Investigation and Imaging in Skeletal DisordersPurvi Verma
The current presentation explains about the pathological and pathological investigation required for the skeletal disorders.
The basic requirement for a good prognostic and diagnostic feature which helps in evaluation of any skeletal disorders.
Principles of Pathological Investigation and Imaging in Skeletal DisordersPurvi Verma
The current presentation explains about the pathological and pathological investigation required for the skeletal disorders.
The basic requirement for a good prognostic and diagnostic feature which helps in evaluation of any skeletal disorders.
food intake varies with every type of individual, so here are some food tips which can keep you healthy, stay fit and delay the age occurring degeneration, though along with proper food intake exercise is must.
Aerobic means "with oxygen," and anaerobic means "without oxygen." Anaerobic exercise is the type where you get out of breath in just a few moments, like when you lift weights for improving strength, when you sprint, or when you climb a long flight of stairs.
Heat acclimatization occurs when repeated exercise-heat exposures are sufficiently stressful to invoke profuse sweating and elevate body temperatures. Generally, about 1-2-wk of daily exposures of 90 min are required; but highly aerobic fit athletes can heat acclimatize in half that time.
Exercise testing is a non invasive procedure that provides diagnostic and prognostic information and evaluates an individual’s capacity for dynamic exercises
Evidence based practice (EBP) in physiotherapy Saurab Sharma
This presentation is the classroom lecture for undergraduate physiotherapy students whom I teach at Kathmandu University School of Medical Sciences in Nepal. This is an introductory lecture. Students carry on with steps of EBP in the years to come during the student life and use it for their presentations and clinical learning placement.
Other students too may benefit. I highly encourage other students, especially in some parts of India where EBP is not taught, and is reserved for Master's degree program. I completely disagree with this concept, as EBP is the pillar of a responsible physiotherapy practice. Early it starts, better it is.
Describes the overview of the skeletal muscles, its description, functons, and properties. It also inccludes the gross organization of the skeletal system.
food intake varies with every type of individual, so here are some food tips which can keep you healthy, stay fit and delay the age occurring degeneration, though along with proper food intake exercise is must.
Aerobic means "with oxygen," and anaerobic means "without oxygen." Anaerobic exercise is the type where you get out of breath in just a few moments, like when you lift weights for improving strength, when you sprint, or when you climb a long flight of stairs.
Heat acclimatization occurs when repeated exercise-heat exposures are sufficiently stressful to invoke profuse sweating and elevate body temperatures. Generally, about 1-2-wk of daily exposures of 90 min are required; but highly aerobic fit athletes can heat acclimatize in half that time.
Exercise testing is a non invasive procedure that provides diagnostic and prognostic information and evaluates an individual’s capacity for dynamic exercises
Evidence based practice (EBP) in physiotherapy Saurab Sharma
This presentation is the classroom lecture for undergraduate physiotherapy students whom I teach at Kathmandu University School of Medical Sciences in Nepal. This is an introductory lecture. Students carry on with steps of EBP in the years to come during the student life and use it for their presentations and clinical learning placement.
Other students too may benefit. I highly encourage other students, especially in some parts of India where EBP is not taught, and is reserved for Master's degree program. I completely disagree with this concept, as EBP is the pillar of a responsible physiotherapy practice. Early it starts, better it is.
Describes the overview of the skeletal muscles, its description, functons, and properties. It also inccludes the gross organization of the skeletal system.
Describes the action potential occuring in the muscle. It includes the cellular and molecular organization of the muscle particularly on the myosin and actin myofilaments. Describes likewise the steps of muscle contraction.
i've used this note before this for my first year medicine in egypt. Fot those who taking this course(medicine) , I hope it'll give some ideas to you to study about this subject.
Goodluck :) !
Identified in 1921 by James Ewing
2nd most common bone tumor in children
Ewing’s Sarcoma Family of tumors:
Ewing’s sarcoma (Bone –87%)
Extraosseous Ewing’s sarcoma (8%)
Peripheral PNET(5%)
Askin’s tumor
It is difficult to lay out the exercise prescription for low back pain. Exercise for low back pain is differ person to person. This presentation will describe about the general layout for patient with low back pain.
Physiotherapist or Physical therapists are important health providers and can contribute to enhanced outcomes in many common musculoseletal disorders including osteoarthritis, ACL injuries, tendinopathies, such as rotator cuff disorders, tennis elbow and achilles tendinopathy and muscle tears
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.
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
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.
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
26. Composite exercise programmes
• Combine the benefits of all above
• Grade them sequentially
– Start with strength, endurance, stabilisation
and ROM
– Upgrade to proprioception
– Relaxation last
• Ensure that exercise programme is
continued
27. Which is ideal?
– Structured therapeutic exercise
– Playing basket ball
28. Rational of exercise therapy
GASS
• Generalized well being and weight reduction
removes illness behaviour
• Aerobic activity increases circulation and
psychological well being
• Stretching of muscle and ligaments so that they can
stretch with less pain
• Strengthening the guy ropes and cantilevers so that
they can bear more load
Am. Academy Neuro Surgeons
29. Examples
• ACL reconstruction-Goals
– Improve range of movement
– Strengthen the dynamic stabilisers of the
knee
– Improve proprioception of the reconstructed
and natural ligaments
Priority=Stabilization
30. ACL reconstruction
• ROM: active and passive/ assisted
stretching
• Strengthening: increasing weights-Quads,
Hams, Gastroc
• Proprioceptive: wobble board, Swedish
ball, inclined plane, beech games
31. Total shoulder replacement
• ROM: active and passive/ assisted
stretching
• Strengthening: increasing weights-Deltoid,
Spinatii, Subscap, Lats, Pecs, Trapezius
• Endurance: increasing cycles for above
• Proprioceptive: classical dancing
• Priority=Stabilization: limiting TROM
32. Designing an exercise regime
Time
Intensity
aerobic
strength
endurance
proprioception
33. • What is the rationale for doing exercises
for IVDP?
34. • Do you recommend Flexion or extension
exercises for IVDP?
41. Prescribing exercises for low back
pain
• Depends on pain pattern
– Fatigue endurance
– Mechanical pain stabilisation
– TROM pain and stiffness stretching
• Depends on Pathology
– Spondylolisthesis no extension
– IVDP sciatic stretch
42. Goals of exercise therapy in LBP
• Increase stable zone
• Improve mobility
• Improve strength
• Improve endurance (effort tolerance)
• Increase proprioception (prevent injury)
• Empower the patient to help himself
• Prevent deconditioning
43. Exercise therapy do’s and don’t’s
• Avoid bending
• Avoid lifting
• Sleep on hard bed
• Avoid pillow
• Avoid 2 wheelers
44. Can back pain patients bend?
References
• Mercer
• Turek
• Campbell
• Apley
• Bridwell et al
• White et al
• Frymoyer
• Aebi et al
• S Rengachary
• Youman
• Benzel E
• McCullough
• Harrison
• Price
• Davidson
51. Exercise in low back pain
• Should be tailored to the type of pain
pattern
• And the pathology
• Eg:
– Effort intolerance type of pain
– Spondylolisthesis
53. Extensor strengthening without
extension
• Example: extension of the spine causes
impingement of the facets- spondylolysis
• Yet extensor strengthening is important for
spondylolisthesis
• How to achieve this?
• Diagonal lifts; Dying bug exercises
55. Postural back pain
Bad posture causing back pain is best
treated by postural corrective devices (car
seat back rest)
Yes
No
56. Postural LBP
• Of the chronic 80% are P.LBP
• Does not mean bad posture
• Means bad postural muscles
• Reflects urban life style and stressful
living
60. Postural LBP
the person
• Young adult (male> female)
• Obese/ asthenic
• Sedentary employment
• Stressful life style
• Lack of physical activity
• 2 wheeler travel
61. Postural LBP
Pain pattern
• Dull aching
• Increased by sitting/ standingIncreased by sitting/ standing
• Decreased by walking
• Not aggravated by bending/ squatting
• Bilateral para-spinal pain
• No Radiculopathy
• Normal or non-contributary
investigations