Successful knee replacement surgery India by experienced highly qualified surgeons & latest advanced surgical techniques with the help of Tour2india4health.
Rehabilitation of dominant upper limb amputationJoe Antony
Hand dominance is the preferential use of one hand over the other for motor tasks.
90% of people are right-hand dominant, and the majority of injuries (acute and cumulative trauma) occur to the dominant limb, creating a double-impact injury whereby a person is left in a functional state of single-handedness and must rely on the less dexterous, non-dominant hand.
When loss of dominant hand function is permanent, a forced shift of dominance is termed injury-induced hand dominance transfer
There are innate differences in dexterity influenced by hand dominance.
Although most activities are accomplished bimanually, the dominant hand acts as the more dexterous, main executor while the non-dominant hand acts as supporter.
In the context of rehabilitation, permanent loss of dexterity in dominant hand is more devastating because dexterity skill previously endowed to dominant hand must be transferred to non-dominant hand
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Leading cause of upper limb amputations is trauma occurring in males ages 15-25 years,
Most of traumatic amputation happen on dominant limb
vascular complications of diseases.
No limb prefernces
cancer/tumors (common cause of more proximal amputations such as a shoulder disarticulation or forequarter amputation)
As a general term, traction means pulling on part of the body.
Most often, traction uses mechanical force (sometimes generated by weights and pulleys) to put tension on a displaced bone or joint, such as a dislocated shoulder, to put it back in position and keep it still. In the medical field, traction refers to the practice of slowly and gently pulling on a fractured or dislocated body part. It’s often done using ropes, pulleys, and weights. These tools help apply force to the tissues surrounding the damaged area.
This slide includes general principles of fracture management. This is just a basic idea. I have tried to include figures as well as videos. But unfortunately videos wont play here.
orthosis and prothesis pdf.Prosthesis - An artificial appliance which substitutes the anatomically missing component.
Orthosis - An artificial appliance that supports the body part for the purpose of stabilization, support or Movement reminder.The aim of orthotics is to increase the efficiency of function during acute or long-term injury. This includes soft-tissue and bony injury, as well as changes as a result of neurological changes. They can be an effective adjunct alongside physiotherapy techniques such as muscle strengthening and stretches, gait and balance retraining and reach and grasp strategies.
radical mastectomy is a disabling condition, the side effects and post surgical complications of the conditions affect the patient both physically, psychologically and socially. in this presentation, an attempt to cover problem list, do's and don'ts, assessment, management is explained in detail.
Successful knee replacement surgery India by experienced highly qualified surgeons & latest advanced surgical techniques with the help of Tour2india4health.
Rehabilitation of dominant upper limb amputationJoe Antony
Hand dominance is the preferential use of one hand over the other for motor tasks.
90% of people are right-hand dominant, and the majority of injuries (acute and cumulative trauma) occur to the dominant limb, creating a double-impact injury whereby a person is left in a functional state of single-handedness and must rely on the less dexterous, non-dominant hand.
When loss of dominant hand function is permanent, a forced shift of dominance is termed injury-induced hand dominance transfer
There are innate differences in dexterity influenced by hand dominance.
Although most activities are accomplished bimanually, the dominant hand acts as the more dexterous, main executor while the non-dominant hand acts as supporter.
In the context of rehabilitation, permanent loss of dexterity in dominant hand is more devastating because dexterity skill previously endowed to dominant hand must be transferred to non-dominant hand
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Leading cause of upper limb amputations is trauma occurring in males ages 15-25 years,
Most of traumatic amputation happen on dominant limb
vascular complications of diseases.
No limb prefernces
cancer/tumors (common cause of more proximal amputations such as a shoulder disarticulation or forequarter amputation)
As a general term, traction means pulling on part of the body.
Most often, traction uses mechanical force (sometimes generated by weights and pulleys) to put tension on a displaced bone or joint, such as a dislocated shoulder, to put it back in position and keep it still. In the medical field, traction refers to the practice of slowly and gently pulling on a fractured or dislocated body part. It’s often done using ropes, pulleys, and weights. These tools help apply force to the tissues surrounding the damaged area.
This slide includes general principles of fracture management. This is just a basic idea. I have tried to include figures as well as videos. But unfortunately videos wont play here.
orthosis and prothesis pdf.Prosthesis - An artificial appliance which substitutes the anatomically missing component.
Orthosis - An artificial appliance that supports the body part for the purpose of stabilization, support or Movement reminder.The aim of orthotics is to increase the efficiency of function during acute or long-term injury. This includes soft-tissue and bony injury, as well as changes as a result of neurological changes. They can be an effective adjunct alongside physiotherapy techniques such as muscle strengthening and stretches, gait and balance retraining and reach and grasp strategies.
radical mastectomy is a disabling condition, the side effects and post surgical complications of the conditions affect the patient both physically, psychologically and socially. in this presentation, an attempt to cover problem list, do's and don'ts, assessment, management is explained in detail.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
2. Define basic terminology for orthotics
and prosthetics
List the causes of amputation.
Describe different stages of
rehabilitation
State criteria for good stump
Identify the different level of extremity
amputation.
3. • Orthotics: is a specialty within the medical
field concerned with the design, manufacture
and application of orthoses.
• Orthosis (plural: orthoses): is "an externally
applied device used to modify the structural
and functional characteristics of the
neuromuscular and skeletal system".
• Orthotist: is the healthcare professionals that
specialize in the provision of orthoses.
4. Aim of using orthosis
An orthosis may be used to:
• Control, guide, limit and/or immobilize an extremity, joint or
body segment for a particular reason.
• To restrict movement in a given direction
• To assist movement generally
• To reduce weight bearing forces for a particular purpose
• To aid rehabilitation from fractures after the removal of a
cast
• To otherwise correct the shape and/or function of the body,
to provide easier movement capability or reduce pain
5. • Prosthetics: is a specialty within the medical
field concerned with the design, manufacture
and application of prosthesis.
• Prosthesis (plural: prostheses): is an
artificial device that replaces a missing body
part, which may be lost through trauma,
disease, or congenital conditions.
• Prosthetist: The person who manufacture
the prosthesis.
6. Amputation
• Amputation: AMBI means around, Putation means
trimming.
• Separation by cutting of terminal part of the body.
• It is the removal of a body extremity (part or
whole) by trauma, prolonged constriction,
or surgery. As a surgical measure, it is used to
control pain or a disease process in the affected
limb, such as malignancy or gangrene.
8. Rehabilitation of an Amputee
Rehabilitation:
• It is a process by which patient’s abilities are utilized to make him
independent physically, mentally, socially and vocationally to make
him lead a near normal life.
Stages of rehabilitation:
1.Pre- amputation counseling.
2.Amputation surgery.
3.Acute post amputation care.
4.Pre-prosthetic training.
5.Prosthetic fitting and training.
6.Reintegration into community.
7.Long-term follow up.
9. Rehabilitation team for amputee patient
Patient
Surgeon Physical
Therapist
Prosthetist
Psychologist
Occupational
Therapist
Ergonomist
10. • The main aim of this stage is to prepare the patient physically, mentally for
amputation and post amputation period.
The stage includes:
A. Communication with patient and his family to explain about the need for
surgery and its outcomes.
B. Communication between rehabilitation team to discuss about the level of
amputation and prosthetic fitting.
C. Introductory session with patient regarding:
• Phantom limb pain.
• Prosthetic fitting.
• Mode of fitting and training.
• Time taken.
• Cost expenditure.
D. Demonstration by a trained volunteer and discussion between patient and
volunteer.
E. Pre- rehabilitation exercise program involving: other limbs – trunk muscles.
11. • Amputation is done when all other modalities are explored, evaluated
and rejected. The evidence suggests that the amputation is the best
solution to the patient’s plight.
Amputation is to achieve:
A. Most distal level with clinical condition.
B. Well healed stump.
C. Less functional loss.
D. Less energy with ambulation with prosthesis.
Amputation surgery includes:
A. Removal of a part or whole limb to exclude pathology.
B. Reconstruction to create a best possible stump.
12. Types of Amputation:
A. Guillotine amputation.
• Emergency amputation is done as life saving measure.
• It is the one in case where primary healing unlikely to occur.
• Amputation is done as low as possible to allow room for re-
amputation.
• The bone, muscles and skin are cut at the same level.
A. Definite (classical)amputation.
• One for which no further operative procedure is expected and
prosthesis can be fitted to the patient.
A. Revision amputation.
• Done in already amputated persons. E.g. guillotine
amputation, childhood amputation etc. aiming for better
stump
13. Stump
• It the residual part of the limb after amputation.
• Criteria for good stump:
1. Proper length.
2. Proper shape.
3. Skin free.
4. Healthy scar.
5. Good muscle strength.
6. Joint should have full ROM.
7. No neuroma.
8. No phantom sensation or pain.
18. Advantages :
• Allows inspection of wound.
• Allows near normal ROM.
Disadvantages:
• Does not prevent contractures.
• Does not prevent trauma.
19. • In form of plaster cast.
• It called as Immediate Postoperative Rigid Dressing
(IPORD)
Advantages :
• Pain is decreased.
• Wound heals quickly.
• Edema is prevented.
• Prevent contractures.
• Protect from trauma.
Disadvantages:
• Require careful application.
• Wound inspection cannot be done.
20. • Bandaging is done like ‘figure of 8’
• It need frequent rewrapping.
• This gives pressure from distal to proximal thus
reducing hematoma and edema.
21. • This done via using of machine that supplies
bacteria free environment to the wound a
with controlled humidity and temperature.
• This provides the perfect environment for
primary healing.
22. • It can be done especially for children and clean
traumatic ablation.
• The main aims are:
Control of pain.
Prevention of edema.
Prevention of infection.
Prevention of deformity/ stiffness.
Prevention of DVT.
Improving muscle power.
Psychological confidence.
23. Control of pain
• Narcotics/ analgesics every 3 to 6 hours at least for 48
hours to maximum of 5 days.
• Then decrease the amount gradually.
• Catheter with infusion pump can be used in rate of 2 – 3
ml/ hour for 72 hours.
Prevention of edema
• Passive ROM exercises.
• Active ex’s will help in venous return and reduces edema.
• Crepe bandaging also help to reduce the edema.
• Tube gauze:
Provides good skin tolerance.
Provides pressure gradient from distal to proximal.
The elastic nature gives more comfort to patient by
yielding to different size.
25. Prevention of infection
• Proper wound care and with good antibiotic cover
can prevent infection.
Prevention of stiffness
• Passive ROM exercises.
• Active mobilization ex’s.
• Proper positioning.
• Early fitting to prosthesis.
Prevention of DVT
• Passive and active ex’s.
• Elastic stocking.
• Elasto crepe bandages.
26. Improve muscle power
• Chest physiotherapy.
• Ex’s to other limbs with intension to UL muscles
which used during crutch walking and wheel
chair mobility.
27. First Day
• Breathing ex’s.
• Proper positioning of the limb and stump.
Second Day
• Sit up in bed.
• Breathing ex’s.
Third Day
• Drain removal.
• Stump ex’s.
Forth day
• Standing with or without support.
• Crutch walking.
Fifth to seventh day
• Suture removal.
• Stump bandaging.
28. This phase includes:
• Active ROM ex’s.
• Proper positioning of the stump.
• Muscle strength.
• Skin care.
• Crutch training.
• Wheel chair mobility.
• Self care.
• Patient and family education.
29. • Thus done through collaboration among physiotherapist,
occupational therapist, prosthetist.
This phase includes:
• Prosthetic fitting: including alignment check, pressure
point relief, color matching, etc.
• Donning and doffing training: for independence in care
activities.
• Skin care training: to avoid pressure ulcers, skin infections.
• Gait training: includes weight bearing, weight transfers,
stepping training, walking with or without assistive aids,
stair climbing, etc.
• Maintenance of prosthesis: Cleaning, maintaining and
replacement of prosthesis.
30.
31.
32.
33.
34. • This process should done gradually, and it may take
weeks or months.
• Organized trips for shopping, recreation or a part
time job should be done.
• Day hospital rehabilitation program: patient
participate in rehabilitation in hospital 6 hours/ day,
5 days/week. At evening and weekend the patient
return back to his home.
• Modified work and restricted work according to the
patient’s disablity.
35.
36. • During the first year, follow up is advised every 3
months and thereafter as and whenever required