Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
A chronicle on muscle strengthening:
MMT is a procedure for the evaluation of strength of individual
muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM.
Traction: a basic physiotherapy modality used for inducing space between the joints. this slideshow deals with various types of traction and its application to cervical, thoracic and lumbar spine.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
A chronicle on muscle strengthening:
MMT is a procedure for the evaluation of strength of individual
muscle or muscles group, based upon the effective performance of a movement in relation to the forces of gravity or manual resistance through the available ROM.
Traction: a basic physiotherapy modality used for inducing space between the joints. this slideshow deals with various types of traction and its application to cervical, thoracic and lumbar spine.
This Presentation is about Mitchell relaxation technique also known a physiological relaxation technique Mitchell’s physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
a detailed description on theory behind Strength duration curve, along with procedure for plotting SD Curve and measuring the Rheobase and Chronaxie of the plotted graph.
Elbow complex is designed to serve hand.
They provide MOBILITY for Hand in space by apparent shortening and Lengthening of upper extremity.
They provide Stability for skillful and forceful movements
The manual muscle testing procedure was described in this power point, indications, contraindications, limitations of MMT was included. the MMT grading system (scale) was explained well in this PPT.
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
this PPT contains all the detailed information about walking aids including types, measurements, advantages & disadvantages, gait training with specific aid, etc.
Elbow complex is designed to serve hand.
They provide MOBILITY for Hand in space by apparent shortening and Lengthening of upper extremity.
They provide Stability for skillful and forceful movements
The manual muscle testing procedure was described in this power point, indications, contraindications, limitations of MMT was included. the MMT grading system (scale) was explained well in this PPT.
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
this PPT contains all the detailed information about walking aids including types, measurements, advantages & disadvantages, gait training with specific aid, etc.
Osteoarthritis of the Knee Joint is a quite common condition found in Indian Population. This presentation is made to understand how this condition affects patients and what are the different Physiotherapy measures to make the patient functionally independent.
;Passive movements are those which are performed by therapist. It is also called Passive Range of motion (PROM). It is divide into Five types .Also passive movements can be done by mechanically.
Traction is a physical force which brings about separation of the joint through the bone along its long axis. This can be done manually or mechanically and provides several beneficial effects.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
2. DEFINITION
• These movements are produced by an external force during
muscular inactivity or when range of motion is reduced for
any cause
• Carried out either by the therapist or a machine
INDICATIONS
In acute, inflamed tissues, where active movements is painful
In comatose, paralytic, or complete bed redden patient.
In muscle re-education as a first step
3. GOALS AND USES
• Maintain joint and connective tissue mobility
• Maintain the physiological properties of the muscle (extensibility, elasticity, etc.) and minimize the formation of
contracture
• Assist circulation and enhance synovial movement and diffusion of materials in the joint
• Maintain range of motion and prevent formation of adhesions
• Maintain the patient's awareness of movements by stimulating the kinaesthetic receptors
• Decrease or inhibit pain
4. PRECAUTIONS AND
CONTRAINDICATIONS
• Immediately after acute tears, fractures, and surgery.
• Signs of too much effusion or swelling (DVT)
• Sever sharp and acute joint pain
• When motion disruptive to the healing process.
• When bony block limits joint motions
• Acute infection around or in the joint ( arthritis)
• In case of increased joint’s hypermobility or hematoma
5. LIMITATIONS OF PROM
Passive ROM will not:
• Prevent muscle atrophy
• Increase muscle strength and endurance
• Assist circulation as active exercises
6. CLASSIFICATION OF PASSIVE
MOVEMENTS
1. Relaxed Passive Movements, including accessory
movements
2. Forced Passive Movements
3. Continuous Passive Movements
7.
8. RELAXED PASSIVE MOVEMENTS -
DEFINITION
• These are movements performed accurately, rhythmically and
smoothly by the physiotherapist through available range of
motion (according to anatomy of joints).
• The movements are performed in the same range and direction as
active movements.
• The joint is moved through the free range and
within the limits of pain.
9. PRINCIPLES OF RELAXED PASSIVE
MOVEMENTS
1. Relaxation
The selection of a suitable starting position ensures comfort
and support, for both patient and physiotherapist through the
movements
2. Fixation
Good fixation for the proximal and distal joint by the
physiotherapist to ensure that the movement is localized to
the movable joint
3. Support
Full and comfortable support is given to the part to be moved,
so that the patient has confidence and will remain relaxed
10. PRINCIPLES OF RELAXED PASSIVE
MOVEMENTS
4. Traction
The fixation of the bone proximal to the joint providing an
opposing force to a sustained pull on the distal bone. Traction
is thought to facilitate the movement by reducing inter-articular
friction.
5. Range of Movement
The range of movements is done in painless range to avoid
spasm in the surrounding muscles
6. Speed and Duration
As it is essential that relaxation is maintained throughout the
movement, the speed must be slow and rhythmical, with suitable
repetitions of the movement
11. 7. Physiotherapist stance
In the direction of line of movement. Commonly used stances
are the walk stance and stride stand
8. Repetitions
Usually 8-10 repetitions are given twice (02) a day
9. Sequence
- Neurological cases: from proximal to distal joints
- For draining fluids: from distal to proximal
PRINCIPLES OF RELAXED PASSIVE
MOVEMENTS
12. FORCED PASSIVE MOVEMENTS -
DEFINITION
• An exercise performed on a subject by a partner who exerts
an external force not only to produce a passive movements of
a joint.
• The partner presses the joint into its end-position (i.e. end of
range), while the subject’s muscles that normally carry out the
movements are completely relaxed.
• There is a danger of overextension beyond the range of
movement and damage to the joint if the exercise is not
carried out carefully
13. EFFECTS AND USES OF FORCED
PASSIVE MOVEMENTS
• As in relaxed passive movements (same effect and uses), but
specially increasing the limited range of motion
14. CONTINUES PASSIVE MOTION (CPM) -
DEFINITION
• A continues passive motion device maintains movements of a
joint after limb sparing surgery. This device is usually called a
CPM
• Continues movement limits stiffness and pain.
• It is very important to keep joints moving following surgery so
that motion will not become limited.
• The CPM will move the involved leg through its full range of
motion.
• It is only used in bed, but can be used while relaxing, eating,
or sleeping
15. BENEFITS OF CPM
1. Decreasing the complication of immobilization
2. Decreasing the post operative complication and pain
3. Improving the recovery rate and ROM
4. Improving the circulation through pumping action
5. Prevent adhesions and contracture
6. Prevent joint effusion and wound oedema
16. PROCEDURE OF CPM
• Therapist adjust the device to fit before surgery
• CPM used right after surgery
• Therapist has to give instructions and monitor how to use the
device
• CPM is allowed to set at 45 degrees of motion right after
surgery
• Generally, motion is allowed to be increased 15 degrees a
day
