Myofascial release refers to the manual
technique for stretching the fascia and
releasing bonds between fascia and
Lintegument, musles,and bones, with the goal of
eliminating pain, increasing range of motion
and balancing the body.
Assessment and Management of Frozen ShoulderThe Arm Clinic
The Arm Clinic's Mr Mike Walton presents his thoughts on assessment and management of Frozen Shoulder. Presentation for The Arm Clinic educational event #stiffshoulder at The Wilmslow Hospital, 29th April 2016.
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment Dr.Md.Monsur Rahman
Dr.MD.Monsur Rahman,PT
MPT-Musculoskeletal Disorders
Maharishi Markandeshwar Institute Of Physiotherapy And Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana - Ambala,133-207 (Haryana)
There are evidence in History of treatment by Passive stretching techniques.
Over past 30-40 years many therapists have worked to identify and learn the techniques which are are more suitable and effective for the patient’s problem.
Joint mobilisations and manipulations techniques are used to safely stretch or snap structures to restore normal joint mechanics with less trauma.
Myofascial release refers to the manual
technique for stretching the fascia and
releasing bonds between fascia and
Lintegument, musles,and bones, with the goal of
eliminating pain, increasing range of motion
and balancing the body.
Assessment and Management of Frozen ShoulderThe Arm Clinic
The Arm Clinic's Mr Mike Walton presents his thoughts on assessment and management of Frozen Shoulder. Presentation for The Arm Clinic educational event #stiffshoulder at The Wilmslow Hospital, 29th April 2016.
Sacroiliac(SI) Joint Dysfunction,Evaluation and Treatment Dr.Md.Monsur Rahman
Dr.MD.Monsur Rahman,PT
MPT-Musculoskeletal Disorders
Maharishi Markandeshwar Institute Of Physiotherapy And Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana - Ambala,133-207 (Haryana)
There are evidence in History of treatment by Passive stretching techniques.
Over past 30-40 years many therapists have worked to identify and learn the techniques which are are more suitable and effective for the patient’s problem.
Joint mobilisations and manipulations techniques are used to safely stretch or snap structures to restore normal joint mechanics with less trauma.
Generally, this presentation is about back pain. It contains anatomy, risk factors, etiology, pathophysiology, sign and symptoms, doctor management & physiotherapy management.
What is trigger finger & what are its symptoms!Duncan Mckay
Looking for trigger finger pain relief? Well, Trigger finger is a type of overdo injury with symptoms ranging from a straightforward irritation with irregular jerking or snapping of the finger, to extreme pain & dysfunction with incessant fastening of the fingers in a contracted downward pose into the palm of the hand.
I delivered this talk to a group of hand and arm therapists. Find out more about hand and arm problems at http://www.noelhenley.com
Ozark Orthopaedic: Henley C Noel MD
3317 North Wimberly Drive, Fayetteville, AR 72703
(479) 521-2752
Conference of the Tense Active Motor Control in the Shoulder. XIVth Federation of European Societies for Surgery of the Hand, FESSH Congress 3rd to 6th of June 2009 Poznan, Poland. The author explain how the connective system is determinant to control the motions in the shoulder, an special joint deeply dependent of the tissue deformation of the connective and sof tissues to build the adequate movements. Are the connective tissues a passive sub system? Dr. López proposed a new vision how understand the role of Fascias, ligaments, Capsules and other connective tissues during the movements and posture.
hip osteoarthritis is most disabling condition and surgery is a consequence of the same. but if this condition can assess on time so it can be manageable with conservative treatment and decrease the prevalence of AVN. further life of an individual become better.
In this presentation the author, David Lopez Chiropractor DC and Kinesiologyst (PT) from Chile expose about the different principles under the scope of the osteopathic manipulation of the spine. Dr. Lopez is director of the progran in Chiropractic for healh professional of the "Universidad Central de Chile" and director of the Diplomats in Manual Therapy of the "Universidad Santo Tomas de Chile. The interest is to review the fundamentals to understand the approach of the Osteopathy to the practice of the manual therapy and healthcare. This vision was exposed in Poland in the framework of an international symposium of Physiotherapy.
To Compare The Effect Of Core Stability Exercises And Muscle Energy Technique...IOSR Journals
Abstract: Low back pain is considered one of the commonest condition in the western and industrialized
countries. It is estimated that up to 50% of adults experience low back pain during their life span. People of all
age group can be effected by this menace irrespective to their gender and quality of life. It has become one of
the leading causes for the visit to physician thus also puts a heavy burden on the currency of the country.
Physiotherapy is the most widely used form of treatment adopted for gaining relief from low back pain. The
exercises include stretching, strengthening, range of motion exercises, McKenzie therapy and core stability
exercises other techniques like muscle energy technique etc. It has been concluded in various studies core
stability exercises and muscle energy technique are beneficial in low back pain patients but comparison of their
effect needs to be established to provide early and better relief from the disability. Therefore objective of the
study was to compare the effect of core stability exercises and muscle energy techniques on low back pain
patients. 60 subjects aged 18 – 45 years with low back pain were made part of the study based on inclusion and
exclusion criteria and were then divided into three groups named A, B and C. Group A received core stability
exercise and conventional physiotheraphy and group B received muscle energy techniques and conventional
physiotherapy. The exercise program was given on alternate days with a total of 24 sessions and progression of
the activity was made within the tolerance of the patient. Pre and post treatment readings were taken of pain,
ROM and quality of life scale. Results were analyzed using paired, unpaired t- test and ANOVA. Results showed
that there is significant effect on pain, ROM and quality of life scale in the three groups but group A was
clinically more significant than the other groups. The study concluded that patients with low back pain are
benefitted more by core stability exercises. So, core stability exercises should be practiced more.
Keywords: Low Back Pain, Core Stabilization Exercises, Muscle Energy Technique.
ACL Injury Hacks covers the entire physiology, etiology,pathology, diagnosis, recent advancements in diagnosis of ACL and focus on how an early and accurate diagnosis can contribute to a better treatment and rehabilitation as well as early return to sport of an athlete.
Visión del dolor neuropático y su tratamiento desde una perspectiva neurocognitiva
Neuropathic pain view and treatment from a neurocognitive perspective
Hand Therapy 2.0 - Networks are made of peopble - Carlos Castaño Ortizhandfun
Ponencia sobre la calidad de la información sobre terapia de mano encontrada en internet
-
Quality of the information found on the net about hand therapy
- 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
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
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
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.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
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
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
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
2. KEY WORDS:
- Clinical picture ≠ Diagnosis
- Subclassification
- Pain ≠ Damage
viernes 24 de mayo de 13
3. CLINICAL PICTURE
What are we talking about when we talk about...?
PFG: Pain Free Grip
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4. 1. Pain does not provide a measure of the
state of the tissues
2. Pain is modulated by many factors:
somatic, psychological and social
3. Relationship between pain and the state
of the tissues is less predictable as pain
persist
4. Conscious correlate of the implicit
perception that tissue is in danger.
PAIN ≠ DAMAGE
viernes 24 de mayo de 13
5. 1. Pain does not provide a measure of the
state of the tissues
2. Pain is modulated by many factors:
somatic, psychological and social
3. Relationship between pain and the state
of the tissues is less predictable as pain
persist
4. Conscious correlate of the implicit
perception that tissue is in danger.
Moseley GL. Reconceptualising Pain. Physical
Therapy Reviews. 2007 Aug 25;3(12):169-78.
viernes 24 de mayo de 13
10. Bisset L, Russell, Ha B, Bradley S,Vicenzino B (2006)
Bilateral sensorimotor abnormalities in unilateral epicondylalgia.
Arch Phys Med Rehabil. 87:490-5.
Motor system impairments
150
175
250
225
250
275
300
325
350
375
Tiempodereacción(mseg)
Control Epicondilalgia
RT1
RT2
80
90
100
120
130
Velocidaddelmovimiento
Control Epicondilalgia
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11. Motor system impairments
PienimakiT, Kauranen K,Vanharanta H (1997) Bilaterally decreased
motor performance of arms in patients with CLE,
Archives Phys Med Rehab 78 (10): 1092-5
Results: Compared to normal the patient had:
-19-36% slower reaction times for both arms
-31-32% slower speed of movement for both arms
- There was no difference between affected and unaffected arm.
Conclusión:
- Unclear mechanims at play.
- What comes first the pain of tennis elbow or motor
control deficit?
- May be indicative of altered central processing
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12. Kelly JD, Lombardo SJ, Pink M, Perry J, Giangarra CE (1994)
EMG and cinematographic analysis of elbow function in tennis players with LE,
AJSM 22:359-63
0
10
20
30
40
50
60
70
80
90
100
Normal
Lesionado
PREPARATION
1º 2º
ACCELERATION
BALL
IMPACT
FOLLOW-THOUGH
1º 2º
Motor system impairments
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14. Pain systems changes
Slater H,Arendt-Nielsen L,Wright A, Graven-NielsenT (2004)
Sensory and motor effects of experimental muscle pain in patients
with LE and controls with DOMS. Pain 114:118:30
Pain was quicker in onset and over larger areas bilaterally.
Indicative of involvement of central sensitization
A number of interacting neurophys mechanisms:
facilitation of quiescent or latent synapsis
expansion of receptive fields
activation of mor WDR neurons
Pain lasted longer in sore arm of patients.
Bilateral hyperalgesia
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15. Pain systems changes
Alfredson H, Ljung BO,Thorsen K, Lorentz R (2000) In vivo investigation of ECRB tendons with
microdyalysis technique - no signs of inflammation but high amounts of glutamate in tennis
elbow.Acta Orthop Scand 71(5):475-9
- 4 patients with chronic pain ECRB origin & 4 control
- Microdyalysis under LA and resting conditions over 2 hour
period (15 min samplings)
- Sampled glutamate and prostablandin E2 (PGE2)
- Glutamate higher in patients
- PGE2 no different
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17. Local tendon pathology
Zezig E, Ohberg L,Alfredson H. Extensor origin vascularity related to pain in patients withTE.
Knee Surg SportsTraumatol Arthrosc (2006) 14:659-63
- 17 patient: 22 elbows (5 bilateral) v 11 controls
- US + Doppler study
Neovessels closely related to neural structures
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21. Leanne Bisset, Elaine Beller, Gwendolen Jull, Peter Brooks, Ross Darnell, and BillVicenzino
Mobilisation with movement and exercise, corticosteroid injection, or wait and see for
tennis elbow: randomised trial
BMJ Nov 2006; 333: 939
Physical treatment
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23. Leanne Bisset, Elaine Beller, Gwendolen Jull, Peter Brooks, Ross Darnell, and BillVicenzino
Mobilisation with movement and exercise, corticosteroid injection, or wait and see for
tennis elbow: randomised trial
BMJ Nov 2006; 333: 939
viernes 24 de mayo de 13
24. ¿What is a MWM?
- MWM = hypoalgesia and rapidly function recovery
Vicenzino B.Wright A. Effects of a novel manipulative physiotherapy technique on tennis
elbow: a single case study. ManualTherapy 1995; 1(1):30-5.
Abbott JH, Patla CE, Jensen RH.The initial effects of an elbow mobilization with movement
technique on grip strength in subjects with lateral epicondylalgia. ManualTherapy 2001;
6(3):163-9.
Positional fault =
biomechanical correction?
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25. Observación clínica:
Patient presents with Pain & Disability Pain free & recovered
Observation 1:
Retrospective interpretation of clinical observations:
Observation 2:
Observation 3:
The Mobilisation exerts a force to a joint that glides joint surgaces.
The force needs to be specific for the technique to be effective.
The MWM reverses a positional fault.
Inferred clinical aplication
Antecedent event:
Traumatic (injury) or Non-
traumatic (postural, overuse)
Positional Fault
Patient experiences
Pain & Disability
Identification of positional
fault by practitioner
MWM applied to reverse
positional fault
MWM reverses
positional fault
MWM
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26. Hsieh C-Y,Vicenzino B,Yang C-H, Hu M-H,Yang C. Mulligan ́s mobilization with movement for the
thumb: a single case report using magnetic resonance imaging to evaluate the positional fault
hypothesis. ManualTherapy 2002; 7(1):44-9.
Gal et al. Movements of vertebrae during manipulative thrust to unembalmed human cadavers..
1997 J of Manipulative PhysTher 20:30-40.
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27. Hsieh C-Y,Vicenzino B,Yang C-H, Hu M-H,Yang C. Mulligan ́s mobilization with movement for the
thumb: a single case report using magnetic resonance imaging to evaluate the positional fault
hypothesis. ManualTherapy 2002; 7(1):44-9.
Gal et al. Movements of vertebrae during manipulative thrust to unembalmed human cadavers..
1997 J of Manipulative PhysTher 20:30-40.
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30. MWM
Transient change
in bone position &
increase ROM
NEUROPHYSIOLOGIC
Pain effects
Associated systems &
modeling
Sensory motor system
Initial non-opioid
hypo-algesia:
DPIS-PAG mediated?
Sensorimotor integration
BIOMECHANICS
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