SI Joint a stable joint , it is the cause of pain during pregnancy in many women during antenatal and postnatal period ,in this slideshare some exercises for SI joint during pregnancy ,the assesment and the basic relaxation exercise is given
This is a power point presentation of Lower cross syndrome for medical/physical therapy purpose created by Dr Harshad Morasiya. Including contains are pathophysiology, causes, signs and symptoms, diagnostic and treatment method as well as recent evidences with references.
This is a power point presentation of Lower cross syndrome for medical/physical therapy purpose created by Dr Harshad Morasiya. Including contains are pathophysiology, causes, signs and symptoms, diagnostic and treatment method as well as recent evidences with references.
Knee joint anatomy, biomechanics, pathomechanics and assessmentRadhika Chintamani
the knee complex complete anatomy, biomechanics, pathomechanics and its physical assessment in one single slideshow.a brief table given for easy understanding of what special test to be performed in which condition along with evidences of each special test.
small correction in slide number: 10
during flexion of tibia over femur in OKC; tibia glides and rolls posteriorly
during extension of tibia over femur in OKC: tibia glides and rolls anteriorly
Extensor mechanism of finger, very easy notes. Referred from cynthia norkin. In this ppt in last two slides u can see the identify the parts. Its like a quiz for candidates who studying this ppt. They can able to know that how well they prepared this topic.
Thank you, From Liki pedia
(A student physiotherapist)
1. Biomechanics of ankle joint subtalar joint and footSaurab Sharma
Biomechanics of Ankle joint- intended to share the powerpoint with first year undergraduate students at Kathmandu University School of Medical Sciences, Nepal.
basic info to understand forward head posture...if any objection then plz leave a comment and for more details you can send message to harisubedi12@yahoo.com
Neurophysiological Facilitation of Respiration is a treatment technique used for respiratory care of patients with unconscious or non-alert, and ventilated, and also with a neurological condition
NPF is the use of external proprioceptive and tactile stimuli that produce reflex respiratory movement responses and that increase the rate and depth of breathing
this PPT contain detailed kinetics & kinematics of ankle joint & all joints of foot complex, muscles of ankle & foot complex, plantar arches & weight distribution during standing.
This topic contains the core topic in Biomechanics which serves as the foundation for curriculum of Undergraduate and Post graduate Physiotherapy students.This presentation aims at the clarification of foundational concepts.
Thoracic and rib cage anatomy, biomechanics, and pathomechanicsRadhika Chintamani
This slide show describes about thoracic and rib cage in detail with its anatomy, kinetics and kinematics along with force couple. the slideshow also describes about the pathology and pathomechanics related to the topic
Knee joint anatomy, biomechanics, pathomechanics and assessmentRadhika Chintamani
the knee complex complete anatomy, biomechanics, pathomechanics and its physical assessment in one single slideshow.a brief table given for easy understanding of what special test to be performed in which condition along with evidences of each special test.
small correction in slide number: 10
during flexion of tibia over femur in OKC; tibia glides and rolls posteriorly
during extension of tibia over femur in OKC: tibia glides and rolls anteriorly
Extensor mechanism of finger, very easy notes. Referred from cynthia norkin. In this ppt in last two slides u can see the identify the parts. Its like a quiz for candidates who studying this ppt. They can able to know that how well they prepared this topic.
Thank you, From Liki pedia
(A student physiotherapist)
1. Biomechanics of ankle joint subtalar joint and footSaurab Sharma
Biomechanics of Ankle joint- intended to share the powerpoint with first year undergraduate students at Kathmandu University School of Medical Sciences, Nepal.
basic info to understand forward head posture...if any objection then plz leave a comment and for more details you can send message to harisubedi12@yahoo.com
Neurophysiological Facilitation of Respiration is a treatment technique used for respiratory care of patients with unconscious or non-alert, and ventilated, and also with a neurological condition
NPF is the use of external proprioceptive and tactile stimuli that produce reflex respiratory movement responses and that increase the rate and depth of breathing
this PPT contain detailed kinetics & kinematics of ankle joint & all joints of foot complex, muscles of ankle & foot complex, plantar arches & weight distribution during standing.
This topic contains the core topic in Biomechanics which serves as the foundation for curriculum of Undergraduate and Post graduate Physiotherapy students.This presentation aims at the clarification of foundational concepts.
Thoracic and rib cage anatomy, biomechanics, and pathomechanicsRadhika Chintamani
This slide show describes about thoracic and rib cage in detail with its anatomy, kinetics and kinematics along with force couple. the slideshow also describes about the pathology and pathomechanics related to the topic
Waddling gait- definition|role of muscle|gait analysis|kinematic and spatiote...jasna ok
This powerpoint is about WADDLING GAIT,muscle that cause waddling gait , its causes, reasons for why this gait is called duck gait and pregnancy gait, gait analysis , and its physical therapy treatment
Antenatal Care is a systematic supervision of woman during pregnancy.
The following presentation consists of detailed management for antenatal period along with its advantages, assessment, contraindications, and warning signs.
Thank You for consideration.
Patellofemoral Pain
Patellofemoral pain (PFP) is a common musculoskeletal related condition that is characterized by insidious onset of poorly defined pain, localized to the anterior retro patellar and/or peripatellar region of the knee.
An overuse injury in sports medicine.
Commonly known as “runner’s knee.
Diagnostic procedures in the obstetrics and gynaecology includes many methods some of the diagnostic procedures for a women's health physiotherapist should know is included in the above slides
dermatome testing is more important assesment in physiotherapy, the above slideshare shows the history of dermatome , testing , dermatome charts , advantage and disadvantage of each chart and clinical conditions
This presentation is about Bell’s palsy which is a facial paralysis of acute onset presumed to be due to non-suppurative inflammation of unknown etiology of the facial nerve within its canal above the stylomastoid foramen.
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.
In this ppt covered the basic treatment strategies for a traumatic brain injury patient and presented a case study and treatment protocol according to that patient condition on assesment glasgow coma scale is important in TBI
This ppt covers the content about cerebellar syndrome and a case presentation with assesment and treatment strategies to be followed at basic level , it covers the muscle length testing ducan ely test thomas and etc and basic level assesment for a physiotherapist can able to do and the scaling system to record the improvement in treatment
Case Presentation on Fracture & its Healing ProcessChristySopna
Case Presentation on Fracture & its Healing Process
This PPT includes a case study of a patient with a fracture and the process and techniques are implemented to improve the healing.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
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Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
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.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
2. SI JOINT
◦ SI joint is stable joint and permits very little movement . Pain may begin at any time during
antenatal or postnatal period but commonly begins at the 18th weeks of pregnancy and may
increase as the pregnancy progresses. According to one study there is four times greater
incidence of posterior pelvic pain than LBP in pregnant women .
◦ Pregnancy – symptoms persisting postpartum >6 months .
6. HISTORY
◦ a history of sharp pain (unilateral ) started with a particular activity (pregnancy ) and that
awakens the patient from sleep upon turning in bed.
◦ Pain with walking , ascending or descending stairs, or hopping or standing on the involved leg(
asymmetrical loading )
◦ Pain with forward bending of the trunk and pain with standing hip flexion (poor movement
dissociation )
◦ Pain with transitional movements such as rising to stand from a sitting position or getting in and
our of the car (movement transitions)
◦ Pain with a straight leg raise or near the end of range (ligament stretch/sensitivity).
◦ Pain that is worsened with long periods of sitting or standing if the lumbar lordosis is not
maintained (poor stability)
7. SI JOINT PAIN
◦ Onset – traumatic/ insidious/repetitive minor trauma /pregnancy induced
◦ Site – localized/diffuse,unilateral ,referred to lumbar/buttocks/posterior or lateral thigh/
◦ Can shift to contralateral side
◦ Occasional refers to hip / groin/abdomen
◦ Rarely down the leg and foot
◦ PAIN PATTERN
◦ 94%- buttock pain
◦ 72%-lower lumbar region pain
◦ 50%- lower extremity pain
◦ 24%groin pain
9. CLASSIFICATION OF SIJ PAIN
◦ LBP with or without SIJ involvement .
◦ SIJ primary – pregnancy
◦ SIJ secondary –movement dysfunction
◦ SIJ movement dysfunction – moving more or less
◦ SIJ movement dysfunction – articular / myofascial / translation /range
10. Fortin finger test
◦ Localisation of pain
◦ The patient points to the area of pain with one finger
◦ The result is positive if the site of pain is within 1 cm of the PSIS, generally infermedially
11.
12. CLUSTER OF LASLETT
◦ Originally 6, now diagnostic algorithm proposes 4
◦ Sensitivity -88%, specificity – 78%
◦ The following provocative tests
◦ Distraction
◦ Thigh thrust
◦ Compression
◦ Sacral thrust test
◦ FABER
◦ Gaenslen’s manoeuvre
13.
14. Force closure and motor control
◦ LOCAL SYSTEM
◦ Anterior abdominal fascia
◦ Deep fibres of multifidus
◦ Pelvic floor muscles
◦ Co-contraction
◦ GLOBAL SYSTEM
◦ Sling system
15. Funtion
◦ Gait
◦ Posture
◦ Regional movements
◦ Standing flexion test
◦ Gillet test
◦ Diagnostic block test
◦ FUNCTIONAL PELVIC TEST : active straight leg raising test (ASLR)
◦ Symphysis test : palpation and modified trendlenburg test for pelvic girdle
19. MANAGEMENT
◦ Modifications of daily activities
◦ Single leg weight bearing should be avoided
◦ Excessive lower limb abduction should be avoided
◦ Sitting on very soft surface should be avoided
◦ Getting into a car is done by sitting down first then pivoting both legs and trunk into the car .
Avoid lowerlimb abduction during getting in and out from the car
◦ During a sidelying place a pillow between the knees and under the abdomen
◦ Avoid climbing more than one step at a time
◦ Avoid crossing the legs while sitting
◦ Avoid high heeled shoes
◦ Avoid using heat
20. Modification of exercises
◦ Avoid exercises that require single leg standing
◦ Avoid exercise that require abduction or hyperextension
◦ Teach the patient to activate transverse abdominals and pelvic floor when transferring from one
position to another to stabilize the pelvis .
21. TENS
◦ NARROW rectangular single pulse of 0.1-0.2 milli second duration
◦ Frequencies – high frequency TENS -1000HZ
◦ Low frequency TENS – 2 and 10HZ
◦ ELECTRODE PLACEMENT : 2 electrode in paravertebral location at level of L3 and 2 elctrodes
in the distal and lateral aspect of sacroiliac joint
22. In case of pregnancy related SI joint dysfunction initially focus should be on core stability of trunk and pelvic girdle .
Sacroiliac belt
Core stability exercise
PELVIC FLOOR EXERCISE :
Squeezing and lifting of pelvic floor and hold for 10 seconds
maximum 10 reps
precaution :
breath holding
contraction of buttocks
squeezing leg together
23. Strudge et al,2004
Stabilisation exercise for
postpartum mother who
have pelvic pain on weight
bearing
Exercise is given using
theramaster for lifting body
weight and exercising
24. Core stabilization exercises
◦ Pelvic floor exercises – 10 squeezes for 10 secs hold (3-5days /week)
◦ Trasverse abdominins activation exercise
During week 1, the patient was in the hook-lying position and only performed the ADIM. During week 2, the
arms were moved overhead in an alternating pattern, every two seconds during the contraction phase. During
week 3, the legs lifted off the table in an alternating pattern, every two seconds during the contraction phase.
During week 4, the opposite arm and leg moved over head/lifted off the table in an alternating pattern, every
two seconds during the contraction phase
25. For the side-bridge exercise, the patient started by lying on their right side, with the weight-bearing elbow flexed and both knees flexed. The patient
was instructed to perform an ADIM, then lift into a side plank position with the elbow and knees flexed, keeping the hip and shoulder in line. The
position was held for 10 seconds, with a 15-second rest. Then the patient switched to the left side and performed the same half version of the side-
bridge. This was repeated three times. During week 2, the elbow remained bent, but the knees were extended. During week 3, the elbow was
straight and the knees bent. During week 4, both the elbow and knees were extended.
Weekly progression of the side-bridge exercise.
A=Week 1: half side plank with elbows and knees
flexed, B=Week 2: full side plank with elbow flexed,
C = Week 3: half side plank with elbow straight and
D=Week 4: Fill side plank with elbow straight.