The McKenzie Method is a classification system and treatment approach developed by Robin McKenzie for back, neck, and extremity pain. It involves assessing a patient's response to various movements and positions to determine the cause of their pain and develop an individualized exercise plan. The goals are to centralize or reduce pain. There are three main syndromes - postural, dysfunction, and derangement - each with different treatments like posture correction, mobilizing exercises, or movements to induce a directional preference. The McKenzie Method aims to actively involve patients to self-manage their pain.
The document discusses proprioceptive neuromuscular facilitation (PNF), a technique developed by Herman Kabat that uses movements and patterns to improve neuromuscular function. It defines key PNF terms and outlines principles such as motor development occurring from head to toe. The basic procedures are described, including manual contacts, stretch, and maximal resistance. Upper and lower extremity diagonal patterns are explained along with their component motions. Rhythmic initiation is also summarized.
Hello everyone here I upload mckenzie exrercise basic details and some of its position.Its technique for use to cervical, Lumabar pain relief via particular position.Thank you.
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Retraining of motor control basing on understanding of normal movement & analysis of motor dysfunction.
Emphasis of MRP is on practice of specific activities, the training of cognitive control over muscles & movt. Components of activities & conscious elimination of unnecessary muscle activity.
In rehabilitation programme involve – real life activities included.
The document discusses Kaltenborn manual mobilization techniques which use traction and gliding movements to reduce pain and increase joint mobility. It describes testing for restrictions in joint play, end feels, and functional movements to determine appropriate treatment grades of mobilization parallel or perpendicular to the treatment plane. Indications for treatment include restricted joint play or abnormal end feels while contraindications include various pathological bone and joint conditions.
Balance is the ability to control body position to maintain upright posture. It involves integration of sensory inputs and motor outputs. Balance training progresses from simple to complex tasks in positions like lying, sitting, kneeling, and standing static and dynamic exercises before walking, stairs, and community tasks. Assessment evaluates vision, sensation, vestibular function, range of motion, strength, and limits of stability. Treatment addresses sensory, strategy, musculoskeletal, and environmental factors through exercises, modifications, and assistive devices.
Manual therapy techniques like joint mobilizations and manipulations can be used to safely restore normal joint mechanics and reduce trauma. Effective use requires knowledge of anatomy, arthrokinematics, and pathologies. Several concepts for manual therapy techniques were introduced, including Cyriax, Mulligan, Maitland, and McKenzie. Contraindications include inflammation, effusion, and hypermobility while indications include reversible hypomobility and functional limitations responding to mechanical treatment. Grading systems determine appropriate mobilization force and different joints require specific examination and treatment techniques.
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Physiotherapy aims to preserve, enhance or restore movement and physical function impaired by disability, injury or disease. It utilizes techniques like therapeutic exercises, physical modalities, assistive devices and patient education. Physiotherapy can improve function by minimizing contractures, loss of strength and decreased skin compliance, although it may not change underlying pathology or prevent all disability. Major physiotherapy techniques include therapy using mechanical treatment, non-electric thermotherapy, electrotherapy, ozonetherapy, vacuum therapy and balneotherapy. Electrotherapy techniques like electrostimulation, ultrasound and magnetotherapy have anti-inflammatory, analgesic, spasmolytic and trophic clinical effects. Physiotherapy plays an important role in managing various conditions like wounds,
Physiotherapy management for rheumatoid arthritissenphysio
Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints. It most commonly affects women and can lead to joint damage, deformity, and disability over time. Physiotherapy plays an important role in managing rheumatoid arthritis by providing pain relief, preventing deformities, improving flexibility and strength, and maintaining functional ability. Treatment involves heat/cold therapy, exercises, joint protection techniques, and alternative therapies to help reduce inflammation and preserve joint function. The goals of physiotherapy are to protect joints, relieve pain, and prevent disability through regular exercise and mobility work.
This document outlines the components of performing a coordination examination, including the purposes, relevant anatomy, testing protocols, and specific tests. It discusses testing coordination through non-equilibrium tests done in sitting and equilibrium tests of balance done standing. Tests examine abilities like finger-to-nose coordination, rapid alternating movements, and balance on one leg. Performance is graded on a scale of 1 to 5. Select tests are highlighted as useful for evaluating particular coordination impairments involving tremors, dysmetria, or other issues.
This document defines joint mobilization techniques and provides guidelines for their use. It describes mobilization as a manual therapy that uses passive joint movement to increase range of motion or decrease pain. Accessory joint movements like gliding and traction are explained. Precautions and contraindications for mobilization are outlined. A grading scale from I to V is presented to indicate the amplitude of oscillations used in different mobilization techniques.
This document provides an overview of leprosy (Hansen's disease), including:
- It is caused by Mycobacterium leprae bacteria and primarily affects the nerves and skin.
- Symptoms include discolored skin lesions and loss of sensation which can lead to injuries.
- It is classified based on severity and can be diagnosed via skin biopsy or smear.
- Treatment involves long-term multi-drug antibiotic regimens.
- Surgical procedures and orthotic devices can help address deformities caused by nerve damage.
Physiotherapy plays an important role in restoring patients after abdominal surgery through a variety of interventions. The goals of physiotherapy are to control postoperative pain, promote wound healing, prevent complications like atelectasis and DVT, and strengthen and mobilize weakened muscles. Treatments include breathing exercises, electrotherapy modalities like TENS and interferential therapy for pain management, soft tissue massage, and corrective positioning with passive and active movements to prevent stiffness. Physiotherapy aims to restore patients' optimum functional ability in both the short term to aid recovery and long term to improve strength, endurance, and functional capacity.
This document discusses principles of tendon transfers for restoring lost movement. It outlines key principles such as having supple joints before transfer, using a donor tendon with adequate excursion and strength, adhering to principles of synergy and straight line of pull. The timing of transfers depends on the likelihood of nerve recovery but can be done early to aid recovery. Contraindications include a lack of suitable donor muscles or transfers for joints with stiffness. Classification systems like Sunderland and Seddon are used to describe nerve injuries requiring tendon transfers.
Presentation slides from our recent workshop on Myofascial Release. This workshop was delivered from our St John Street Clinic in Manchester on Saturday 17th March.
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
The document discusses strength duration curves, which plot the electrical stimuli needed to elicit a muscle contraction over a range of stimulus durations. It describes how to perform the test and interpret the results, including details on:
- Plotting S-D curves after 20 days post-injury to assess innervation status
- The typical shape of normal, denervated, and partially denervated curves
- Additional metrics that can be measured from S-D curves like rheobase and chronaxie
- Factors that can influence the curves and what different curve patterns indicate
This document discusses spasticity management. It defines spasticity as a hypertonic motor disorder caused by injury to the corticospinal pathways. Signs of upper motor neuron syndrome include hyperactive stretch reflexes and involuntary flexor/extensor spasms. Spasticity is assessed using measures like the modified Ashworth scale and is treated using a multidisciplinary approach including oral medications, injections, surgery, and physiotherapy. Treatment aims to reduce spasticity and improve function and range of motion.
Mckenzie Method of Mechanical Diagnosis and Therapy.3.15Juhi Gupta
The document summarizes the key aspects of the McKenzie Method for assessing and treating musculoskeletal pain. It was developed in the 1950s as a self-care approach involving repeated movements or positions to centralize pain. The method aims to classify patients into postural, dysfunction, or derangement syndromes and prescribe direction-specific exercises based on each patient's pattern of symptoms with movement. When used correctly, the goal is to centralize pain, improve function, prevent recurrences, and require fewer medical visits over time.
The McKenzie method is a mechanical-based classification and treatment approach for musculoskeletal disorders introduced by Robin McKenzie in 1981. It involves assessing a patient's symptoms in response to standardized movements to classify them into mechanical syndromes. The goal is to identify a directional preference that centralizes or reduces pain through repeated end-range movements. Exercises are then prescribed matching the patient's directional preference to improve symptoms and restore full function. The McKenzie method aims to involve patients through education and self-management of their condition.
Signs It’s Time for Physiotherapy Sessions Prioritizing WellnessGokuldas Hospital
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in. They’re like when the inside of a special part of our back pushes out a little. This can make our backs feel sore and uncomfortable.
When our backs have a slipped disc, there are signs we can watch out for. First, there’s pain in one spot, like the lower back or neck. It can feel sharp and spread to other places. Then, our arms or legs might feel tingly or numb, like when they fall asleep. We might even have trouble moving some muscles or notice changes in how fast we react.
(zaid hijab) 4th stage
Rehabilitation of sciatica
Sciatica is a common pain syndrome, considering that ∼10% of low back pain
episodes, which have a lifetime cumulative incidence of 80%, will be accompanied
by sciatica. Nerve root compression by disc herniation is regarded as the most
frequent cause of sciatica.
College of
Health and medical technology
Baghdad
Department of
Physiotherapy & Rehabilitation
How chiropractor in los angeles provides superior healthDr.Joeseph Hakimi
How Chiropractor In Los Angeles Provides Superior Health?
https://bit.ly/3kULg6b
A professional Chiropractor does chiropractic adjustment, in order to reduce pain.
Chiropractic manipulation is done using various hands-on techniques and instruments.
One of the biggest advantages of chiropractic is that it releases stress and anxiety.
Along with this, chiropractic adjustment also results in speedy recovery.
Chiropractic manipulation prevents disorders. Other advantages of a chiropractic adjustment are It improves joint and muscle mobility function.
If you have a weak immune system, a chiropractic adjustment will improve that.
Chiropractic manipulation also has the advantage of the improvement of muscle mobility.
Chiropractic adjustments are also known as chiropractic manipulations as it consists use controlled force deemed manipulation.
There is a chiropractic method called the Activator technique. This chiropractic method is done using a device.
Another Chiropractic Method is the Flexion-Distraction Therapy. In this, a specially designed table is used to perform Chiropractic manipulation.
Flexion-Distraction Therapy is a chiropractic method where chiropractors find trigger points and release them.
A skilled and professional chiropractor does all these chiropractic manipulations in order to solve the issues you are facing.
Are you looking for the best chiropractor in Los Angeles? - https://bit.ly/3c4cVgn
Like, Share and Subscribe: https://bit.ly/3buuwxG
#chiropracticadjustment #chiropracticmanipulation #losangeles
The document provides an overview of the McKenzie method for assessing and treating musculoskeletal pain. It describes the key concepts of centralization and peripheralization and how patients' pain responses to specific movements can help classify their condition as a postural syndrome, dysfunction syndrome, or derangement syndrome. Treatment generally involves repeated movements and positioning to encourage centralization of pain. Precautions are taken to avoid worsening a patient's pain. The McKenzie method examines both spinal and extremity issues through detailed mechanical diagnosis and management.
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.
McKenzie approach July 12.power point presentationPranavTrehan2
The McKenzie method classifies spinal issues into three syndromes - postural, dysfunction, and derangement - based on symptoms, deformities, and the effects of repeated movement. Repeated movement testing is used for diagnosis, prognosis, and treatment by identifying the syndrome and determining the direction of movement that reduces symptoms. The McKenzie method progresses the application of mechanical forces through repeated movement and positions to therapeutically change the mechanical syndrome with minimal effort.
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
When someone experiences groin strain, they’ve experienced a tear to the adductor muscles of the hip. There are 5 groin muscles (adductor brevis, adductor longus, adductor magnus, gracilis and pectineus) and these muscles may be injured when they are in a stretched position, but also if they are forced to contract suddenly.
Sports and Physical Therapy Associates share a informational slideshow documenting prevention of back pain, causes, and treatment.
Most adults will experience back pain, find out how to prevent it and how to treat it.
Mechanical Diagnosis and Therapy in Peripheral joint pathology: McKenzie wayjonathan kefas
This document provides an overview of McKenzie Method for treating peripheral joint pathology. It begins with a brief history of McKenzie Method and explains its basic concepts. It then discusses the functional anatomy and classifications of peripheral joints. The classifications in McKenzie Method include postural syndrome, dysfunction syndrome, and derangement syndrome. It also describes directional preference, indications, treatment procedures, and literature supporting the use of McKenzie Method for extremity problems like tennis elbow, knee osteoarthritis, and adhesive capsulitis. The conclusion recommends adoption of McKenzie Method by therapists to promote patient independence through movement-based exercises.
0004 AC, SC and ST joints dislocation-Copy.pdfeyobkaseye
This document discusses disorders of the acromioclavicular (AC), sternoclavicular (SC), and glenohumeral (GH) joints. It describes common conditions like AC joint dislocation and arthritis. It also discusses signs, risk factors, classifications systems, treatments, and physiotherapy management for AC joint disorders. For SC joint injuries, it outlines signs, causes, and treatments. Finally, it provides details on shoulder dislocation types, diagnostic procedures, conservative and surgical management, and physiotherapy rehabilitation protocols.
Muscle energy techniques (MET) involve voluntary contractions of a patient's muscles in a controlled direction at varying intensities. MET can be used to lengthen shortened muscles, strengthen weakened muscles, reduce edema, and improve joint mobility. The document outlines the basic concepts and types of MET, including isometric and isotonic techniques. It discusses the muscle makeup, applications, indications, precautions, and variations of MET. Studies have found MET to be effective at decreasing pain and increasing range of motion for neck and back pain conditions.
The McKenzie Method is a system of diagnosing and treating spinal pain developed in the 1960s. It focuses on classifying pain based on responses to specific movements and positions. The goal is to centralize pain away from extremities and abolish it completely through repeated end-range movements informed by the assessment. Studies show centralization occurs in 70% of subacute and 52% of chronic back pain patients. The McKenzie Method emphasizes patient education and active involvement to restore function and minimize visits through self-treatment guided by therapists.
Manual Muscle Testing (MMT) is a clinical assessment technique used by healthcare professionals to evaluate the strength and function of individual muscles or muscle groups. It involves the systematic application of resistance while the patient contracts specific muscles, allowing the examiner to assess the muscle's ability to generate force and produce movement. Here's a detailed overview:
1. **Purpose**: MMT is used to:
- Identify muscle weakness or imbalance.
- Assess the extent and location of neuromuscular dysfunction.
- Monitor changes in muscle strength over time.
- Guide treatment planning and rehabilitation interventions.
2. **Procedure**:
- **Patient Positioning**: The patient is positioned appropriately to isolate and activate the muscle being tested.
- **Instruction**: Clear instructions are provided to the patient regarding the desired movement and level of effort.
- **Stabilization**: Adjacent joints or body segments may be stabilized to prevent compensatory movements.
- **Resistance Application**: The examiner applies resistance, typically manually, in the direction opposite to the muscle's action, gradually increasing it while the patient contracts the muscle.
- **Observation**: The examiner observes the quality of muscle contraction, noting factors such as initiation, strength, endurance, and any signs of fatigue or compensation.
- **Grading**: Muscle strength is graded on a scale ranging from 0 to 5:
- 0: No contraction detected.
- 1: Muscle flicker, but no movement.
- 2: Movement occurs, but not against gravity.
- 3: Movement against gravity, but not against resistance.
- 4: Movement against some resistance, but not full strength.
- 5: Full strength, normal movement against full resistance.
3. **Applications**:
- **Clinical Diagnosis**: MMT helps identify muscle weakness or dysfunction associated with various conditions, such as neuromuscular disorders, orthopedic injuries, and neurological impairments.
- **Treatment Planning**: Assessment findings from MMT guide the selection of appropriate therapeutic interventions, including strengthening exercises, manual therapy techniques, and functional training.
- **Rehabilitation Monitoring**: Serial MMT evaluations track changes in muscle strength and function during the rehabilitation process, informing progression and adjusting treatment goals as needed.
4. **Considerations**:
- **Reliability and Validity**: MMT results may vary based on factors such as examiner experience, patient cooperation, and testing conditions. Standardized protocols and repeated assessments can enhance reliability.
- **Limitations**: MMT may not be suitable for assessing deep muscles or muscles affected by pain, and results may be influenced by factors such as fatigue, motivation, and neurological impairment.
- **Clinical Judgment**: Interpretation of MMT findings requires clinical judgment,.
This document discusses passive range of motion exercises. It defines passive movement as movement produced by an external force with little voluntary muscle contraction. It describes different types of passive movements including relaxed manual movements, forced movements like joint mobilization/manipulation, and mechanical movements like continuous passive motion. Key goals of passive movements are to maintain joint mobility and flexibility while preventing contractures. The document provides guidelines for different passive techniques as well as indications, contraindications, and precautions.
The document discusses the rotator cuff, which is made up of four muscles and tendons that hold the humerus in the shoulder joint. Rotator cuff tears are a common cause of shoulder pain and disability. Tears can be classified based on timing (acute or chronic) and depth (partial or complete). Treatment for acute tears is usually surgical repair, while chronic tears may be treated with rest, physical therapy, and surgery if conservative treatment fails. Rehabilitation after repair focuses on protecting the repair while regaining range of motion and strength over 3 phases lasting 3-6 months.
Physiotherapy in Wound Healing; Role of ElectrotherapySreeraj S R
1. The document discusses wound healing and the normal phases of wound repair including hemostasis, inflammatory, proliferation and maturation phases. It also discusses factors that can affect wound healing such as infection, poor hygiene, and smoking.
2. Various high frequency modalities used to promote wound healing are discussed including ultrasound, which can stimulate fibroblasts and accelerate wound contraction, and pulsed shortwave therapy. Electrical stimulation modalities and their effects on wound healing through mechanisms like increased blood flow and angiogenesis are also covered.
3. Guidelines for application and dosimetry of different modalities like ultrasound, pulsed shortwave therapy and high voltage pulsed current are provided. Electrotaxis, the directional movement of cells in
Russian Current / Burst Mode Alternating Current (BMAC)Sreeraj S R
Russian current is a type of alternating current that is burst modulated at low frequencies to stimulate nerves and cause muscle contraction. It consists of 2.5 kHz sinusoidal AC applied in 10 ms bursts separated by 10 ms intervals, modulated at 50 Hz. This causes tetanic muscle contraction through depolarization of fast motor neurons. Russian current is used to strengthen muscles in healthy athletes and patients, reduce edema, and decrease muscle spasm through once daily 10 minute treatments over weeks or months. Care must be taken with pregnant individuals or those with implants or impaired sensation.
Therapeutic Heat: Contraindications and PrecautionsSreeraj S R
This document outlines various contraindications for the use of heat therapy. It discusses conditions where heat therapy should be avoided such as impaired sensation, acute injury/inflammation, hemorrhagic conditions, impaired circulation, malignancy, infection, DVT, pregnancy, skin diseases, cardiac failure, metal implants, recently radiated tissues, reproductive organs, eyes, obesity, improper positioning, heat intolerance, certain medications, and provides tips for safe practice. Absolute contraindications are where heat could cause severe damage, while relative contraindications mean caution is needed if benefits outweigh risks.
Therapeutic Heat: Physiological & Therapeutic EffectsSreeraj S R
Therapeutic heat can be delivered superficially using modalities like hot packs, paraffin wax baths, heating pads, fluidotherapy, hydrotherapy, and contrast baths. Deeper heating is achieved through ultrasound, shortwave diathermy, and microwave diathermy. Physiological effects of heat include vasodilation, increased tissue extensibility, reduced muscle spasm and strength initially, and increased metabolic rate and oxygen availability. Precautions must be taken with certain conditions like ischemia, impaired sensation, malignancy, or acute trauma/inflammation.
Morality and Ethics in Physiotherapy ProfessionSreeraj S R
As health care is considered divine and moral activity, physiotherapy professionals too are held to moral standards with expectations of ethical conduct.
Introduction to Physiotherapy and ElectrotherapySreeraj S R
Physiotherapy involves treating and preventing disease through physical means like exercise, heat, electricity and massage rather than drugs or surgery. Physiotherapists examine patients to diagnose issues, develop treatment plans, and provide independent or team-based care. They are subject to ethical guidelines like respecting patient rights and providing competent services. Electrotherapy is a type of physiotherapy that uses electrical currents, including techniques like TENS, IFT and Russian stimulation to treat patients.
Ultraviolet radiation has wavelengths between 400-100 nm. It can be divided into UVA, UVB, and UVC. UV is produced by mercury vapor lamps and fluorescent lamps and can cause both acute and chronic physiological effects. It is used therapeutically to treat conditions like psoriasis, acne, eczema, and vitiligo. Precise dosages must be calculated and increased gradually based on the individual's skin type and response to avoid overexposure and potential negative effects of UV radiation.
1. A hydro-collator pack is a fabric envelope containing silica gel or bentonite crystal packs that are heated in a hydro-collator unit between 70-80°C and provide moist heat for 30-40 minutes.
2. The packs come in various sizes and shapes and are wrapped in towels or blankets before being applied to patients to provide insulation and prevent skin burns.
3. Hydro-collator packs are easy to apply and provide uniform moist heat therapy, but risks include skin burns or rashes if not properly applied or monitored.
Thermal Agents PHYSICAL PRINCIPLES_SRS.pptSreeraj S R
This document discusses physical thermal agents and the principles of heat transfer. It covers the following key points in 3 sentences:
Matter can exist in solid, liquid, or gas states depending on the balance between cohesive and kinetic forces. Heat is transferred between materials via conduction, convection, conversion, radiation, or evaporation. The rate of heat transfer and temperature change depends on factors like an object's specific heat, thermal conductivity, circulation of transferring medium, radiation intensity, and distance from the heat source.
This document provides an overview of assessing the elbow, including:
1) Descriptions of the elbow joint anatomy and common injuries or complaints.
2) Details on subjective and objective examination techniques like inspection, palpation, range of motion testing, special tests, and neurological assessment.
3) Explanations of specific tests for common conditions like tennis elbow, golfer's elbow, ulnar nerve entrapment, and ligament injuries.
Musculoskeletal Physiotherapy Management in PoliomyelitisSreeraj S R
This document discusses the physiotherapy management of poliomyelitis. It begins by describing the virus, pathology, and stages of the disease. It then details the examination and treatment approaches for each stage. Treatment involves relieving pain, preventing contractures through proper positioning, assisted exercises, and splinting as needed. The goal is to aid recovery and minimize residual paralysis through ongoing physiotherapy.
Orthopedic Surgeries and Physiotherapy in Cerebral PalsySreeraj S R
This document discusses orthopaedic surgeries and physiotherapy for cerebral palsy, focusing on spine/scoliosis, hips, knees, and lower legs. For scoliosis, conservative treatments include bracing and physical therapy while surgical treatment is posterior spinal fusion. For hips, soft tissue releases and osteotomies are used to treat subluxation/dislocation, while contractures may be treated with botulinum toxin or soft tissue lengthening. Knee flexion contractures are treated first with stretching and bracing but may require hamstring lengthening, capsulotomy, or femoral osteotomy. Post-operative rehabilitation focuses on range of motion, stretching, strengthening, and functional training.
Physiotherapy Management in Cerebral PalsySreeraj S R
Cerebral palsy is a group of disorders that affect movement and posture, caused by damage to the developing brain either before, during, or after birth. Common causes include infections, trauma, prematurity, or genetic disorders. Cerebral palsy is classified based on the type of movement impairment (spastic, dyskinetic, ataxic, or mixed) and severity (mild, moderate, severe). Treatment focuses on managing symptoms like spasticity and contractures through medications, physical therapy, orthotics, and surgery. The goal is to improve mobility and function while preventing further complications.
Professional Practice and Ethics for PhysiotherapistsSreeraj S R
The document discusses professional practice and ethics for physiotherapists in India. It outlines key laws and regulations related to physiotherapy, including the Clinical Establishment Act, POSCO Act on child sexual abuse, rules on biomedical waste management, and laws on sexual harassment and consumer protection. The document also discusses ethical responsibilities of physiotherapists, principles of ethics in research and teaching, and important professional bodies like the World Physiotherapy organization.
Roles and Characteristics of PhysiotherapistsSreeraj S R
This document outlines the various roles and responsibilities of physical therapists. It discusses that physical therapists should have skills in communication, teamwork, problem-solving, and establishing relationships with patients. The primary role of a physical therapist is to provide direct patient care to improve movement and function through treatment, rehabilitation, and health promotion. Physical therapists work at various levels of care from primary to tertiary and employ a patient management model involving examination, evaluation, diagnosis, intervention, and outcomes assessment. They may also take on roles as consultants, educators, administrators, managers, and critical inquirers applying scientific research to practice.
Bone tumours can be benign or malignant. Benign tumours include osteoid osteoma, osteoma, and haemangioma which typically have well-defined borders and do not metastasize. Malignant tumours such as multiple myeloma, Ewing sarcoma and osteosarcoma are poorly defined, invasive and can metastasize. Treatment depends on the type and severity of the tumour and may include surgery, chemotherapy, radiation therapy or palliative care. Physiotherapy can aid in pain relief, improving function and mobility, and maintaining quality of life for patients with bone tumours.
Physiotherapy Management in Peripheral nerve & Plexus injuriesSreeraj S R
1. The document discusses various aspects of peripheral nerve anatomy and injury. It describes the formation and branches of the major plexuses from spinal nerves and classifies peripheral nerve injuries.
2. Mechanisms of nerve injury including compression, ischemia, traction and friction are outlined. The process of nerve degeneration and regeneration after injury is explained.
3. Methods for assessing peripheral nerve injuries are provided, including history taking, physical examination techniques, and electrodiagnostic studies. Specific peripheral nerves like the radial and ulnar nerves are used as examples.
Physiotherapy for ankle & foot deformitiesSreeraj S R
This document provides information about various foot conditions including pes cavus, pes planus, and their treatment. It defines pes cavus as a foot with an abnormally high arch. Pes planus is defined as flat foot where the arch is lost. Flexible flat foot has an arch when not weight bearing but it disappears with weight bearing. Rigid flat foot lacks an arch with or without weight bearing. Conservative treatments for flexible pes planus include orthotics and exercises while rigid pes planus may require surgery if causing symptoms. Surgical options are also discussed for treatment of pes cavus and rigid pes planus.
Musculoskeletal physiotherapy management in poliomyelitisSreeraj S R
This document discusses the physiotherapy management of poliomyelitis. It begins by describing the stages and symptoms of polio. It then outlines the treatment approaches, including relief of pain and spasms during the acute phase, prevention of contractures, exercises to improve strength, and use of braces. Surgery may be needed to address deformities, followed by postsurgical physiotherapy focusing on range of motion, strengthening, and retraining movements. The overall goal of physiotherapy is to aid recovery and maximize function for people affected by polio.
Physiotherapy for CONGENITAL TALIPES EQUINOVARUS Sreeraj S R
The document discusses congenital club foot (CCF), also known as congenital talipes equinovarus (CTEV). CCF is a deformity occurring in the ankle, subtaloid, and mid-tarsal joints. There are several theories for its causes, and its severity depends on the degree of displacement, while resistance to treatment depends on soft tissue rigidity. The deformity can be categorized into four components: cavus, adductus, varus, and equinus (CAVE). Treatment aims to fully correct the deformity early on through non-operative methods like serial casting or the Ponseti method, which involves weekly manipulation and casting. Education of parents on care and follow-up is
Concerned About HIV or STDs? Get Tested in Dubaigettestedqwik
Worried about your health? It’s important to get tested for HIV and STDs to ensure your well-being and peace of mind. In Dubai, you have access to confidential and reliable testing services. Here's why you should get tested:
Confidentiality Guaranteed: Your privacy is our top priority. All tests and results are handled with the utmost discretion.
Early Detection: Early detection is key to effective treatment and preventing the spread of infections.
Accurate Results: Our advanced testing methods ensure accurate and reliable results.
Professional Care: Receive care from experienced healthcare professionals who are dedicated to your health.
Don’t wait! Take control of your health today. Contact us to schedule your confidential HIV and STD testing in Dubai.
For more information or to book an appointment:
Phone: +971-527211839
Email: qwikhs@gmail.com
Website: https://qwik.gettested.ae/
Stay safe and healthy! Get tested now.
SA Gastro Cure(gallbladder cancer treatment in india).pptxVinothKumar70905
SA Gastro Cure provides complete gallbladder cancer treatment in India, with Dr. Santhosh Anand's experience. Dr. Santhosh Anand delivers tailored care with modern procedures and advanced technologies to ensure efficient management and recovery. His significant knowledge provides premium therapy for gallbladder cancer, resulting in superior patient results at SA Gastro Cure.
Cultural Components of Safer Ways of Engagement in Health ResearchCHICommunications
The George & Fay Yee Centre for Healthcare Innovation hosts monthly seminars focused on patient engagement. The series, called Patient Engagement Lunchtime Learning, is geared to all levels of learners looking to understand patient engagement and how to incorporate these best practices into their research projects.
This session was presented on June 12, 2024 by CHI's Patient and Public Engagement Lead and special guest speakers.
Benefits:
This Mudra is useful for people to sweat a lot, this mudra helps the body to retain water.
There are no other specific uses of this Mudra.
It is found that, if you have to pee but for some reason you can’t go, performing this Mudra will reduce the bladder pressure and you can hold it in for a bit longer.
Comprehensive understanding of arm balancing asana
Benefits of arm balancing asana
Arm balancing asanas have numerous benefits, including:
Strengthening the arms and shoulders: Arm balancing asanas require a lot of strength in the upper body, particularly the arms and shoulders. Regular practice of these asanas can help to build muscle and increase strength in these areas.
Improving balance and stability: Arm balancing asanas challenge your balance and stability, which can help to improve your overall coordination and body awareness.
Boosting confidence and concentration: Successfully mastering arm balancing asanas can give you a sense of accomplishment and help to build your confidence. Additionally, the concentration required to maintain the balance in these asanas can help to improve focus and concentration.
Stimulating the digestive system: Some arm balancing asanas, such as Bakasana (Crow Pose), can stimulate the digestive system and aid in digestion.
Energizing the body: Arm balancing asanas can help to energize the body and improve circulation, which can lead to increased vitality and overall well-being.
Developing core strength: Arm balancing asanas require a strong core, and practicing these poses can help to develop the muscles of the abdomen and lower back.
Improving flexibility: Many arm balancing asanas require flexibility in the hips, hamstrings, and other areas of the body. Regular practice can help to increase overall flexibility and range of motion.
Contraindications of arm balancing asana
Arm balancing asanas are advanced yoga postures that require strength, flexibility, and stability in the upper body. As such, they can be challenging and have certain contraindications. Some of the contraindications of arm balancing asanas are:
Wrist or shoulder injury: Arm balancing asanas can put a lot of pressure on the wrists and shoulders. If you have a history of wrist or shoulder injury, or if you are currently experiencing pain or discomfort in these areas, it is best to avoid these postures or modify them with the guidance of an experienced teacher.
High blood pressure: Some arm balancing asanas, such as headstand and handstand, can increase blood pressure. If you have high blood pressure, it is important to avoid these postures or practice them under the guidance of a qualified teacher who can help you modify them to make them safe.
Neck injury: Certain arm balancing asanas, such as crane pose and peacock pose, require placing weight on the head and neck. If you have a neck injury, it is best to avoid these postures or modify them with the guidance of an experienced teacher.
Pregnancy: Arm balancing asanas can be risky for pregnant women, especially in the later stages of pregnancy. If you are pregnant, it is important to avoid these postures or practice them only under the guidance of a qualified prenatal yoga teacher.
Inexperienced practitioners: Arm balancing asanas require a certain level of streng
A price that is appropriate for massage therapy enables cost-effective healthcare access. If such treatments cost is low, it would provide more individuals with an opportunity to enjoy frequent massages which are crucial in relieving anxiety and pain. Because it is cheap, individuals may incorporate such treatments in their healthcare lifestyles without having to be concerned about how much they spend on themselves. At Malayali Kerala Spa Ajman, we are providing all types of massage services @ 99 AED. Visit us today.
Motivational Interviewing (MI) is a therapeutic approach that helps individuals find the motivation to make positive behavioral changes. By fostering a collaborative, empathetic, and non-judgmental dialogue, MI empowers clients to explore their ambivalence about change and strengthen their commitment to personal goals. This method is effective in various settings, including addiction treatment, health behavior change, and mental health.
DM Pharma is one of the top 10 antibiotic manufacturers in India, known for its dedication to quality and innovation. They produce a wide range of antibiotic medications, ensuring effective treatment for various bacterial infections. With state-of-the-art facilities and strict quality control measures, DM Pharma consistently delivers safe and reliable products. Their commitment to excellence has earned them a strong reputation in the pharmaceutical industry. As a leading manufacturer, DM Pharma continues to meet the growing demand for high-quality antibiotics, making a significant impact on healthcare in India and beyond.
In today's fast-paced healthcare environment, efficient patient flow is critical to delivering timely and quality care. Triage medical assistants play a pivotal role in this process, ensuring that patients are assessed and prioritized effectively. This blog explores the crucial functions of triage medical assistants, compares them with Virtual Medical Assistant and virtual medical scribes, and highlights why clinics should consider hiring a virtual medical assistant to complement their on-site team.
Trump vance 2024 t shirts Trump vance 2024 t shirtsexgf28
Trump vance 2024 t shirts
https://www.pinterest.com/youngtshirt/trump-vance-2024-t-shirts/
Trump Vance Make America Great Again 2024 shirt,Trump vance 2024 t shirts,Trump vance 2024 shirt,Trump vance 2024 sweatshirts Grabs yours today. tag and share who loves it.
The success of our Spa in Ajman relies on the customer-centric approach we follow. Who doesn't like a massage center that consistently offers wellness treatments that help customers improve overall health? Our wellness services are carefully customized to satisfy the wellness needs of all customers. At Malayali Kerala Spa Ajman we providing Kerala Massage, Indian Massage, Full Body Massage, Russian Massage, Body to Body Massage in Ajman. Providing all our services @ just 99 AED.
2. LOGOSreeraj S R
Introduction
The McKenzie Method was developed by New Zealand
based physiotherapist, Robin McKenzie (1931–
2013).1,2
The McKenzie method is a classification system and a
classification-based treatment for patients with pain.3
A acronym for the McKenzie method is Mechanical
Diagnosis and Therapy (MDT).3
3. LOGOSreeraj S R
McKenzie Method?
It is a philosophy of active patient involvement and education for back, neck and
extremity issues.
It is grounded in finding a cause and effect relationship between the positions
the patient usually assumes while sitting, standing or moving, and the location of
pain as a result of those positions or activities.
The therapeutic approach requires a patient to move through a series of
activities and test movements to gauge the patient’s pain response. The
approach then uses that information to develop an exercise program designed to
centralize or alleviate the pain
The goal of McKenzie Method is to centralize the pain or move the pain from the
leg into the low back.
4. LOGOSreeraj S R
The aims
The aims of the therapy are:
1. reducing pain,
2. centralization of symptoms (symptoms migrating into
the middle line of the body) and
3. the complete recovery of pain.
The prevention step consists of educating and
encouraging the patient to exercise regularly and self-
care.
5. LOGOSreeraj S R
The three steps
The McKenzie method exists of 3 steps:3,4
1. Assessment
2. Treatment and
3. Prevention.
6. LOGOSreeraj S R
The Three Syndromes
McKenzie described in 1981 the mechanical classification
in the McKenzie system.
According to McKenzie, Pain of spinal origin can be
classified into 3 syndromes.
Posture Syndrome
Dysfunction Syndrome
Derangement Syndrome3,5
7. LOGOSreeraj S R
The postural syndrome
This is caused by mechanical deformation of soft tissues as a result of
postural stresses.
Maintenance of certain postures or positions which place some soft
tissues under prolonged stress, will eventually be productive of pain.
End range stress on normal structures
Mechanical deformation due to prolonged stress eventually
produces pain
The pain ceases only with a change of position or after postural
correction.5,6
8. LOGOSreeraj S R
The postural syndrome
The treatment includes:
• Patient education
• Correction of the posture = improving
posture by restoring lumbar lordosis
• Avoiding provocative postures = avoid
prolonged tensile stress on normal structure3
9. LOGOSreeraj S R
Dysfunction Syndrome
This is caused by mechanical deformation of soft tissues affected by
adaptive shortening.
This abnormal tissue may be the product of previous trauma, or
inflammatory or degenerative processes.
These events cause contraction, scarring, adherence or adaptive
shortening.
The pain is brought on as soon as shortened structures are stressed by
end positioning or end movement and ceases almost immediately
when the stress is released.
Dysfunctions may be located in articular or contractile tissue 5,6
10. LOGOSreeraj S R
Dysfunction Syndrome
The treatment includes:
• Mobilizing exercises in the direction of the dysfunction
or in the direction that reproduces the pain.
• The aim is to remodel that tissue, which limits the
movement, through exercises so that it becomes pain-
free over time.3
11. LOGOSreeraj S R
Derangement Syndrome
This is caused by mechanical deformation of soft tissues as a result of
internal derangement.
Alteration of the position of the fluid nucleus within the disc, and
possibly the surrounding annulus, causes a disturbance in the normal
resting position of the two vertebrae enclosing the disc involved.
The structures’ increased mechanical deformation immediately or
eventually produce pain5,6
This syndrome is classified in two groups:3
1.Irreducible derangement
2.Reducible derangement
12. LOGOSreeraj S R
Derangement Syndrome
The treatment includes:
• Examination of the patient’s symptomatic and
mechanical response to repeated movements
or sustained positions because the chosen
treatment depends on the clinically induced
directional preference.
13. LOGOSreeraj S R
Directional Preference
It describes the situation when movements in one
direction will improve pain and the limitation of range,
whereas movements in the opposite direction cause
signs and symptoms to worsen.6,7,8
1. Centralization
2. Peripheralization
14. LOGOSreeraj S R
Centralization
Describes the phenomenon in which limb pain emanating from the
spine is progressively abolished in a distal to proximal direction in
response to therapeutic loading strategies , with each progressive
symptom change being retained over time. If back pain only is present
this is reduced and then abolished.6,7,8,9
15. LOGOSreeraj S R
Peripheralization
Describes the phenomenon by which pain emanating from the spine
spreads distally into or further into the limb as a result loading
strategies.
If pain is produced in the limb, spreads distally or increases distally
and remains worse the loading strategy should be avoided.6,7,8,9
16. LOGOSreeraj S R
Use of Repeated Movements for Evaluation/Diagnosis8
No pain during repeated movements - Postural Syndrome
Pain produced only at limited end range – Dysfunction Syndrome
Pain produced only by resisted tests - Contractile Dysfunction
Increasing symptoms in one direction, decreasing symptoms in the
other - derangement
All directions cause lasting increase in pain in sub-acute condition -
chemical pain
Persistent pain in which initial active therapy causes some temporary
aggravation of symptoms - chronic state
17. LOGOSreeraj S R
Matching Treatment to Condition Stages of healing8
Injury and inflammation
Repair and Healing
Remodelling
Protect from further damage
Prevent excessive inflammatory
exudate
Reduce Swelling
Gentle natural tension and
loading
Progressive return to normal
loads and tension
Prevent contractures
Normal loading and tension to
increase strength and flexibility
18. LOGOSreeraj S R
Tissue Status & Treatment Choice8
Trauma /Inflammatory = rest
Posture syndrome = education & Correction
Articular dysfunction = remodel at end range
Contractile dysfunction = remodel through range
Articular Derangement = Reduce
Chronic Pain = Recondition and Desensitize
Healing = restorative exercises
19. LOGOSreeraj S R
Contra-indications5
If in the examination no position or movement can be found
which reduces the presenting pain, the patient is unsuited for
mechanical therapy.
Saddle anaesthesia and bladder weakness.
Patients who exhibit signs of extreme pain.
Developmental or acquired anomalies of bone structures which
may lead to weakness or instability of mechanical articulations.
Architectural faults should be excluded from mechanical
therapy. E.g. spondylolisthesis
20. LOGOSreeraj S R
1. http://www.bspc.com.au/apacd/infosheet/d24.htm
2. http://en.wikipedia.org/wiki/McKenzie_method
3. http://www.physio-pedia.com/Mckenzie_Method
4. http://www.mckenziemdt.org/approach.cfm?section=int
5. McKenzie RA. The Lumbar Spine. Mechanical Diagnosis and Therapy. Chapter 5, Diagnosis.
Spinal Publications New Zealand Limited. 1981: pp24-26, 159
6. http://iwolfe.com/712/The%20McKenzie%20Method%20powerpoint_2008.ppt
7. Kilpikoski S. The McKenzie Method in Assessing, Classifying and Treating Non-Centralization
Phenomenon. Jyväskylä: University of Jyväskylä, 2010: p 22.
https://jyx.jyu.fi/dspace/handle/123456789/25634
8. www.hawkeyehealthcare.com/...8/McKenzie%20Extremity%20Talk.ppt
9. Ramos Sanchez SI. Case Report: Centralization in a Chronic Renal Insufficiency Patient with
Sciatica. The McKenzie Institute® International 2013; 2(1): 1-7