Physiotherapy and Occupational Therapy Journal

Isolated fractures of capitellum are often more complex and involve lateral epicondyle, trochlea and posteriorly distal part of humerus. The intra-articular complexity of these fractures requires optimal surgical exposure and implants for successful outcomes. When the fracture is displaced, unfavourable outcomes can occur and lead to early arthritis. Additionally, elbow pain and stiffness due to immobilization or surgical reduction and stabilization can limit one’s overall upper extremity function. Superior results are attributed to anatomic reduction and stable
fixation with early ROM exercises. Rehabilitation following such a fracture is complex and can be challenging. Therefore, the aim ofthis case report is to present the evaluation and rehabilitation of a 51-year-old female following acomplicated comminuted capitellum and trochlea of humerus fracture post reduction and instrumentation. The rehabilitationover a 6 months course was done and the benefits of joint specific manual therapy in the rehabilitation were emphasized.

Keywords: Humerus fractures; Osteoporosis; Intra-articular.
 

The term “frozen shoulder” was first introduced by Codman in 1934. He described a painful shoulder condition of insidious onset that was associated with stiffness and difficulty sleeping on the affected side. Codman also identified the marked reduction in forward elevation and external rotation that are the hallmarks of the disease. Long before Codman, in 1872, the same condition had already been labelled “periarthritis” by Duplay. In 1945, Naviesar coined the term “adhesive capsulitis.”2 The pathophysiology of idiopathic adhesive capsulitis (frozen shoulder) is poorly understood. Most authors have reported various degrees of inflammatory changes in the synovial membrane. Adhesions between the shoulder capsule and the humeral head have been noted by some, but not all, authors.4 The aetiology of periarthritis of the shoulder, however, is not clearly understood. Amongst the factors suggested are trauma myocardial infarction hemiplegia, pulmonary tuberculosis, thyrotoxicosis, cerebral tumor, and epilepsy.7The diagnosis of frozen shoulder is probably less frequent, but recognition of this abnormality has an important effect on therapeutic decisions and may prompt invasive therapy.19 Mindfulness is the common ground of several complementary therapies. Derived from Buddhist spiritual tradition, mindfulness has been secularized and integrated into behavioral treatment approaches.20

Keywords: Frozen shoulder; Mindfulness Based Stress Reduction (MBSR).
 

Objective: To study the effect of static stretching and foam rolling among male collegiate who are recreational players. Methodology: 20 male subjects within age group of 18–25 yrs with bilateral hamstring tightness and who were recreational athletes participated in the study. Subjects were excluded if they had any lower limb musculoskeletal disorder or surgery, back and lower limb injury, neurological dysfunction, and those who were involved in any other stretching exercise or sports. Improvements were noted through sit and reach test and active knee extension test. Result: There was improvement in hamstring flexibility in all subjects, however static stretch for active lengthening of hamstring considering the muscle’s strong fascial attachments. Conclusion: Foam rolling in combination with static stretching, when done on lower back, hamstrings and calf muscles gave desired effects of increased flexibility of hamstrings when measured with SRT after the intervention was done.

Keywords: Static Stretching; Foam Rolling.
 

Background: Decortication is a common surgical procedure done to free a part of fibrous capsule, formed around the lung, secondary to an inflammatory process. The risk of postoperative pulmonary atelectasis following Decortication is relatively high which is recorded at 90%. Therefore this case study has been designed to find out a better physiotherapy technique to reverse atelectasis in short period of time. Methodology: This case study was based on two sample subjects. Case I who received Unilateral guided chest expansion after decortication and Case II who did not received Unilateral guided chest expansion after decortication. Outcome Variables: Radiological and Auscultation findings collected and compared; and length of hospital stays were considered as outcome variables. Result: Unilateral guided chest expansion technique after decortication has much more significant effect in reversing atelectesis than Non-unilateral guided chest expansion technique after decortication. Conclusion: This case study has shown that Case I who received Unilateral guided chest expansion after decortication has better improvement than the Case II who did not received Unilateral guided chest expansion after decortication. Therefore this technique should be practices in every unilateral atelectasis, especially after decortication.

Keywords: Decortications; Unilateral guided chest expansion; Chest X-ray.
 

Objective: To study the effect of neck and shoulder stretching program among professionals working from home COVID– 19. Methodology: 40 subjects within age groups 20–45 years both male and female working from home with subclinical neck pain and shoulder pain participated in the study. Subjects who were working minimum 2 hours on computer with a pain duration of atleast 2 months and pain should be mild to moderate on VAS were included. Subjects were excluded if they had any cervical apin with traumatic causes, any history of fractures, history of dislocated cervical spine, rheumatoid arthritis or PIVD of cervical spine, has undergone cervical spine surgery or were undergoing treatment at the time of testing. Improvement were noticed on VAS score. Results: Significant results were observed among the subjects. We provide information to the subjects regarding the protocol which
they need to follow. Subjects were given some ergonomical and postural guidelines which they need to follow and also subjects were given stretching exercise for neck and shoulder and aslo given isometric exercises for neck. After doing analysis we found that after following the guidelines and exercises for 15 days, subjects experienced less pain as they were experiencing before. Conclusion: Stetching program with postural correction tips is effective in relieving neck and shoulder pain if done continuously and it also relieves the stiffness among the subjects.

Keywords: Ergonomical Guidelines; Isometric Exercises; Subclinical Neck Pain.