Journal of Medical Pharmaceutical and Allied Sciences

  Thermal injury is a common upper extremity trauma that often affects young males from the working class. It is notoriously difficult to determine the depth of thermal injury to the upper extremity and requires serial evaluation over time to predict the time of healing most accurately. Early mobilization is the most effective treatment option for restoring function and minimizing any of the many potential complications most commonly associated with superficial burns and prolonged healing periods. In the present case report a 34-year-old working female caught fire accidentally during her office work. Both upper limbs were affected. Initial medical management was given and prevented complications such as infection and necrosis. Physiotherapy was suggested to improve the decreased range of motion. She underwent treatment for 4 weeks concentrating on range and functional activities. There was a tremendous improvement in her active range of shoulder, elbow, wrist and finger movements b...

  Fatal road traffic accidents are more in the range of 25-44 years of the age. Factor causing road traffic accident is increased due to number of vehicles. The radius and the ulna constitute as the bones of the forearm. These bones are specially designed in order to enable the movements that are unique for the upper limb, such are supination and pronation. Frykman classification is a system of categorizing Colles' fractures. KT is considered an effective intervention strategy for patients with shoulder pain when it is combined with conventional physical therapy. A 35-year-old male driver with right-hand dominance complains of pain in left lower limb, right lower limb, left and right upper limb. He had RTA while going to the office and had sustained injuries on the right and left upper and lower limb. This case report demonstrates the patient with humerus fracture with internal fixation using plates and kinesio taping was useful for relieving pain increase ROM, and Frykman type 6 f...

  Traumatic fracture of the lumbar spine is a rare spinal injury often leading to death. Surgical intervention are effective in decreasing mortality. A 30-year-old male had a collision caused by falling of a tree on his back. His family took him Acharya Vinoba Bhave Rural Hospital (AVBRH), because of pain and swelling on his back where an fracture at L1, L2 level. Later, the patient underwent posterior surgical decompression and spinal fusion at L1and L2 with pedicel screw fixation for spinal restoration. Later, he was referred to the physiotherapy department for rehabilitation. Rehabilitation was given to regain full range of motion, gradually to increase weight bearing and keep associated muscles strong. https://jmpas.com/abstract/980

  A herniated disc or another space-occupying lesion (typically linked with cervical spondylitis and osteophyte invasion) produces nerve root impingement, inflammation, or both in the cervical spinal nerve root, resulting in cervical radiculopathy. Because a large number of people with cervical radiculopathy may need surgery and are frequently managed by physical therapists, the management of cervical radiculopathy necessitates considerable thought. Since cervical radiculopathy is a well-known disease with a pathos anatomic diagnosis, many clinicians will experience it. However, no diagnostic criteria for cervical radiculopathy have been identified. Existing awareness of cervical radiculopathy cannot provide health practitioners with enough information to assess prognosis, identify risk factors, or choose effective treatments for cervical radiculopathy care. The patient came to the hospital with the complaint of vertigo and numbness and tingling sensation in the upper limb. A prima...

  Hip fractures are the most common incidences that increase with age an intertrochanteric fracture occurs outside of the hip joint capsule, between the greater and lesser trochanters, along the intertrochanteric line. Falls occurring in patients with senile and postmenopausal osteoporosis account for most of these fractures. Early Physiotherapy management reduces risk of prolonged bed rest and increases chances of early mobility and independence functional activity. A 69-year-old female with an inter-trochanteric fracture was diagnosed on X-ray after she was hit by a cow on left side, on which open reduction and internal fixation with Dynamic Hip Screw was done. Post-op the patient’s concern was pain at the operation site, reduced mobility of the left leg and unable to walk. Post-surgery, patient underwent physiotherapy which comprised of reduction in pain, exercises and gait training for a period of 12 weeks which resulted in improvements in pain, range of motion, functional acti...

  In knee joint ACL is the key structure, as it is important to allow for normal movement, as it resists ACL function as the primary restrain against anterior translation and rotational load, The posterolateral bundle is taut when the knee is close to maximum extension; when the knee flexes, the posterolateral bundle loosens and the anteromedial bundle tightens. In normal Anterior cruciate ligament, there are two bundles an Anteromedial bundle and Posterolateral bundle. It results in different portion of ligament are taut, and therefore functional throughout ROM. The treatment of anterior cruciate ligament damage is done by reconstruction. The case of 24-year-old male had a history of twisting injury to his knee while playing football which led to partial tear of ACL, minimal joint effusion along the periarticular surface of the right knee. Patient was brought by the relatives in the casualty. After that x-ray and MRI were done which showed the anterior cruciate ligament (ACL) in t...

  One of the most common injuries addressed by orthopedic surgeons is femoral shaft fractures. Little finger metacarpal fractures are frequently isolated, closed, and have a simple fracture shape, with conservative care having little effect on patients' functional outcomes. These fractures are frequently accompanied with polytrauma and can be fatal. For physiologically stable individuals, intramedullary nailing (IMN) is the most commonly used therapy. Clinical Presentation: A 30 years old male meet with an RTA on which he had post-operative knee stiffness and injuring his mid shaft femur, little finger of hand and lacerated wound over abdomen. Internal fixation was done to fix the fracture segment because of the post operated knee stiffness from the previous operation his knee ranges where limited. Rehabilitation goals where set according to his knee stiffness. By the end of the rehab protocol he was able to do his ADL independently. The literature stated that the ultimate goal is ...

  Chronic Myelitis results in the pyogenic infection of the bone. In this case, the right tibia was affected and as a result, a Sequestrectomy surgery was carried out, followed by the application of an Ilizarov fixator. Post-operatively, there were various limitations in the ability of the patient to carry out activities of daily living effectively and efficiently. Hence, physiotherapy sessions were initiated in an attempt to bring about improvement in the individual. Patient’s main concerns included pain in her affected leg, inability to flex her knee and difficulty in standing, walking since the occurrence of the operation also difficulty in bed mobility. Pain was 7/10 on numeric pain rating scale during activity and on rest 5/10. The patient was a post-operative case of Sequestrectomy, after being diagnosed with chronic osteomyelitis on the right leg. Her X-rays showed her limb before and after the operation. Physiotherapeutic sessions were begun, that included means of educatin...

  The patellofemoral joint, tibiofemoral joint, and tibiofibular joint are the three joints of the knee. Two bones that articulate with each other are referred to as joints. When most people think of the knee, they think of the tibiofemoral joint. This is the joint that allows you to stretch and expand your knee. At the joint, there is a slight amount of movement. Ligaments are connective tissue bundles that connect one bone to another. The knee is stabilised by four major ligaments. The inside and outside of the knee have collateral ligaments. The cruciate ligaments, which cross in the centre of the knee to provide support, are the two largest ligaments. A 25-year-old male patient farmer by occupation with right hand dominance came with the complaint of pain, stiffness and swelling in right leg in knee joint with these complaints’ patient was referred for physiotherapy by the orthopaedic. Patient presented with the history of road traffic accident from his bike 10 days back, follo...

  Road Traffic accidents are one of the major reasons of fracture all over the world. Treating cases with multiple fracture is a challenge of the orthopedic as well as the physical therapist. radius and ulna are the bones which form the base of forearm whereas femur, tibia and fibula forms major part of lower limb. This patient is presented with multi traumatic (fracture) condition. Patient presented with following fractures as mid shaft radius and ulna fracture without neuro deficit right side, compound grade IIIC fracture patella right side, proximal tibia fracture right side, and distal third femur fracture right side. Patient gives an history of being run over by auto after which he sustained a wound over right knee and pain and swelling over right forearm. Pain was aggravated on movements and relieved on stabilization. In the Above case the main problem faced by the therapist was the involvement of multiple bones which reduced the speed of recovery and made patient more prone ...

  Road Traffic accidents is one of the major causes of musculoskeletal injuries. Tibia is the weight bearing joint which transmits axial weight to ankle joint. The Major bones of lower limb include Tibia, Fibula and femur. Tibia is the long bone which connects knee joint and ankle joint. In an Open fracture External fixation is the choice of treatment because of the soft tissue and bone loss and communication and contamination. A 39-year-old male, driver by profession admitted in orthopaedic male ward was referred to physiotherapy department. He was bought to the emergency department with bilateral tibia visible on observation, severe pain in tibial region and soft tissue and blood loss. Investigations were done RT-PCR for COVID-19 and Xray. This case report is of a 39 year male with COVID-19 and bilateral open fracture of tibia fibula operated with external fixator. Rehabilitation aim was to make the patient ambulate as soon as possible and to avoid secondary complication. Physiot...

  Adhesive capsulitis is also known as frozen shoulder, it is characterized firstly by initially painful and later by progressive restricted active and passive glenohumeral joint range of motion and with spontaneous complete or nearly complete recovery over a varied period of time. First line treatment management are nonsteroidal anti-. Inflammatory drugsalong with many manual physiotherapy exercises are effective in adhesive capsulitis. A 48-year-old male comes to physiotherapy department of AVBRH with complaint of pain in right shoulder. He felt pain while performing routine activity like combing hair, writing on board. He was diagnosed with as adhesive capsulitis following type 2 Diabetes Mellitus. Patient was treated 5 days per week for 4 weeks. Key Exercise of rehabilitation were range of motion, strengthening exercises with open-chain proprioceptive activities. In his case report it is concluded that Novel based physiotherapy rehabilitation protocol in Adhesive capsulitis fol...

  According to the Schatzker-developed method, tibial plateau fractures are usually graded. Schatzker fractures of type VI are high-energy fractures often accompanied by other accidents and complications, such as post-operative inflammation, injuries, infections, and recovery. Physical therapy is a very necessary part of the recovery of patients on their path to return to or as close as possible to their pre-injury activity rate of Schatzker type VI fractures. This case of 60 years old male patient complains pain and swelling over the anterior part below the knee came to AVBRH, DMIMS (DU) Sawangi Meghe, Wardha, Maharashtra. He then diagnosed with Schatzker type VI tibial plateau fracture. Investigation of CBC, LFT, KFT, RBS, RT-PCR Chest X Ray PA view was done as an early intervention. Proximal tibia fracture right side without neurovascular deficit. (Schatzker type 6), Patient was managed with Open reduction internal fixation with bicondylar plate osteosynthesis right tibia was do...

  Guillain-Barré syndrome (GBS) is a rare condition in which the nerves of brain and spinal cord are attacked by the person’s own immune system. It can affect both males and females of any age, but it is more common in adults and in males. A bacterial or viral infection to gut or respiratory system is thought to predispose Guillain-Barré syndrome. Literature also proved that vaccine administration or surgery can also cause Guillain-Barré syndrome. Weakness and tingling sensation are usually the first symptoms which begins in legs and can extend to upper limbs. Diagnosis is confirmed by symptoms, Nerve Conduction Velocity studies and Lumbar Puncture and managed primarily by IV Immunoglobulins, plasmapheresis and Physiotherapy. Present case is a 50-year-old male came with history of weakness of lower extremities more than upper extremities. He was diagnosed as GBS based on symptoms, NCV and Lumbar Puncture. He was treated in ICU with IV Immunoglobulins and physiotherapy. He was given...

  Injuries to the soft tissue of ankle are very common and often present in the emergency room. The diagnosis is typically clinical, and 3-5 days after injury, delayed examination and reassessment is recommended as pain and swelling impede accurate evaluation immediately after injury. Treatment is normally non-operational with an emphasis on controlling swelling and discomfort of the ankle, and early rehabilitation of ankle movements. The present case report is of a male patient of 18 years old who suffered with an accidental right ankle injury at his work place. It was diagnosed as a soft tissue injury and slab was applied and immobilised for about a month. Split skin grafting surgery was done after removal of the slab and physiotherapy was started for regaining the lost range of motion of ankle. Immediate physiotherapy helped the patient to regain the active range of motion and prepare for efficient weight bearing activities. This case report adds a valid and relevant information...

  Fractures of the supracondylar and intra-condylar regions of the distal femur are relatively common injuries. Prevalence of hip fractures amongst men in India is most in age group (30-39) i.e. 25 %. Supracondylar femur fractures occur typically due to two discrete mechanism of injury and in two separate populations. Foot drop is the inability to lift the foot up at the ankle (dorsiflex). Depending on the cause, foot drop can be unilateral or bilateral. Foot drop can be caused by a central or peripheral cause. Physiotherapy rehabilitation for post-operative fracture and foot drop has been found effective in most of the cases. Patient present with the complaints of pain which was insidious on onset. Other complaint was swelling at the site of fracture and difficulty in moving right lower limb and performing activities with it. On sensory examination (touch, pain, temperature) of L4, L5,S1, S2 was hyperaesthesia and rest all were normal. On motor examination, complete evaluation of ...

  Avascular necrosis is the decease of bone tissue due to loss of blood supply. In severe cases it may result in bone collapse and Most often it affects Hip. Physiotherapy plays an important role in reducing post-operative pain in Avascular necrosis. After operative management, physiotherapy interventions play crucial role in rehabilitation of patient. Strengthening exercises, squats, passive movements proves to be useful. A 24-year male who was diagnosed with Avascular necrosis of right femoral head. Patient was suffering from pain at right hip since 8 months. Pain gradually started from hip and then it progressed up to knee. Patient had dull aching pain which aggravates while walking, standing and relieves as patient rests. Patient showed diurnal variation, symptoms of pain worsens in early morning. On the visual analogue scale, patient scored 08/10 for pain. On palpation there was no tenderness at the site of pain Patient underwent core decompression with PRP infiltration of rig...

  Intertrochanteric fractures are classified as proximal femur extracapsular fractures that occur between the Greater and lesser trochanters. The intertrochanteric portion of femur is situated between the greater and lesser trochanters and is made of dense trabecular bone. The calcar femorale is ck bone vertical wall that stretches to the posterior portion of the femoral neck from the posteromedial part of the femur shaft. This structure is critical because it determines whether or not a fracture is stable. These fractures are commonly the result of a fall in the elderly population at ground level and are graded as either stable or unstable. Usually, these patients show a short and externally rotated lower extremity. Nonoperative therapy is seldom suggested. As the failure rate is strongly associated with the choice of implant and fracture pattern, the method of surgical treatment is based on the fracture pattern and its inherent stability. Physiotherapy Rehabilitation plays a key ...

  Electrotherapy is a natural way to treat pain with energy. Various modalities are used for different conditions in different areas while some of the modalities used in conditions that are commonly used. Electrotherapy modalities used in physiotherapy setup are therapeutic Interferential (IFT), ultrasound, Transcutaneous electrical nerve stimulators, muscle stimulators Electricity, Heat fermentation, Cryotherapy, IRR, UVR SWD. Electrophysical agents used to carry physiological effects, and it is these changes that bring the benefits of therapy than the modality itself. Protocol clinical decisions using the available evidence must allow the most appropriate modalities to be employed for a particular patient. Physiotherapy clinics was selected randomly for Wardha district. An appropriate questionnaire was been prepared for analysis of most commonly use electrotherapy modalities in physiotherapy setups in Wardha district. The questionnaire consists of 12 questions in which we compare...

  Musculoskeletal injuries have been regarded as the major problem in young population. As stated by Karel Lewitt, muscle imbalances occur prior the functional dysfunction. In 1988 Dr. Janda put forth an interesting concept by dividing muscles in to two groups: Postural and Phasic. He attributes a predicted pattern that encompasses neck, upper part of thoracic spine and shoulder joint, Upper Cross Syndrome. Abnormal posture and its direction affect the physical activity and its direction lead to over stress on supportive structure as well as repetitive bending. Therefore the optimum mechanical condition of body and the energy consumption in daily life activities and exercise has particular importance. He noticed that imbalance inchildren begins in upper limb as compared to the lower limb, as seen in adults. Different factors like hereditary, stress, bad posture while working and lack of regular exercises can influence the frequency of such disorders. Musculoskeletal disorder (MSD) ...

  Osteoarthritis of the knee being of the major causes for disability in older population. Due to sedentary lifestyle this disease is becoming common in younger population as well. About 13% of women and 10% of men aged 60 years and older have symptomatic knee OA. Prevalence of knee OA in men is lower compared with women. As prevalence of the disease still increasing further it is a need of the hour to come up with a highly reliable exercise protocol which will be beneficial for the patients. Retro-walking is new intervention and also easy to practice. It is protected closed chain practice exercise as it decreases the compressive powers at the patellofemoral joint. During Retro-walking quadriceps eccentric capacity is diminished,while the isometric and concentric quadriceps quality is protected. Retro walking programs are known to expand quadriceps quality. Additionally, during retro walking cardiopulmonary interest is higher when contrasted with forward-walking. Henceforth, such a...

  Guillain-Barre Syndrome (GBS) is polyradiculoneuropathy, which happens when part of the peripheral nervous system is attacked by the body's immune system. This attack can cause impairment of sensation, motor function insufficiency, and extreme pain in damaged areas, resulting in dysfunction hampering the upper and lower limbs. Physical therapy can promote rehabilitation and allow people with Guillain-Barre syndrome to remain as involved as possible in their work, home and social lives. Physiotherapy can help individuals improve their ability and help to get them back to the level they used to be. A 23-year-old male presented with serious gastrointestinal illness and severe weakness at the hospital with symptoms of impairment related to upper and lower limb movement. He felt the fatigue, tingling and numbness in both his upper and lower limbs. The weakness in the upper and lower extremities was more advanced in subsequent days. His subsequent impairment and incoordination in his u...

  Cruciate ligaments and menisci are intracapsular ligaments in the knee joint which plays a major role in stabilizing the knee and promoting activities without any discomfort. Uneven inward forces on the knee joint usually causes injuries to Medial collateral ligament, Medial Meniscus and Anterior Cruciate Ligament. Usual symptoms are Swelling and the progression of muscle spasms over the first few hours. Pain is usually mild to extreme with 2nd-degree sprains. Pain can be mild with 3rd-degree sprains, and, interestingly, some patients can walk unaided. The present case report is of a 27-year-old adult who suffered with left knee injury a month while playing cricket. He was having severe pain with instability after injury for which he was rushed to hospital where after initial scanning they advised ACL reconstruction surgery. He underwent procedure immediately within two days after the injury. He was then advised for physiotherapy rehabilitation. We gave planned exercise protocol ...

  The novel Coronavirus Disease (COVID-19) pandemic has affected all the parts of the world. India has seen two peaks in the first and second waves, and currently in second place globally after USA. The peak in the first wave was observed in the mid of September, 2020 and in the second wave, the peak is said to be crossed during early May, 2021. Although India is visualizing declining trend and crossed peak on 20th January 2022, many research studies and scientists are still recommending not to lower guard due to possibility of new variants. Proper modelling of COVID-19 distribution may help in determining the course of pandemic and planning the future requirements. The purpose of this study is to analyse the COVID-19 data in India using various probabilistic distributions and identify the best fit model. Further, regression analysis is also carried out to predict the relation among variables like daily cases, deaths, number of people vaccinated and reproduction rate. The effect of...