Editorial - Helpage India Programme

Agecare Delhi-NCR Project)
/
Project Office Address
C-14,Qutab Institutional Area
New Delhi - 16
Months : Nov’10 –Aug’10 Issue : 1
Editorial
Urban AgeCare in Delhi-NCR was initiated by Mr. Avenash Datta CH(P) and has expanded in Delhi-NCR with
his support and encouragement. Ms. Susmita Ghose as ND[E&N] also provided necessary support in the initial
period towards AgeCare in Delhi-NCR. Ms. Rojibala State Head Delhi-NCR also was a good support in all Age
Care acitivities. The initial establishment of Physiotherapy Centres in various old age homes in Delhi-NCR was
implemented by Mr. Aju Philip, National Coordinator (Physiotherapy). The Helpline was another part of Urban
AgeCare was implemented by Mr. Prem Poddar, Sr. Manager Programs in its initial stage.
Under Urban Age Care the Delhi-NCR after taking over from the above has expanded the Physiotherapy Care
particularly by establishing and making „operational‟ Physiotherapy Centre with SCAs for e.g. at SCA Freedom
Fighter Colony (Neb Saria). Other centres have been opened in Loni, and initiated in SCA Sector-46 Faridabad.
Support for the same was provided through Ms. Rachnaa Thapliyal DD-Grants (Programs)
In the area of SCAs Delhi-NCR made very good strides in organizing SCAs in Delhi under the banner of
HelpAge India as its „permanent advisor‟ and facilitating the first common platform for Delhi‟s SCAs under
HelpAge India. The formation of the Confederation of Senior Citizens Associations of Delhi was done on 30 th
Dec‟09 meeting after a year of meetings under CORDAID and support from Advocacy and RM departments‟
through which Delhi-NCR Programs organized year long heart camps with SCAs all over Delhi-NCR. In this
regard Delhi-NCR is very grateful for the support received from Mr. Avenash Datta, CH[P, ]Mr. Rajeshwar Head
SP, Mr. Kaul CH[ARC] and Dr. Bakshi. All this and the work by Delhi-NCR office, Delhi Helpline [Ms.
Geetika, Sr. Exec, Mr. Gaurav and Ms. Sunita Volunteers], and Mr. Ashok Arora [DD-Admn] and his team of
Administration led to Delhi-NCR Programs being the first state office in India to succeed in forming a „united
body‟ of senior citizens . On 15 th June‟10 Delhi-NCR Programs mobilized the newly formed Confederation of
Senior Citizens Associations of Delhi to organize a „Candle Light Prayer‟ on the Rights of Senior Citizens at
Jantar Mantar from evening 6.30 pm to 730pm. The Candle Light Prayer was widely covered in Hindustan Times
as „Walking for their Rights‟ and in Hindu as „Think About Us‟ and in Delhi Aaj Tak and Star News. We are
very grateful for support, encouragement and participation by Mr. Anup Khosla, then officiating CE of HelpAge
for making this program of the senior citizens see its day. Recreation Centre Tilak Vihar team of Ms. Anju Jeet
and Mr. Amit played their positive role in age care in Old Age Home Tilak Vihar and in helping the SFR teams.
The SFR teams with the school children contributed to building „inter-generational bonding‟ an important
element in Urban Age Care.
As of now Delhi-NCR Programs reaches out of senior citizens under Urban Age Care in one manner or the other
and through Physiotherapy Centers touches 50 Old Age Homes and 45 SCAs in Delhi-NCR region. Delhi-NCR
Programs also reaches out to elderly who call for help through its Delhi Helpline. Through the Delhi-Helpline we
have managed to pick up and rehabilitate abandoned elderly and recently provided Care Givers Training to senior
citizens of OAHs and Care Givers working in various OAHs. The Care Giver Training has benefitted all. Delhi-
NCR office also reaches out nearly 50 Old Age Homes in Delhi-NCR with its various Urban Age Care Activities
and intergenerational sensitization of school children through visits to various old age homes and also brings in
corporate and individuals in collaboration with our RM department and SFR department. Delhi-NCR organized
and facilitated many such „interactions‟. What follows is a record of various Urban AgeCare activities by Delhi-
NCR for the period from Nov‟10-Aug‟10. Best of reading.
Regards
Dr. Bobby Poulose
Manager Programs Delhi-NCR

Physiotherapy & Old Age Homes - 24 th Nov’10 – Care Giver Training at Gharonda Old Age
Mr. Gupta Asst Comm St. John‟s Ambulance Red Cross Society teaching
First Aid.
After last year‟s Care Giver Training this was 2 nd such training and interaction with senior citizen
residents of old age homes and Care Givers from various old age homes. The total participation was 47
of which 3 officer bearers of SCA Freedom Fighter Colony, 1 from Triveni OAH Kanjhavala, 2 from
Home for the Aged, 9 from HelpAge India, 1 from St. John‟s Ambulance, 31 Gharonda OAH. The
Care Giver training was appreciated by the senior citizens from Gharonda old age home and by the
Senior Citizens Association members from Freedom Fighter Colony who attended. The support from
Mr. Avenash Datta CH(P), Mr. Aju Philips (Nat. Coordinator Physiotherapy) and Mr. Prem Poddar Sr.
Manager Programs , Mr. Ashok Arora DD-Adm and Mr. Panda & Mr. Rajnish from Finance
Department helped in Dr. Bobby, Manager Programs in facilitating the Care Giver Training successfully
in Delhi-NCR. The feedback on the Care Giver Training is attached below.
Feedback of Care Giver Training - held at Gharonda Old Age Home on 24 Nov’10
Feedback from Gharonda
Feedback from SCA Freedom Fighter Colony
SCAs - 25 th Nov‟10 – Yoga Session with SCA by Mr. Manoj Joshi yoga / wellness guru of USA.
Early morning of 25 th Nov‟10 Mr. Manoj Joshi, yoga guru from USA
arranged by Mr. Kapil Kaul CH(ARC) and under Dr. Bakshi was
facilitated by Dr. Bobby, Manager Programs Delhi-NCR & Mr. Khyali
Kandpal with Mr. J. R. Gupta President Senior Citizens Council of Delhi
for a special yoga session. Over 100 senior citizens participated.
Taking Age Care to Schools – 27 th Nov’10
Dr. Bobby, Manager Programs Delhi-NCR facilitated Age Care team of Dr.
Prateek Physiotherapist and joined by Mr. Pradeep Basita PO D1 and D2
van/staff including Dr. Jaswant Singh, for a General Health Camp for DPS
Rewari initiated by Ms. Rojibala State Head Delhi-NCR. 206 poor senior
citizens (i.e.116 –female+male-90) from village Rohari, Rewari near DPS
Rewari receivd treatment by MMU Delhi-2 Dr. Jaswant Singh. 12 cases of
cataract were identified and recommended to doctor deputed from CMO office
for surgeries and Physiotherapist Dr. Prateek from HelpAge India provided physiotherapy treatments to
35 elderly. Above Ms. Roji, Mr. Khyali and Dr. Bobby facilitating the camp.

Delhi Helpline – Nov’10
November ’10 Delhi-Helpline Call Details
Name of Location - Delhi-NCR
Month - November '10
S.
No.
Cause of Correspondence
Phone Call
(Toll free &
others)
Medium of
Delhi Helpline - Call Details
Correspondence
Followup
Visit
Email Fax Dak/letter Personal
Calls
1 Info/Data Query/Service 37 2 5 44
Query related calls.
2 Distress/Rehab (roadside 4 4
urgent help destitute cases)
3 Counselling (Tele & Face to
0
Face)
4 Advise/Guidance/Support 3 3
5 Disputes related calls
(property/family/legal help)
4 1 5
6 Harassment/Abuse/Violence 5 5
(Requiring police
intervention)
7 Visit to OAHs/ HI
4 1 5
projects/Volunteer Service.
8 Medical Assistance 2 2
(MMU/Hospitals/Geriatric
Services/Care Givers/Physic
Care/Chemist/Pharmasists
etc)
9 Financial Support
0
(Treatment/Pension/SAG
etc)
10 Shelter Assistance
0
(OAHU/DECK queries)
11 Missing Info/Death Info. 1 1
12 Did not found/Refusal 0
13 Others like (donation in kind 6 4 10
cash to HI/Matrimony)
13 Blank / Wrong/Testing 2 2
Total Calls 67 8 6 81
Case Report of Sukhraji Devi- Nov’10
Name- Sukhraji Devi , Age- 65+ years, Sex- Female, Nature of the Case- Abandoned
Complain received through-Mr.Vikas Mishra by phone
Date -12.11.2010
Contact no. - 09650827697
Location- Piron Institute H-1/A-1, Sector-63, Noida
Socio-Economic condition- Below Poverty Line
Basic synopsis of the problem
On 12.11.10 Mr. Vikas Mishra called in help line to inform about an abandoned lady out side Piron
Institute at Noida, Sec-63, who is very old and deaf. Mr.Vikas wanted to help that abandoned lady
to rehabilitate her in any old age home and requested us for Ms. Geetika Sengupta Help.Sr.
Executive, who talked to him and noted down the details and assured him that someone from
HelpAge helpline will visit the place and try to rehabilitate her in Old Age Home.
Total

First follow-up
Help line Volunteer Mr. Gaurav Pandey called back to Mr.Vikas and queried about the exact
location where the old lady sits and also informed him that he will be visiting that place for
verification.
Second follow-up
Helpline Sr. Executive Ms. Geetika sent Helpline Volunteer Mr. Gaurav Pandey to the place in
Noida where abandoned lady sits. Helpline Volunteer found details about her and he found that the
abandoned senior citizen is deaf. She survived on begging. It was also found that she had a family
who are staying near her begging area. Every morning her family members leave her on the spot
where she begs till evening and after that take her back to the home. Her other family members i.e.
daughter-in-law and her children also beg in the same area. The Volunteer Delhi Helpline talked to
her daughter-in-law and told her that we want to shift her mother-in-law Sukhraji Devi to old age
home where she will be looked after well and also explained about Old Age Homes in Delhi.
However it was informed by the daughter-in-law that the elder son is studying in Banaras and will
not allow her grandmother to stay any where so she cannot allow her to go and she will take care of
Sukhraji Devi.
Third Follow up
Sr. Executive Delhi Helpline talked to the caller Mr.Vikas (caller) about the same by the Delhi
Helpline.He thanked HelpAge Helpine for their efforts.
Physiotherapy Delhi-NCR – Nov’10
CASE STUDY FOR PHYSIOTHERAPY CARE PROGRAM – NOV 2010
NAME: - DILIP SINGH
AGE: - 60
GENDER: - MALE
ADDRESS: - TILAK VIHAR OLD AGE HOME
PRESENTING COMPLAINT: -
Complaints of Bilateral knee pain X 3yrs.
HISTORY: - Patient was apparently well when he had Knee pain with gradual onset since last 3 yrs.
- No history of DM, HT, IHD, TB.
- Not Allergic to any medications.
On Observations: - Patient was seen in high sitting position, well oriented to time and space.
On Examination: -
Swelling in bilateral knee joint.
Genu-varum deformity in both the knees.
Pain in the medial aspect of knees.
Pes cavus deformity in the bilateral foot.
Diagnostic Tests: -
Muscle Tone: - Right Left
Upper Limb 0 0
Lower Limb 0 0
Reflexes: -
Muscle Strength: -
Hip
Flexion
Biceps Triceps Brachioradialis Knee Ankle
jerk jerk jerk
jerk jerk
Right ++ ++ ++ ++ ++
Left ++ ++ ++ ++ ++
Hip
Extension
Knee
Flexion
Knee
Extension
Ankle
Dorsi
Flexion
Right 3 5 5 3 5 5
Left 3 5 5 3 5 5
Ankle
Plantar
Flexion

T/C/D: - Tightness of Hamstrings and Tendo – Achilles Bilaterally.
Sensory: - Intact.
Bladder/ Bowel: - Normal.
Co-ordination: - No Deficit.
Balance: -
- Static: - Good.
- Dynamic: - Good.
Problem List: -
‣ Pain.
‣ Muscle weakness.
‣ Tightness of Hamstrings and Tendo – Achilles.
Short Term Goals: -
- TENS for bilateral knee for 12 mins.
- Quadriceps strengthening exercise.
- Postural correction
- Knee care
Outcome: -
a. Reduction in pain.
b. Functionally independent.
Mr. DILIP SINGH improved significantly as his pain is reduced drastically & he is functionally
independent.
Dr. Prateek treating Mr. Dilip Singh.
Glimpses from October-August’10
OCTOBER 2010
1 st Oct’10 Program – Centenarians being felicitated by Mr. Prithviraj Chauhan, Cabinet Minister
Smt. Milikesh from Chetanalaya
Shri. Ranjeet Singh from AWARE Day Care
Centre
Centenarians facilitated for 1 st Oct‟10 program by Dr. Bobby Manager Programs Delhi-NCR

Physiotherapy Centre with SCA Freedom Fighter Colony - 12 th Oct’10- Operational
Dr. Bobby Manager Program facilitated operationalization of Physiotherapy Center.
Dr. Deepak Physiotherapist also helped. Mr. Adil is physiotherapist at the SCA
Center.
SCAs
13 th Oct‟10- SCA Meeting at HelpAge India office
OAHs - 27 th Oct‟10
Condolence for passing away of Mrs. Sudershan Arora Vice Chairperson of Conf of
SCAs of Delhi. SCAs met to take up HelpAge India Health Report with focus on
80+ within their associations & advocate it. Over 25 members of Conf. participated
from various SCAs . Meeting presided by Dr. Bakshi ND(Adv) and facilitated by Dr.
Bobby Manager Prog Delhi-NCR.
Senior Citizens of OAH Tilak Vihar visit Ryan Int. School, Rohini for Elders
Day Celebration. Ms. Anju Jeet Incharge-Volunteer Recreation Centre
facilitated the visit. Dr. Bobby Manager Prog Delhi-NCR also facilitated.
CASE REPORT –Oct’10 Delhi-Helpline
Name:-Mrs.V.Laxmi
Age: - 73 yr
Sex: - Female
Address-574, Mandakani
Enclave, Alaknanda, New Delhi-19
Contact No: -011-26274482
Nature of the case:-Harassment & torture
Complaint received through: - Phone
Summary of the problem stated by the Client: - The senior citizen Mrs.V.Laxmi approached
Delhi Helpline for the help, she stated that she has received a summon from her daughter-in-law from
Vijayawada and she said that she is in state of shock of mind and is not in a condition to do anything as
there is no one else who can be of any help and her husband is ill too. Helpline after discussion asked
her to visit personally to discuss the matter in details. She was called to Delhi Helpline on 20 th Oct‟10.
Mr. Aditya Kr. [Advocate-Delhi Helpline-Volunteer Lawyer-Also Senior Citizen] and Sr. Executive
discussed the problem with her. She told that, she has four sons and two daughters. Her elder son died
in the accident and one daughter got married, according to her they are not in touch with any of their
children due to some dispute amongst them and don‟t know where they are but all of a sudden she has
received a summon from her daughter-in-law as she assumed that one of her son might have got
married. Her daughter-in-law has filed a complaint / petition against her husband Mr. Sarvesh, Mr.
Murthy (other son)) and on her name under Domestic Violence Act. Ms. Laxmi claims that she is not
aware of her son‟s warebouts.
The Metropolitan Court of Vijayawada in response has issued a letter to Women and Child (WC)
Dept, Vijayawada which has issued summon to her and her sons to either appear or send affidavit by
25 th Oct‟10 morning Monday to Add Comm. Metropolitan Magistrate (ACMM) in reply to this
complaint or face a warrant by court issued through police of Vijayawada. However if none appear or
inform via affidavit she will have to face some legal action.

Helpline intervene-
Delhi Helpline had discussed the matter in details with her and also asked her to visit the Helpline
so that matter can be discussed in details.
Problem was discussed with Mr. Aditya Kr. [Advocate-Delhi Helpline-Volunteer Lawyer-Also
Senior Citizen] by Manager Delhi Helpline and Sr. Executive Delhi Helpline.Where Volunteer
Lawyer gave his advice in this regard.
Manager Delhi Helpline talked to Executive Helpline Hyderabad Helpline where her case had
first come up. Manager Helpline also talked with Mr. Dass Head of AP as we need their
assistance to understand the problem better because V. Laxmi understand little Hindi as she
understands/ communicate better in her regional language and further the summon is in regional
language too. Hyderabad Helpline provided their full support to her and has coordinated with her
as and when required and also discussed with the legal advisor and provided his opinion also.
Delhi Helpline Manager after coordinating with Hyderabad Helpline and legal advise of
Volunteer Lawyer called her again to helpline office and gave her the draft affidavits prepared
with the help of HelpAge Legal Advisor and Volunteer Lawyer after discussing with her husband
and her lawyer and asked her to Fax it to the Metropolitan Court of Vijayawada before 25 th
October, 2010.
Follow ups
Sr.Executive called her on 25 th Oct but she didn‟t attend the call.
Sr.Executive called her again on 26 th Oct and talked to her and asked about the progress made
in this regard, she informed that she has finalized the draft and explained the reason for not
th as she
speaking to us on 25 has finalized the draft she told that she went to four different
places to fax the affidavit but due to some error she couldn‟t fax it then spoke to Hyderabad
Helpline Counselor about the problem and he after speaking to Add Comm. Metropolitan
Magistrate (ACMM) , Hyderabad about it were able to convince her to allow her to send the
affidavit through courier and she has agreed to it. We gave (ACMM) Hyderabad and Phone
No. to Mrs. Laxmi and asked her to send it through Courier.
Manager Delhi Helpline had drafted the affidavit after discussions with inputs from Mr. Dass
AP Head & Hyderabad Helpline & Delhi Helpline Volunteer Lawyer and HelpAge India
lawyer. Final facilitation of the case was done by Manager Helpline.
SEPTEMBER 2010
8thSept’10 – Visit of Deutche Vella and AIR to OAH Gharonda & Home for Aged .
Radio team forwarded by Ms. Rachnaa Thapliyal DD-Grants. Visit facilitated by Dr.
Bobby Manager Prog Delhi-NCR and Mr. Rakesh (then) PO D1.
SCAs
12 th Sept‟10- Healthy Heart Camp with Vanprashth SCA Hissar and Gram Swarajya Sansthan
Dr. Bobby Manager Programs Delhi-NCR facilitating Healthy Heart Camp in Hissar with SCA Hissar
and Nav Yuvak Kala Sangam (SAGP partner). 135 elderly benefited from camp of which 20 were from
SAGP.

OAHs
14 th Sept’10 – Visit of students of G.D.Goenka International School, Sohna and Lancaster University
UK to OAHs Gharonda and Home for the Aged. The visit was facilitated by Dr. Bobby Poulose,
Manager Programs Delhi-NCR. The tie-up was by Mr. Prem Poddar, Sr. Manager Programs.
Gharonda – Physiotherapy Centre
Home for the Aged – Seeing plaque for Jackson Cole
Independence Day Celebrations with Conf of SCAs of Delhi – covered by News X
Over office bearers from 25 assembled at Deer Park, Hauz Khaz
under banner of Conf. of SCAs of Delhi to celebrate
Independence Day. Dr. Bobby Manager Programs Delhi-NCR
facilitated coverage of the meeting and the Independence Day
celebrations and coverage of the same in Old Age Home
Gharonda by the News X TV. The coverage was presented as a
program “No Country for the Old” on the occasion of 15 th
Aug‟10. The broadcast program can still be viewed in U-TUBE
if you go to – No Country for the Old . Manager Programs
Delhi-NCR facilitated the meeting and the TV coverage.
Physiotherapy
10 th August – Launch of Physiotheraphy Care Centre in Loni.
With the support of Mr. Avenash Datta CH[P] and facilitation by Mr. Aju National Coordinator
Physiotherapy, Mr. S. K. Mukherjee and Mr. Prem Poddar Sr. Manager Programs a
Physiotheraphy Care Centre was launched at CHP (Prakash Bhawan) Pavi Village, P.O. Loni,
Ghaziabad District, Delhi-NCR. Dr. Bobby Manager Program Delhi –NCR also involved in the
facilitation of the same.
Case Report- Delhi-Helpline –Aug’10
Name of Person: Kamlesh Chaudhory
Age: 62 Year
Economic status: Middle class
Compliant received through: Phone
Complaint received on-5/08/2010
Contact: 9871647000
Brief Synopsis and Helpline Intervention: Mrs. Kamlesh Chaudhory had called Help Age help
line on 05/08/2010, where senior executive Mrs. Geetika assisted her. Mrs. Kamlesh had called
help line so that she could be assisted in shifting to any old age home, as she was harassed by her
husband Mr. Bipul Nath Chaudhory. According to her she wanted to move out of her home
because she cannot take the mental and emotional torture any more. Mrs. Kamlesh insisted that
she would personally like to visit Help Age office. So an appointment was given to them on
10.08.2010. So on 10.08.10 Mr. Kamlesh along with her husband Mr. Bipul Nath Chauthory
Visited Help Age India office. Mrs. Geetika personally had a counseling session with them..

In the session she explains how she felt neglected over the years by her husband. That due to the
harassment, she has faced that led deterioration of her health. She has medical history. She has
diabetes since past 23 years, which has resulted in wreaking of her health along with her also has
eyesight problem. She cannot see properly. She has problem in walking as she cannot walk
without external support. Her regular treatment included 3 injections twice a weak, one monthly
visit of neurologist. Her Physiotherapist visited her every week for exercise along with that her
diabetes treatment was being done at Ganga Ram Hospital.
While talking to counselor she mentioned her past misery with her husband where mentioned that
she was thrown out of her home in Dubai by her husband and because of that she had to
return back to India (New Delhi) where she built her home from her personal savings in Mohan
Nagar. She also mentioned that after few year her husband come back to stay with her because of
heavy loss he faced in his catering business in Dubai. She also doubt that her husband wants to get
ride of her because he want to sale all the property along with that would remarry after she would
leave the place.
While talking to Mr. Bipul Nath Choudhery who has done Hotel management from Pusa in 1969
has had his own business of catering but due to loss in it he moved back to India and was now
working with cordon blue in Gurgoan., According to him the only problem was that he cannot stay
back and take care of her as he was working from 7.00 A.M. to 8 P.M.. and cannot afford to loose
his job. Though he said he is ready to shift to a new place so that Kamleshji can have a batter
environment. He mentioned she was little depress because few year back there eldest son had
expired which had great mental impact on her.
Mr. Vipul was ready to take care of her. The counselor tried to talk to Mrs. Kamelesh in terms of
settlement between her and her husband, but Mrs. Kamelesh was adamant that she wanted to shift
to an old age home and she requested that would also require a care taker and that she would pay
her accordingly. After trying to reason out things with her and coming to a conclusion that she
would not settle for anything less than old age home.
Follow up
She was given a list of old age homes along with details list of care givers. Senior executive
contacted Mr.C.C.Uppal Manger of Vridh Ashram Treveni Devi Charitable Trust Society where
all the information along with requirement was shared with him about Mrs. Kamlesh and
Sr.executive asked Mr. uppal to provide required help to Mr. and Mrs. chaudhary.
Second follow up:
On 19/8/10 a follow up call was made to Mr. Bipul Chaudhary at 3.30pm. He informed the
Helpline volunteer that the old age home which the Helpline Sr. executive had told him to visit did
not provide the care givers due to which he could not shift his wife in any of them.
Mr. Bipul Chaudhary mentioned that he would be shifting to a new place on 25 th of this month (
Aug) and he was also looking for a care giver who would help Mrs. Kamlesh Chaudhary. After the
counseling session he has started to spend quality time with his wife, as a result she is now feeling
much batter and she might also change her decision and stay back in their new home.
After the follow up call it was noticed that the situation of Mrs. Kamlesh Chaudhary has improved
and she seems to be happy with her husband again. The counseling session proved to be beneficial
to both Mrs. Kamlesh Chaudhary and her husband.
Third follow up: - A follow up call was made to Mr. Bipul Choudhary to talk to Mrs.Kamlesh
Choudhary so that we can ask how she feeling now but the Sr.Executive and the volunteer could
not talk to her. Mr.Bipul told that he had taken Mrs.Chourdhry to Haridwar and that she was
feeling much batter and now they are planning to shift to a new place very soon.

Physiotherapy – Delhi-NCR – August 2010
CASE STUDY OF PHYSIOTHERAPY CARE PROGRAM – AUG 2010
NAME: - BALBIR KAUR
AGE: - 60
SEX: - FEMALE.
ADDRESS: - SUKHSHALA OLD AGE HOME, RAJINDER NAGAR.
PRESENT COMPLAINTS: -
Complaints of Back Pain since 3yrs.
Complaints of Heel Pain since 6 months.
Complaints of Knee Pain since 5 year
HISTORY: - Patient was apparently well when she had back pain which gradual onset since last
3 yrs and then heel pain since last 6 months.
- No history of DM, HT, IHD, TB.
- Not Allergic to any medications.
On Observations: - Patient was seen in high sitting position, well oriented to time and space.
On Examination: -
Back Assessment: -
On Observation: -
1. Spasm present in Low back.
2. No Kypho-Scoliotic Deformity.
3. No bony lesion.
4. Muscle Bulk normal.
On Palpation: -
1. Spasm confirmed in lower back.
2. Sacro-iliac Joint symmetric and mobile.
3. Vertebrae well-aligned.
4. Tender points present bilaterally over the iliac crest.
On Movement: -
1. Active (ROM): -
‣ Flexion: - Restricted with pain in the inner range.
‣ Extension: - Full Rom with out pain.
‣ Side-bending: - pain free full ROM.
‣ Rotation: - pain free full ROM.
2. Sacro-Iliac joint mobile and symmetric.
Diagnostic Tests: -
Low Back: -
1. Straight Leg Raising Test: - Negative.
2. Piriformis Stretch Test: - Negative.
3. FABER Test: - Negative.
4. FADIR Test: - Negative.
Muscle Tone: - Right Left
Upper Limb 0 0
Lower Limb 0 0
Reflexes: -
Biceps jerk Triceps jerk Brachioradialis jerk Knee jerk Ankle jerk
Right ++ ++ ++ ++ ++
Left ++ ++ ++ ++ ++

Muscle Strength: -
Shoulder
Flexion
Shoulder
Extension
Elbow
Flexion
Elbow
Extension
Right 5 5 5 5
Left 5 5 5 5
Hip Flexion
Hip
Extension
Knee
Flexion
Knee
Extension
Ankle Dorsi
Flexion
Ankle
Plantar
Flexion
Right 5 5 5 5 5 5
Left 5 5 5 5 5 5
T/C/D: - Tightness of Hamstrings and Tendo – Achilles Bilaterally.
Sensory: - Intact.
Bladder/ Bowel: - Normal.
Co-ordination: - No Deficit.
Balance: -
- Static: - Good.
- Dynamic: - Good.
Problem List: -
‣ Pain.
‣ Muscle weakness.
‣ Tightness of Hamstrings and Tendo – Achilles.
Short Term Goals: -
‣ Transcutaneous Electrical Nerve Stimulation for Bilateral knee for 10 mins.
‣ Transcutaneous Electrical Nerve Stimulation for Lower back for 10 minutes.
‣ Ultrasound dosage 2.5 W/sec ², continuous mode for 5 minutes.
‣ Strengthening exercises for the Spinal Extensors muscles.
‣ Stretching exercises for the Hamstrings and the Tendo – Achilles.
Outcome: -
‣ Back Pain reduced by30%. ( Initial VAS 10 after treatment VAS 7)
‣ Heel Pain reduced by 50%. ( Initial VAS 10 after treatment VAS 5)
Mrs BALBIR KAUR has improved significantly since she has less pain now and is more functionally
independent.
Patient doing Quadriceps strengthening exercises by Dr. Prateek.
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