Editorial - Helpage India Programme

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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. *************************************************************
Page 1 and 2: Agecare Delhi-NCR Project) / Projec
Page 3 and 4: Delhi Helpline - Nov’10 November
Page 5 and 6: T/C/D: - Tightness of Hamstrings an
Page 7 and 8: Helpline intervene- Delhi Helpline
Page 9: In the session she explains how she

Editorial - Helpage India Programme

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