Rams Physiotherapy Clinic, Sri Aishwerya Hospital

21/12/2022

ILIOTIBIAL BAND SYNDROME

Iliotibial band syndrome is where a tendon called the iliotibial band gets irritated or swollen from rubbing against your hip or knee bones. The tendon is on the outside of your leg, and it goes from the top of your pelvic bone down to your knee. It rubs against your bones when it gets too tense (tight). There are many reasons why your iliotibial band might tighten.

Tendons are flexible, elastic-like fibrous tissues that connect your muscles to your bones. Your tendon pulls on the bone when you squeeze a muscle, and that makes your bone move.

TYPES:
You can have iliotibial band syndrome in one leg, or you can have it in both legs. When you have ITBS in both legs, it's called bilateral iliotibial band syndrome.

RISK FACTORS:
You’re at a higher risk for iliotibial band syndrome if you’re young and exercise frequently. Examples of athletes who are most prone to ITBS include:

•Basketball players.
•Cyclists.
•Hockey players.
•Runners.
•Skiers.
•Soccer players.

Even if you're not an athlete, there are still some traits that give you a slightly above average chance of getting iliotibial band syndrome. Reasons include:

•Bowed legs.
•Having one leg that’s longer than the other(Leg limb discrepancy)
•Knee arthritis.
•Rotating your ankle, leg or foot inward when you move.
•Weakness in your hip muscles, butt muscles or abdominal muscles.

ALWAYS CONSULT WITH A PHYSIOTHERAPIST FOR GETTING EXPERT ADVICE, EXERCISE PRESCRIPTION & PHYSIOTHERAPY TREATMENT
Appointment Call: 9995959992

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15/11/2022

STRETCHING FOR INDIVIDUAL MUSCLE GROUPS

1. Hip flexors (Figure A)
2. Gluteals(Figure B )
3. Hip adductors (Figure C)
4. Lower spine and hip (Figure D)
5. Lower back muscles (Figure E)

ALWAYS CONSULT WITH A PHYSIOTHERAPIST FOR GETTING EXPERT ADVICE, EXERCISE PRESCRIPTION & PHYSIOTHERAPY TREATMENT
Appointment Call: 9995959992

...

08/09/2022

கீல்வாதம்

30/08/2022

25/08/2022

Just published🔥: Physical Examination Maneuvers for SLAP Lesions 🦾 🦾 🦾

👉The glenoid labrum is a fibrocartilaginous structure that plays a significant role in glenohumeral joint stability One form of injury to this structure is the superior labrum anterior to posterior (SLAP) tear.

👉 The purpose of this study by Dean et al. (2022, https://pubmed.ncbi.nlm.nih.gov/35997579/) was to conduct a systematic review on the performance of physical examination maneuvers in diagnosing SLAP lesions.

👉 One method to further assess physical examination maneuvers for a SLAP tear, is to evaluate them in parallel and series with each other. This process allows multiple tests to be considered in combination to evaluate their overall sensitivity and specificity. Two or more tests are applied in parallel testing, and if any single test is positive, then the overall grouping is considered positive for a given diagnosis. Parallel testing decreases the number of false-negative results and increases false-positive results.8 Ultimately, this results in increased sensitivity and negative predictive value but decreased specificity and positive predictive value (PPV).

👉 In series testing, the tests are applied sequentially and all must be positive for a diagnosis to be made. Series testing on the other hand decreases false-positive results and increases specificity and PPV.
https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1442-2026.1999.00041.x

Results: 📊

👉 The image below his image demonstrates the author recommended technique of 5 of the most common physical examination maneuvers used to identify a SLAP lesion. AC, acromioclavicular; SLAP, superior labrum anterior to posterior.

👉 The O’Brien and crank test combination was the most sensitive 2-test combination in both parallel and series.

👉The Yergason and anterior slide test combination was the most specific 2-test combination in parallel and series.

📍 The crank, anterior glide maneuver, or Jobe tests are not included in the figure. The crank test is performed with the patient either sitting upright or lying supine, the arm flexed to 90°, and the examiner standing adjacent to the injured shoulder holding the elbow in a flexed position. An axial load is applied through the humerus with one hand while the other hand performs humeral rotation relative to the glenoid while the shoulder is elevated in the scapular plane.

📍 The anterior glide test is performed with the patient in the seated position; the examiner puts one hand on the patient’s shoulder, proximal to the glenohumeral joint, to stabilize the scapula, acromion, and clavicle. Grasping either the elbow or the proximal humerus, a superior and anterior force is used in line with the humerus while stabilizing the proximal aspect of the shoulder.

📍 The Jobe test is performed, with the patient’s shoulder abducted to 90° and the elbow flexed to 90° , and the examiner holding the patient’s wrist and hand in one hand and the otherhand placed on the patient’s humeral head. The examiner applies a posterior force to the humeral head and externally rotates the humerus.