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Monday 8am - 9:30pm Tuesday 8am - 9:30pm Wednesday 8am - 9:30pm Thursday 8am - 9:30pm Friday 8am - 9:30pm Saturday 8am - 9:30pm Sunday 8am - 9:30pm

Physio360chennai, 1, Abdul kalam salai, Lakshmi Nagar, Gerugambakkam, Chennai (2025)

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1, Abdul Kalam Salai, Lakshmi Nagar, Gerugambakkam

03/08/2025

SOTO-HALL TEST
(Spinal Orthopedic Test of Thoracic Origin)

✅ Purpose:
🔸To detect cervical spine pathology, particularly:

🔸Cervical spine lesions

🔸Vertebral compression fractures

🔸Ligamentous sprains

✅ Patient Position:
Supine (lying on back)

✅ Physiotherapist’s Action:
👉Place one hand on the patient's sternum to stabilize the thorax.

👉With the other hand, gently flex the patient’s cervical spine by lifting the head into passive neck flexion.

✅ Positive Sign:
🔸Pain in the cervical spine → indicates osseous or ligamentous injury

🔸Pain along the thoracic spine → suggests possible T1–T4 dysfunction or dural tension

🔸Radiating pain → possible nerve root compression or meningeal irritation

✅ Interpretation:
✔️Localized midline cervical pain → ligamentous strain or vertebral fracture

✔️Radiating symptoms or numbness → consider nerve root or dural irritation

✔️Pain at the thoracic spine → possible upper thoracic lesion or dural tension

⚠️ Contraindications:
❌Acute trauma (e.g., suspected cervical fracture)

❌Instability of cervical spine
Always rule out red flags before performing.

03/08/2025

SOTO-HALL TEST
(Spinal Orthopedic Test of Thoracic Origin)

👉 Purpose:
To detect cervical spine pathology, particularly:

🔸Cervical spine lesions

🔸Vertebral compression fractures

🔸Ligamentous sprains

Dural irritation
It may also elicit signs of upper thoracic or cervical radiculopathy.

✅ Patient Position:
Supine (lying on back)

✅ Physiotherapist’s Action:
Place one hand on the patient's sternum to stabilize the thorax.

With the other hand, gently flex the patient’s cervical spine by lifting the head into passive neck flexion.

👉 Positive Sign:
Pain in the cervical spine → indicates osseous or ligamentous injury

Pain along the thoracic spine → suggests possible T1–T4 dysfunction or dural tension

Radiating pain → possible nerve root compression or meningeal irritation

🫴 Interpretation:
🔸Localized midline cervical pain → ligamentous strain or vertebral fracture

🔸Radiating symptoms or numbness → consider nerve root or dural irritation

🔸Pain at the thoracic spine → possible upper thoracic lesion or dural tension

⚠️ Contraindications:
Acute trauma (e.g., suspected cervical fracture)

Instability of cervical spine
Always rule out red flags before performing.

02/08/2025

The thumb metacarpophalangeal (MCP) joint has two main collateral ligaments:

👉Ulnar Collateral Ligament (UCL) – Located on the medial side of the MCP joint

👉Radial Collateral Ligament (RCL) – Located on the lateral side of the MCP joint

These ligaments stabilize the thumb MCP joint against side-to-side (valgus/varus) stress, especially during pinching or gripping.

✅Our management for injured ligament:

✔️Thumb spica splint or cast: Immobilize thumb in slight flexion and adduction at MCP joint

✔️Cryotherapy (cold packs): 15–20 min every 2–3 hours

✔️Elevation of the hand to reduce swelling

✔️Gentle AROM exercises to fingers, wrist, and elbow to prevent stiffness

✔️Patient education: Avoid gripping, pinching, and lifting

✔️Isometric strengthening of intrinsic thumb muscles

✔️Grip strengthening

✔️Proprioceptive training: Ball handling, object manipulation, balance boards (for sports)

✔️Fine motor coordination exercises.

02/08/2025

The thumb metacarpophalangeal (MCP) joint has two main collateral ligaments:

👉Ulnar Collateral Ligament (UCL) – Located on the medial side of the MCP joint

👉Radial Collateral Ligament (RCL) – Located on the lateral side of the MCP joint

These ligaments stabilize the thumb MCP joint against side-to-side (valgus/varus) stress, especially during pinching or gripping.

✅Our management for injured ligament:

✔️Thumb spica splint or cast: Immobilize thumb in slight flexion and adduction at MCP joint

✔️Cryotherapy (cold packs): 15–20 min every 2–3 hours

✔️Elevation of the hand to reduce swelling

✔️Gentle AROM exercises to fingers, wrist, and elbow to prevent stiffness

✔️Patient education: Avoid gripping, pinching, and lifting

✔️Isometric strengthening of intrinsic thumb muscles

✔️Grip strengthening

✔️Proprioceptive training: Ball handling, object manipulation, balance boards (for sports)

✔️Fine motor coordination exercises.

01/08/2025

Single leg balance is a fundamental component of functional movement and lower limb stability. It refers to the ability to maintain the body’s equilibrium while standing on one leg, which is crucial for everyday tasks like walking, climbing stairs, running, and even changing direction during sports activities.

At Physio360, we emphasize the importance of single leg balance in our rehabilitation and injury prevention programs.

Benefits of Single Leg Balance Training:

👉Enhances proprioception and body awareness

👉Strengthens ankle, knee, and hip stabilizers

👉Improves neuromuscular coordination

👉Helps in post-injury recovery, especially for ankle sprains, ACL rehab, and hip surgeries

👉Reduces the risk of falls in older adults.

01/08/2025

Single leg balance is a fundamental component of functional movement and lower limb stability. It refers to the ability to maintain the body’s equilibrium while standing on one leg, which is crucial for everyday tasks like walking, climbing stairs, running, and even changing direction during sports activities.

At Physio360, we emphasize the importance of single leg balance in our rehabilitation and injury prevention programs.

Benefits of Single Leg Balance Training:

👉Enhances proprioception and body awareness

👉Strengthens ankle, knee, and hip stabilizers

👉Improves neuromuscular coordination

👉Helps in post-injury recovery, especially for ankle sprains, ACL rehab, and hip surgeries

👉Reduces the risk of falls in older adults.

31/07/2025

Position changes in stroke patients are a critical part of stroke rehabilitation and nursing care. Regular repositioning helps prevent complications, supports recovery, and improves patient comfort and function. Here's an overview of why, how, and when position changes are managed in stroke patients:

Why Position Changes Are Important in Stroke Patients:
🔸Prevent Pressure Ulcers (Bedsores)

🔸Prevent Muscle Contractures

🔸Promote Circulation.

🔸Improve Respiratory Function.

🔸Enhance Comfort and Reduce Pain

🔸Support Functional Recovery:

✅Recommended Position Changes:
In Bed:
👉Change position every 2 hours (more frequently if needed).

Alternate between:

👉Supine (on back) – Use pillows under affected limbs.

👉Side-lying (on unaffected side) – Pillows between knees and under the arm.

👉Side-lying (on affected side) – Promotes sensory input and awareness; support with pillows.

👉Semi-prone or semi-sitting positions – As tolerated, to reduce pressure areas.

✅ In Chair/Wheelchair:

Reposition every 15–30 minutes if possible.

👉Use proper seating supports:

👉Lateral supports, headrests, footrests.

👉Encourage upright, symmetrical posture.

👉Weight shifts can be assisted or self-initiated if the patient is able.

30/07/2025

Gaenslen’s Test is a special orthopedic test used to detect sacroiliac joint dysfunction, hip pathology, or lumbar radiculopathy. It helps to stress the SI joint and reproduce symptoms related to SI joint irritation or inflammation.

✅Purpose:
To assess sacroiliac joint dysfunction, particularly in cases of lower back pain, buttock pain, or posterior pelvic pain.

✅ Procedure:
👉The patient lies supine at the edge of the examination table.

👉One leg (usually the unaffected leg) is maximally flexed at the hip and knee toward the chest.

👉The opposite leg (tested leg) is allowed to hang off the table, extended at the hip.

👉The examiner may apply additional pressure on both legs – pushing the flexed leg towards the chest and extending the hanging leg further off the table.

👉This creates a torsional stress across the sacroiliac joints.

✅Positive Sign:

✔️Pain in the sacroiliac joint, buttock, or lower back on the extended side indicates SI joint dysfunction or inflammatory sacroiliitis.

✔️Reproduction of radicular symptoms may also suggest lumbar pathology.

29/07/2025

The Hawkins-Kennedy Test is a special orthopedic test used to identify shoulder impingement syndrome, particularly involving the supraspinatus tendon and subacromial bursa under the coracoacromial arch. It is one of the most commonly used provocative tests for detecting subacromial impingement.

✅ Procedure:
👉Position the Patient:

The patient can be seated or standing in a relaxed posture.

The examiner stands to the side or in front of the patient.

👉Arm Placement:

The examiner flexes the patient’s shoulder to 90° of flexion and the elbow to 90° of flexion.

👉Stabilization:

One hand supports the patient’s elbow while the other hand holds the wrist or distal forearm.

👉Provocation Movement:

The examiner internally rotates the shoulder by pushing downward on the wrist while stabilizing the elbow, creating a forced internal rotation of the humerus.

✅ Interpretation:
👉Positive Test:

If the patient experiences pain in the subacromial area, it indicates a positive Hawkins-Kennedy sign.

This suggests impingement of the supraspinatus tendon, subacromial bursa, or other structures under the acromion.

👉Negative Test:

If no pain is elicited during the maneuver, the test is considered negative for impingement.

Physio360chennai

03/08/2025

03/08/2025

02/08/2025

02/08/2025

01/08/2025

01/08/2025

31/07/2025

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29/07/2025

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Monday	8am - 9:30pm
Tuesday	8am - 9:30pm
Wednesday	8am - 9:30pm
Thursday	8am - 9:30pm
Friday	8am - 9:30pm
Saturday	8am - 9:30pm
Sunday	8am - 9:30pm