MADHU Upchaar Kendra//Modern Physiotherapy Clinic And Rehabilitation Center

25/07/2017

Case--CP with Autism & Disabilities
Patient Name-- Aviral & Suhani
Age--Aviral(8y),Suhani (5y)
Treatment Plan & Management-- Physiotherapy, Speech Therapy, Counselling, Gait Training, Electro Therapy..
Dr.M.K.Singh 9161515738
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(CP) is a group of disorders that cause problems with using the muscles and moving the body. Someone with cerebral palsy may also have seizures and learning problems. There may also be problems with hearing, seeing, or the sense of touch.
WHAT IS THE CAUSE?
Damage to the brain before or after birth can affect how the brain works. The brain may lose some of its ability to control movement and posture. Most often the brain damage happens before birth. Sometimes it happens when a baby is born or after birth. Some possible causes of the damage are:
An infection during pregnancy, such as rubella (German measles)
Abnormal development of the brain before birth
A problem with different blood types in the mother and baby (Rh incompatibility)
Severe jaundice at birth
Bleeding in the brain
Premature birth
A lack of oxygen at some time during pregnancy or birth
A brain infection, severe convulsions, or a bad head injury
Often the cause of CP is hard to find and may never be known. In the past, if healthcare providers could not find another cause, they concluded that babies had CP because they did not get enough oxygen during birth. However, research has shown that most babies who don’t get enough oxygen during birth don’t have cerebral palsy. Only 5 to 10% of the babies born with cerebral palsy had problems during birth.
WHAT ARE THE SYMPTOMS?
A child will show signs of CP in the first few years of life. The effects of CP can be mild to severe. The symptoms are different from person to person. They may change over time. Some symptoms of CP are:
Muscles that are hard to move
Trouble with fine motor tasks, such as writing or cutting with scissors
Trouble walking normally
Unusual posture
Poor balance or coordination
Shaking of one or more arms and legs that cannot be controlled
Writhing movements
Grimacing or drooling
Trouble with speech
Trouble controlling the bladder and bowels
Trouble controlling body movements is sometimes called spasticity.
HOW IS IT DIAGNOSED?
There is no specific test for CP. The diagnosis is often made by ruling out other possible problems. Cerebral palsy is usually diagnosed during the first 2 years of life from the medical history, symptoms, a physical exam, and observing the child.
If the symptoms are mild, it can be hard to be sure of the diagnosis before the age of 4 or 5 years. It is especially hard to tell if a child has CP before he or she is 6 months old.
To look for a cause, scans of the brain may be done, such as:
Computed tomography (CT scan), which uses X-rays and a computer to make a picture of the brain
Magnetic resonance imaging (MRI), which uses a magnetic field and radio waves to make a picture of the brain
Ultrasound, which uses sound waves to show structures of the brain
HOW IS IT TREATED?
Early and ongoing treatment can lessen the effects of CP. Treatment may include therapy, counseling, medicine, equipment aids, and educational programs.
Physical therapy, speech therapy, and occupational therapy
A very important part of treatment is therapy for movement, speech, and daily tasks.
Physical therapy is used for muscle training and exercising. It helps keep the muscles from getting too weak. It also helps avoid a common and serious problem called contracture. Contracture means the muscles, ligaments, and tendons are stuck in a rigid, abnormal position. Contracture can cause problems with balance and use of the muscles, preventing movement of joints, such as the elbow and knee. Contractures can become permanent without treatment.
Braces can help--for example, by supporting joints when the muscles are not very strong.
Speech therapy helps improve speaking, eating, chewing, and swallowing. Special techniques and devices such as computers can also help communication with others.
Occupational therapy can make it easier for someone with CP to take care of themselves.
Counseling
Counseling is helpful for family members and caretakers, as well as the person with CP. It can help you recognize and cope with stress, frustration, depression, and other emotions.
Medicine
Your healthcare provider may prescribe medicines to treat abnormal muscle movement and help control seizures. This is important because sometimes seizures can be dangerous.
Equipment aids
Glasses may help with crossed eyes and vision problems. A hearing aid can help hearing problems.
Often people with CP need help with getting around. For example, they may need walkers, wheelchairs, or other equipment to help them get places, stay in certain positions, or perform some tasks.
There are tools that help people with CP do various activities, such as feeding and dressing themselves.
Surgery
Sometimes surgery can help vision problems or lengthen muscles and tendons.
Education
If a child with CP is 3 years old or younger, ask your healthcare provider about early intervention programs (EIPs). Many states offer EIPs for young children with CP. Some states also offer special education classes for children between the ages of 3 and 5 years. Children with disabilities have priority for admission to Head Start programs.
For older children ask about special education classes and individual education plans (IEPs). Find out about special services that may be available. Local schools may provide physical, occupational, or speech therapy.
It can be helpful for children who have CP to spend time with all types of children, including those who don’t have CP as well as those who do.
HOW LONG WILL THE EFFECTS LAST?
Cerebral palsy cannot be cured. However, with therapy to help maintain movement, strength, and activities of self-care, it usually does not get worse over time. Treatment can improve everyday life and independence.
HOW CAN CAREGIVERS CARE FOR OR SUPPORT SOMEONE WITH CEREBRAL PALSY?
Be sure all medicine prescribed by the healthcare provider is taken.
Do what you can to help the person with CP overcome any barriers to learning and having a full life. You can do this by working with a support team of healthcare providers, therapists, social workers, and others.
Find out about groups that can provide more information and help.
WHAT CAN I HELP PREVENT CEREBRAL PALSY?
Some causes of cerebral palsy may be avoided by:
Preventing head injures. Use car safety seats when a child is riding in a car and helmets during bicycle rides.
Treating jaundice in a newborn.
Preventing Rh incompatibility. Check with your healthcare provider to see if you need medicine for this problem during pregnancy and about other precautions you can take before or during each pregnancy.

24/07/2017

Case--Lumbar Spinal Stenosis
Patient Name--Smt.A.Gupta
Age-- 52 y
Treatment Plan & Management--- Thermo (Heat) Modalities either superficial or Deep, Ultra sonic therapy, Mobilization, Manipulative Physiotherapy and Macknize therapy..
Treatment differs in diffrent causes and symptoms.....
Dr.M.K.Singh PT
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Lumbar spinal stenosis is a common condition in which the spinal canal narrows and compresses the spinal cord and nerves.It affects more than 30 percent of people in older age. The spine is made up of multiple bones called vertebrae. The lower part of the spine is called "Lumbar spine". Within the lumbar vertebra there is an opening called spinal canal, through which pass the nerves controlling the function of the legs. This opening becomes narrowed with time as the discs between the lumbar vertebrae start bulging due to normal wear and tear changes. These discs are like hard foam which gets pressed repeatedly from our body weight (like a shock absorber). As the disc height becomes smaller, the bones start rubbing against each other. This leads to outgrowth of bone into the spinal canal, which ultimately leads to compression of the nerves within it. This problem usually happens between 30-50 years. Overweight can aggravate the problem.

The common symptom of spinal stenosis is pain in the back, buttock, thigh or calf. Some patients may get a feeling of heaviness, numbness or weakness in the legs. All these symptoms are usually aggravated by walking. In the long term, this can lead to weight gain, as patients stop walking. Weight gain can then lead to other health problems like Diabetes.

The treatment of Lumbar Stenosis can be one of the following types:

1) Non operative:

Mild cases usually respond to this type of therapy, which includes pain killers, physiotherapy, weight loss, strengthening of back and abdominal muscles through exercises. Epidural steroid injections can also provide some relief.

However, none of these treatments addresses the actual compression of the nerves. They only provide temporay relief of pain. and are not effective in advanced cases. In such cases, surgery may become necessary.

2) Operative treatment

An operation can be performed to open up the narrowed part of the spinal canal, by removing excess bone and soft tissues causing the narrowing. This causes blood supply to be restored to the compressed nerves and they start functioning normally. The rate of relief of leg pain is more than 80 percent and back pain is also relieved in the majority. The risks of this surgery are small, if performed by well trained and experienced surgeons,. The results are generally very good and most patients are satisfied with the surgery.

24/07/2017

Case---Dignosed Facial Paralysis
Patient Name--Mr.B.Sahi
Age---78 y
Treatment plan & Management--- Faradic Stimulation and Facial exe under supervision of Dr.M.K.Singh PT
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's ---
Bell's palsy is a form of temporary facial paralysis resulting from damage or trauma to one of the facial nerves. It is the most common cause of facial paralysis. Generally, Bell's palsy affects only one of the paired facial nerves and one side of the face, however, in rare cases, it can affect both sides. Symptoms of Bell's palsy usually begin suddenly and reach their peak within 48 hours. Symptoms vary from person to person and can range in severity from mild weakness to total paralysis. These symptoms include twitching, weakness, or paralysis, drooping eyelid or corner of the mouth, drooling, dry eye or mouth, impairment of taste, and excessive tearing in the eye. Bell’s palsy often causes significant facial distortion. Most scientists believe that a viral infection such as viral meningitis or the common cold sore virus -- herpes simplex-- can cause the disorder when the facial nerve swells and becomes inflamed in reaction to the infection.

06/02/2016

06/02/2016

Good Morning Docs...