I am Physiotherapist

I am Physiotherapist Dr. Kaiynat Shafique; PT

12/12/2023
12/12/2023

🟥 Importance of Research in Physiotherapy 🟥

Research is of great importance in physiotherapy as it allows for the continuous improvement of the field through the discovery of new techniques, therapies, and interventions that can improve patient outcomes.

🔵 Here are some reasons why research is important in physiotherapy:

✅ Evidence-based practice: Research provides physiotherapists with evidence-based practice, which means that treatment plans are based on the best available evidence. Evidence-based practice ensures that patients receive the most effective and safe treatments possible.

✅ Improved patient outcomes: Research helps to identify the most effective treatments for specific conditions, which can lead to improved patient outcomes. This can include improved function, reduced pain, and a better quality of life for patients.

✅ Continuous improvement: Research helps to identify gaps in knowledge and areas where further research is needed. This leads to continuous improvement in physiotherapy and the development of new interventions and treatments.

✅ Professional development: Research is an essential part of professional development for physiotherapists. It allows them to stay up-to-date with the latest advancements in the field, which in turn helps them provide better care for their patients.

✅ Increased credibility: Research helps to establish physiotherapy as a credible and respected profession. Evidence-based practice is essential for establishing the credibility of any healthcare profession, and physiotherapy is no exception.

🛑 In conclusion, research is crucial for the advancement of physiotherapy. It is essential for evidence-based practice, improved patient outcomes, continuous improvement, professional development, and increased credibility of the profession. Physiotherapists should continue to engage in research to ensure that their practice is based on the best available evidence and that their patients receive the best possible care.

_____________________________________________

Watch complete Course of Research Methodology
https://youtube.com/playlist?list=PLSIYn3-aLTUfkzBlqkAj-you3vLaDOlF0

_____________________________________________

TREATMENT AND ASSESSMENT PREFERENCES FOR THE MANAGEMENT OF STROKE AMONG PHYSICAL THERAPISTS WORKING IN CLINICAL SETTINGR...
12/12/2023

TREATMENT AND ASSESSMENT PREFERENCES FOR THE MANAGEMENT OF STROKE AMONG PHYSICAL THERAPISTS WORKING IN CLINICAL SETTING

Read Full article here
https://zenodo.org/records/4543721

Honoured to contribute to the academic community by peer reviewing for "Work - A Journal of Prevention, Assessment and R...
11/12/2023

Honoured to contribute to the academic community by peer reviewing for "Work - A Journal of Prevention, Assessment and Rehabilitation"

✅HEC Recognised International Journal of Netherlands

▪️Category: W
▪️Scopus: Yes
▪️WoS: Yes
▪️(SJR) SCImago Journal Rank: 0.509
▪️Impact Factor: 2.3

⭕ Taping of the lateral ankle for lateral ankle ligament injuries🟦Materials: Non-elastic sports tape, kinesio tape or el...
22/11/2023

⭕ Taping of the lateral ankle for lateral ankle ligament injuries

🟦Materials: Non-elastic sports tape, kinesio tape or elastic adhesive tape.

🟦Joint position: The foot should be held at a 90° angle (0° anatomically) and slightly outward rotated.

🟦 Application steps:

▪️A: Start with the first anchor (white tape) 2 fingers above the top of the malleoli, around the lower leg, angling the ends upward in front to get a good anatomical fit.

▪️B: Add a second anchor with tape above and parallel with the first overlapping approximately 1 cm (0.5 in.).

▪️C: Identify the base of the 5th metatarsal.

▪️D: Support 1: From underneath the foot stretch a 'straight’ piece of tape from the 5th metatarsal base using the front half of the tape (tan colored tape) to cover the base diagonally upwards towards the Achilles tendon and the anchors on the lower leg, finishing over the posterior midline.

©️Tommy eriksson, Swedish athletics association

_________________________________________________

Join Whatsapp group for informative stuff
https://chat.whatsapp.com/BDZwPUqihhS9DUwEkLnVoy

🟦 Palpation of superficial nerve▪️Finger gliding on the skinYou can locate the superficial nerves by sliding your finger...
16/11/2023

🟦 Palpation of superficial nerve

▪️Finger gliding on the skin

You can locate the superficial nerves by sliding your finger along the length of the nerves. The easiest way to palpate them is by sliding your finger tip over the skin from the place where the nerve perforates the fascia, moving distal to proximal

▪️ Tweezer Method

The tweezer method is another way to palpate the superficial nerve branches. This can be done in all areas where the skin is thin and does not adhere tightly to the underlying layers. Place your fingers distal to the area where a nerve theoretically should be close to the surface. With your thumb and index finger lightly pinch a fold of skin and subcutaneous layer (finger tips should be at a right angle to the assumed course of the nerve). Roll the skinfold carefully back and forth between the finger tips. Be careful not to pinch the skin too hard, as this would be painful.

©️ Ref : Book - Manual Therapy for the Peripheral Nerves by A.T. Still

________________________________________________

Join Whatsapp group for informative stuff
https://chat.whatsapp.com/BDZwPUqihhS9DUwEkLnVoy

⭕ Nerve fiber lesion⭕ Schematic presentation with description of the conductivity speed©️ Bisschop and Dumoulin 1992©️ R...
15/11/2023

⭕ Nerve fiber lesion

⭕ Schematic presentation with description of the conductivity speed

©️ Bisschop and Dumoulin 1992
©️ Ref : Book - Manual Therapy for the Peripheral Nerves by A.T. Still
________________________________________________

Join Whatsapp group for informative stuff
https://chat.whatsapp.com/BDZwPUqihhS9DUwEkLnVoy

⭕ Radicular topography (dermatomes) of the anterior and posterior surfaces of the body⭕ Dermatomes are areas of the skin...
15/11/2023

⭕ Radicular topography (dermatomes) of the anterior and posterior surfaces of the body

⭕ Dermatomes are areas of the skin whose sensory distribution is innervated by the afferent nerve fibres from the dorsal root of a specific single spinal nerve.

©️ Ref : Book - Manual Therapy for the Peripheral Nerves by A.T. Still
_____________________________________________

Join Whatsapp group for informative stuff
https://chat.whatsapp.com/BDZwPUqihhS9DUwEkLnVoy

🟦🟨 Piriformis syndrome 🟨🟦▪️It is a condition in which the piriformis muscle compresses the sciatic nerve, causing sympto...
29/10/2023

🟦🟨 Piriformis syndrome 🟨🟦

▪️It is a condition in which the piriformis muscle compresses the sciatic nerve, causing symptoms of sciatica into the lower extremity.
▪️Normally, the sciatic nerve exits from the internal pelvis into the buttocks between the piriformis muscle and the superior gemellus muscle. ▪️However, approximately 10% to 20% of the time, part or all of the sciatic nerve either exits through the piriformis, or above it, between the piriformis and the gluteus medius.
▪️Regardless of the relationship of the piriformis and sciatic nerve, if the muscle is tight enough, the nerve may be compressed, resulting in sciatica.
▪️This condition is often said to cause “pseudo sciatica”; however, this term does not make sense and shows a bias toward bony or disc impingement on the nerve.
▪️If compression of the sciatic nerve occurs and symptoms of sciatica are experienced, then regardless of the cause, it can be correctly termed sciatica.

💠 Mechanism and causes
▪️The piriformis muscle can become tight due to overuse.
▪️The piriformis acts as a lateral rotator of the thigh at the hip joint as well as a contralateral rotator of the pelvis at the hip joint
(contralateral rotation of the pelvis occurs when planting the foot and pivoting to change directions during sports).
▪️The piriformis is also functionally important
toward stabilizing the sacrum at the sacroiliac joint and stabilizing the hip joint.

💠 Management
▪️Because piriformis syndrome is a condition of muscular origin, it makes sense that it will respond well to soft tissue manipulation.
▪️Moist heat, massage, and stretching are all very beneficial

_______________________________________________

WhatsApp channel
https://whatsapp.com/channel/0029VaCgXcFI7BeIPBXnLf2a

🟥 Meralgia Paresthetica▪️The sciatic nerve is not the only nerve that can be compressed and cause referral into the lowe...
27/10/2023

🟥 Meralgia Paresthetica

▪️The sciatic nerve is not the only nerve that can be compressed and cause referral into the lower extremity.
▪️The lateral femoral cutaneous nerve, which exits from the pelvis into the anterolateral thigh between the pelvic bone and the inguinal ligament, can also be compressed.
▪️When this occurs, the resulting condition is called meralgia paresthetica.
▪️Because the lateral femoral cutaneous nerve is solely sensory, this condition results only in altered sensation, usually tingling or pain, into the anterolateral thigh.
▪️The most common causes of meralgia paresthetica are wearing low-rise jeans or a belt too tightly, being overweight with increased weight carried in
the anterior abdominal region, and tightness of various hip flexor muscles, including the iliopsoas, sartorius, and/ or tensor fasciae latae.

______________________________________________

WhatsApp channel
https://whatsapp.com/channel/0029VaCgXcFI7BeIPBXnLf2a

🟨 Joint actions of the pelvis at the hip joint are the reverse actions of the thigh moving at that hip joint 🔹(A, B) Pel...
25/10/2023

🟨 Joint actions of the pelvis at the hip joint are the reverse actions of the thigh moving at that hip joint

🔹(A, B) Pelvic anterior tilt is the reverse action of thigh flexion; pelvic posterior tilt is the reverse action of thigh extension.

🔹 (C, D) Pelvic depression is the reverse action of thigh abduction; pelvic elevation is the reverse action of thigh adduction.

🔹(E, F) Pelvic contralateral rotation is the reverse action of thigh lateral rotation; pelvic ipsilateral rotation is the reverse action of thigh medial rotation.

_______________________________________________

Instagram
www.instagram.com/iamphysiotherapist_

🟥 Plane of the facet joints of the lumbar spine.▶️ (A) The plane of the lumbar facets is oriented in the sagittal plane,...
25/10/2023

🟥 Plane of the facet joints of the lumbar spine.

▶️ (A) The plane of the lumbar facets is oriented in the sagittal plane, except for the facet plane of the lumbosacral joint, which is oriented in an oblique plane that is close to the frontal plane. Right posterolateral oblique view.

▶️ (B) Review of all three cardinal (major) planes of the body.

_________________________________

More about Anatomical planes and axis
https://youtu.be/q2Sc-2GVDQU

_________________________________

©️ Muscolino JE. Advanced Treatment Techniques for the Manual Therapist: Neck. Baltimore, MD: Lippincott Williams & Wilkins; 2013.

🟥 Central Canal Stenosis▪️A space-occupying condition that can cause referral into the lower extremity is central canal ...
25/10/2023

🟥 Central Canal Stenosis

▪️A space-occupying condition that can cause referral into the lower extremity is central canal stenosis.
▪️As its name implies, the space within the central spinal canal where the spinal cord is located becomes stenotic (narrowed/closed).
▪️This condition usually occurs in the elderly as ligaments hypertrophy (thicken) and bone spurs from DJD develop, pushing into the central spinal canal and compressing the spinal cord.
▪️This condition usually continues to progress
and can become very debilitating.
▪️Extension of the lumbar spine usually increases lower extremity pain/symptoms because extension narrows the diameter of the spinal canal; flexion usually relieves lower extremity pain/referral because flexion increases the diameter of the lumbar spinal canal.

________________________________________________

Instagram
www.instagram.com/iamphysiotherapist_

🟦 Disc herniation🔸(A) A posterolateral disc herniationpresses on the spinal nerve as it passes through the intervertebra...
25/10/2023

🟦 Disc herniation

🔸(A) A posterolateral disc herniationpresses on the spinal nerve as it passes through the intervertebral foramen.
🔸(B) A midline posterior herniation compresses the spinal cord in the spinal canal.

_____________________________________________

YouTube
www.youtube.com/

_____________________________________________

©️ Muscolino JE. Advanced Treatment Techniques for the Manual Th erapist: Neck. Baltimore, MD: Lippincott Williams & Wilkins; 2013.

🟥 Tight Muscles and Disc Problems▪️A common microtrauma that contributes to spinal disc problems is tight muscles. ▪️Whe...
24/10/2023

🟥 Tight Muscles and Disc Problems

▪️A common microtrauma that contributes to spinal disc problems is tight muscles.
▪️When spinal muscles become tight, their attachments pull toward the center, drawing the vertebrae crossed by these muscles toward each other.
▪️This results in an increased compression on the discs.
▪️Clients commonly have chronically tight low back muscles, which can contribute significantly to an eventual pathologic disc.

______________________________________________

YouTube
https://youtube.com/
______________________________________________

©️ Muscolino JE. Advanced Treatment Techniques for the Manual Th erapist: Neck. Baltimore, MD: Lippincott Williams & Wilkins; 2013

🟥 Nucleus pressure against the posterior annular fibers ◾Flexion of a vertebral joint creates a compression force at the...
24/10/2023

🟥 Nucleus pressure against the posterior annular fibers

◾Flexion of a vertebral joint creates a compression force at the anterior disc that pushes the nucleus pulposus posteriorly against taut posterior annular fibers.
◾Repeated flexion postures can lead to excessive wear against the posterior annulus.
_______________________________________________

Instagram
www.instagram.com/iamphysiotherapist_

_______________________________________________

©️ Muscolino JE. Advanced Treatment Techniques for the Manual Therapist: Neck. Baltimore, MD: Lippincott Williams & Wilkins; 2013.

🟧Pathologic disc conditions. 💠 (A) Disc bulgeThe annulus fibrosus weakens and bulges, but the nucleus pulposus remains w...
23/10/2023

🟧Pathologic disc conditions.

💠 (A) Disc bulge
The annulus fibrosus weakens and bulges, but the nucleus pulposus remains within the annular fibers.

💠 (B) Disc rupture/herniation
The annular fibers have ruptured/herniated, and the nucleus pulposus material ex-trudes through the annulus but remains attached to the core of nuclear material.

💠 (C) Sequestered disc
A sequestered disc is a disc rupture/herniation in which a piece of the nucleus pulposus that has extruded through the annulus separates from the core of inner nuclear material.

🟧 Management

▪️Massage can be extremely beneficial to help decrease muscular spasms associated with a pathologic disc.
▪️Stretching is also helpful, but caution is advised if the client’s trunk is extended or laterally flexed to the side of a pathologic disc.
▪️It is contraindicated to place the client in any position that causes or increases referral of symptoms into the lower extremity.
▪️Icing may help decrease some of the inflammation that accompanies a pathologic disc.
________________________________________________

WhatsApp channel
https://whatsapp.com/channel/0029VaCgXcFI7BeIPBXnLf2a

________________________________________________

©️ Muscolino JE. Advanced Treatment Techniques for the Manual Terapist: Neck. Baltimore, MD: Lippincott Williams & Wilkins; 2013.

Honoured to contribute to the academic community by peer reviewing for "Journal of Sports Medicine and Physical Fitness"...
22/10/2023

Honoured to contribute to the academic community by peer reviewing for "Journal of Sports Medicine and Physical Fitness"

✅HEC Recognised International Journal of Italy
▪️Category: X
▪️Scopus: Yes
▪️WoS: Yes
▪️(SJR) SCImago Journal Rank: 0.496
▪️Impact Factor: 1.6

https://www.webofscience.com/wos/author/record/JHU-7742-2023

🟧 Low back strain and sprain.▫️Attempting to lift a heavy object that is in front of the body places a strong force on t...
21/10/2023

🟧 Low back strain and sprain.

▫️Attempting to lift a heavy object that is in front of the body places a strong force on the posterior tissues of the low back.
▫️If this force is excessive, a tearing of the low back extensor musculature, termed a strain, can occur.
▫️A tearing of ligament, termed a sprain, can also occur

______________________________________________

Instagram = www.instagram.com/iamphysiotherapist_

🟥 Prolonged postures and low back tightness.▪️(A) Flexing the trunk when working down in front of the body causes the bo...
21/10/2023

🟥 Prolonged postures and low back tightness.

▪️(A) Flexing the trunk when working down in front of the body causes the body weight of the trunk to be imbalanced. This requires isometric contraction of the posterior low back extensor muscles to hold the trunk in this posture.
▪️(B) Carrying a baby on a hip requires isometric muscular contraction of the elevators of the pelvis on that side.
__________________________________________________

WhatsApp channel https://whatsapp.com/channel/0029VaCgXcFI7BeIPBXnLf2a

🟧Fascial collagen fibers have a spider web appearance. 🟧🔳When muscles are tight, a factor that must be considered is fas...
20/10/2023

🟧Fascial collagen fibers have a spider web appearance. 🟧

🔳When muscles are tight, a factor that must be considered is fascial adhesions.
🔳Fascial adhesions, also known as scar tissue adhesions (or fibrous adhesions, or more simply adhesions), are composed of fibrous fascia collagen fibbers.
🔳These collagen fibers are the same substance that makes up tendons, ligaments, and other fibrous fascial tissues.
🔳 Although adhesions are normally thought to be deposited in sites of trauma (i.e., scar tissue), they are in fact deposited continuously between the soft tissues of the body.
🔳 These fibers increase the stability of the tissues by binding/connecting the tissues together.

(Photo © Ronald A. Thompson. Courtesy Ron Thompson.)

YouTube https://youtube.com/

🔴 Muscle spindle reflex▪️A reflex hammer is used to strike and cause a quick stretch of the distal tendon of the quadric...
20/10/2023

🔴 Muscle spindle reflex

▪️A reflex hammer is used to strike and cause a quick stretch of the distal tendon of the quadriceps femoris (knee joint extensor musculature), triggering the muscle spindle reflex.
▪️A signal is sent tothe spinal cord via a sensory neuron.
▪️In response, a signal is sent from the spinal cord through lower motor neurons (LMNs) to tell the muscle to contract, causing extension of the leg at the knee joint.

Instagram
https://instagram.com/iamphysiotherapist_

🔴 Pelvic Muscles that Cross the Hip Joint and Attach onto the Thigh/Leg💠  The *tensor fasciae latae (TFL)* attaches from...
18/10/2023

🔴 Pelvic Muscles that Cross the Hip Joint and Attach onto the Thigh/Leg

💠 The *tensor fasciae latae (TFL)* attaches from the ASIS and anterior iliac crest to the iliotibial band (ITB), onethird of the way down the thigh.
■ The TFL flexes, abducts, and medially rotates the thigh at the hip joint and anteriorly tilts and depresses the same-side pelvis at the hip joint.

💠 The *re**us femoris* of the quadriceps femoris group attaches from the AIIS to the patella and then onto the tibial tuberosity via the patella ligament.
■ The re**us femoris flexes the thigh at the hip joint and anteriorly tilts the pelvis at the hip joint. It also extends the leg (and/or thigh) at the knee joint

💠 The *sartorius* attaches from the ASIS to the pes anserine tendon at the proximal anteromedial tibia.
■ The sartorius flexes, abducts, and laterally rotates the thigh at the hip joint and anteriorly tilts the pelvis and depresses the same-side pelvis at the hip joint. It also flexes the leg (and/or thigh) at the knee joint

💠 The *psoas major* of the iliopsoas attaches from the anterolateral bodies and discs of T12-L5 and transverse processes of L1-L5 to the lesser trochanter of the femur. The iliacus of the iliopsoas attaches from the internal surface of the ilium to the lesser trochanter of the femur.
■ Both the psoas major and iliacus flex and laterally rotate the thigh at the hip joint and anteriorly tilt the pelvis at the hip joint. The psoas major also flexes, laterally flexes, and contralaterally rotates the trunk at the spinal joints.

💠 The *adductor group* attaches from the p***c bone and ischium to the linea aspera, pectineal line, adductor tubercle of the femur, and the pes anserine tendon at the proximal anteromedial tibia.
■ As a group, the adductors adduct, flex, and medially rotate the thigh at the hip joint and anteriorly tilt and ipsilaterally rotate (and elevate the same-side) pelvis at the hip joint. The gracilis can also flex the leg (and/or thigh) at the knee joint. The adductor magnus extends the thigh and posteriorly tilts the pelvis at the hip joint.

💠 The *biceps femoris* attaches from the ischial tuberosity (long head) and linea aspera of the femur (short head) to the head of the fibula. The *semitendinosus* attaches from the ischial tuberosity to the pes anserine tendon at the proximal anteromedial tibia. The *semimembranosus* attaches from the ischial tuberosity to the posterior surface of the medial condyle of the tibia.
■ As a group, the hamstrings extend the thigh and posteriorly tilt the pelvis at the hip joint. They also flex the leg (and/or thigh) at the knee joint. (Note: The short head of the biceps femoris does not cross the hip joint and therefore has no action at that joint.)

💠 The *gluteus maximus* attaches from the posterior iliac crest, posterolateral sacrum, and coccyx to the gluteal tuberosity and ITB.
■ The gluteus maximus extends, laterally rotates, abducts (upper fibers), and adducts (lower fibers) the thigh at the hip joint. It also posteriorly tilts and contralaterally rotates the pelvis at the hip joint

💠 The *gluteus medius* attaches from the external ilium to the greater trochanter of the femur.
■ The entire gluteus medius abducts the thigh at the hip joint and depresses the same-side pelvis at the hip joint. The anterior fibers also flex and medially rotate the thigh and anteriorly tilt and ipsilaterally rotate the pelvis at the hip joint; the posterior fibers also extend and laterally rotate the thigh and posteriorly tilt and contralaterally rotate the pelvis at the hip joint.

💠 The *gluteus minimus* attaches from the external ilium to the greater trochanter of the femur (Note: The gluteus minimus is located deep to the gluteus medius).
■ The entire gluteus minimus abducts the thigh at the hip joint and depresses the same-side pelvis at the hip joint. The anterior fibers also flex and medially rotate the thigh and anteriorly tilt and ipsilaterally rotate the pelvis at the hip joint; the posterior fibers also extend and laterally rotate the thigh and posteriorly tilt and contralaterally rotate the pelvis at the hip joint.

💠 The *deep lateral rotator group* attaches from the sacrum (piriformis) and the pelvic bone (the rest of the group) to the (or nearby the) greater trochanter of the femur.
■ As a group, the deep lateral rotators laterally rotate the thigh at the hip joint and contralaterally rotate the pelvis at the hip joint. If the thigh is first flexed to 90 degrees, the deep lateral rotators can horizontally extend (horizontally abduct) the thigh at the hip joint. Note: If the thigh is first flexed (approximately 60 degrees or more), the piriformis changes to become a medial rotator of the thigh at the hip joint instead of a lateral rotator.

Follow I am Physiotherapist

Address

Faisalabad

Telephone

+923346925051

Website

https://scholar.google.com/citations?user=HgG8MdkAAAAJ&hl=en&authuser=

Alerts

Be the first to know and let us send you an email when I am Physiotherapist posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to I am Physiotherapist:

Videos

Share


Other Faisalabad clinics

Show All