Orthopedic surgery in cerebral palsy: Instructional course lecture.

Orthopedic surgery (OS) plays an important role in the management of cerebral palsy (CP). The objectives of OS are to optimize functions and prevent deformity. Newer developments in OS for CP include emphasis on hip surveillance, minimally invasive procedures, use of external fixators instead of plates and screws, better understanding of lever arm dysfunctions (that can only be corrected by bony OS), orthopedic selective spasticity-control surgery, and single-event multilevel lever arm restoration and anti spasticity surgery, which have led to significant improvements in gross motor function and ambulation, especially in spastic quadriplegia, athetosis, and dystonia.

Effectiveness of a low-cost body weight support training device in the rehabilitation of cerebral palsy.

Background: Body weight supported treadmill training (BWSTT) has been proven to be effective in rehabilitation of persons with cerebral palsy (CP). However, it has still not found widespread usage, especially in industrially developing countries, due to its high cost. Treadmill training promotes a rhythmical movement of the lower extremities through motor learning, which can be enhanced by BWSTT for persons with CP.

Efficacy of an activity monitor as a biofeedback device in cerebral palsy.

Background: Assessment of physical outcomes in patients with cerebral palsy (CP) is considered an effective way to monitor their progress, evaluate interventions and guide health care policy. However, no study using an activity monitor (AM) as a biofeedback device in treatment of people with CP has been published. Hence, the objective of this study was to evaluate the use of the AM as a biofeedback device in individuals with CP after a type of single-event multilevel surgery (SEMLS) called Single-Event Multilevel Lever Arm Restoration and Anti-Spasticity Surgery (SEMLARASS).

Physiotherapy for Ankylosing Spondylitis: Systematic Review and a Proposed Rehabilitation Protocol.

Ankylosing Spondylitis (AS) is a chronic inflammatory disease with gradual onset, largely affecting the axial skeleton. As leads to varying degrees of restricted spinal mobility, pain and loss of functional capacity. Rehabilitation, especially physiotherapy and exercises, are considered integral components of its management.

Myofascial low back pain treatment.

Myofascial pain is a common musculoskeletal problem, with the low back being one of the commonest affected regions. Several treatments have been used for myofascial low back pain through physical therapies, pharmacologic agents, injections, and other such therapies. This review will provide an update based on recently published literature in the field of myofascial low back pain along with a brief description of a sequenced, multidisciplinary treatment protocol called Skilled Hands-on Approach for the Release of myofascia, Articular, Neural and Soft tissue mobilization (SHARANS) protocol.

Musculoskeletal disorders of the upper extremities due to extensive usage of hand held devices.

Objective: The use of hand held devices (HHD) such as mobile phones, game controls, tablets, portable media players and personal digital assistants have increased dramatically in past decade. While sending a text message or using the controls of the HHD the users need to use their thumb and other palm muscles extensively. The objective of this study was to describe the risk factors and clinical features of the musculoskeletal disorders (MSDs) arising due to usage of hand held devices and to evaluate the effectiveness of a sequenced rehabilitation protocol.

Co morbidities of Myofascial Neck Pain among Information Technology Professionals.

Objectives: The objective of this study was to identify the musculoskeletal co-morbidities of neck pain of myofascial origin among IT professionals.

Methods: A retrospective report analysis of 5357 IT professionals from various IT companies in India was conducted. Demographic details, type and intensity of the musculoskeletal problems, employee feedbacks on status of musculoskeletal health and physician's diagnosis were analysed.

Development of a score for assessing severity, predicting interventions and prognosis of musculoskeletal disorders.

Musculoskeletal disorders (MSD's) are a constellation of disorders. There is no single tool available which guides the clinicians to predict the severity, intervention and recovery period of the patients who is suffering from different musculoskeletal disorder. In this paper authors tried to categorize the severity of the musculoskeletal discomfort and the prognosis of the recovery period.

Risk factors, clinical features and outcome of treatment of work related musculoskeletal disorders in on-site clinics among IT companies in India.

Workrelated musculoskeletal disorders among the IT professional is a common area of concern worldwide. This study was taken up to analyze the prevalence of risk factors, clinical features and outcome of treatment in onsite clinics in vaious information technology companies in India. Result revealed poor office ergonomics (54%), lack of keyboard tray (25%), lack of mouse tray (35%), lack of foot rest (60%), improper monitor height (80%) were the major self reported risk factors.

Ergonomic workplace analysis (EWA).

Unlabelled: Work Related Musculoskeletal disorders (WRMSDs) create a significant financial burden to both employer and employee that includes the cost of treatment and lost work time. There is a growing demand to implement early identification and effective prevention strategies, aimed at early intervention in employees prior to possible absenteeism due to foreseen sickness or disability. A wide range of conditions may be considered as MSDs, including myofascial pain syndrome, fibromyalgia, peripheral entrapment neuropathies (carpal or cubital tunnel syndrome), tenosynovitis, epicondylitis, and others.

Physical examination, special tests and investigations for the diagnosis of WRMSD.

Physical examination will enable the clinician to link the information obtained from history and physical findings to make the precise diagnosis, patient education, to design an effective treatment plan and optimum rehabilitation prescription.

Assessment of psychosocial risk factors.

Unlabelled: Aspects of work may not only contribute to physical stress but psychological stress as well. As long as we believe we have adequate control over all aspects of our job, we may experience normal stress. However, if we believe we have little control over job demands, we may suffer from distress with accompanying ill health and possible irrational behaviours.

Virtual reality based therapy for post operative rehabilitation of children with cerebral palsy.

Virtual reality is the use of interactive replication created with computer hardware and software to impart users with opportunities to engage in environments that appear to feel similar to real world objects and events. The commonest rehabilitation program of cerebral palsy children involves stretching, strengthening, mobilization and various other activities, whereas the use of virtual reality based training (VRBT) for rehabilitation of cerebral palsy is not common. To understand the effect of VRBT a study was formulated.

Effect of ergonomic and workstyle risk factors on work related musculoskeletal disorders among IT professionals in India.

'Workstyle' can be described as a mechanism by which ergonomic and psychosocial risk factors interact to affect the development, exacerbation and/or maintenance of upper limb pain and functional limitations. Workstyle is associated with the increase in the work demand. In today's life use of computer in the workplace is very common and it causes to increase the work demand among the workers who are working with computer.

Musculoskeletal disorders in caregivers of children with cerebral palsy following a multilevel surgery.

The patients of cerebral palsy need assistance for their self activities which expose the caregivers to different risk factors of musculoskeletal disorders. But there is a scarcity of studies revealing the prevalence and the risk factors present among the caregivers of the cerebral palsy children. This lead to formulate a study to identify prevalence and risk factors among the caregivers of cerebral palsy children.

Injury prevention in physiotherapists--a scientific review.

This review targeted all research previously conducted on the topic of musculoskeletal disorders and injury among physiotherapists, with a particular focus on studies that had examined individual, physical and psychosocial risk factors and provided suggestions or recommendations to prevent such injuries. Scientific literature published in English languages was searched using electronic way. A total of 17 appropriate studies were located and examined, most of which had focused on the prevalence of musculoskeletal disorders/pan or any other injury.

Risk factors and clinical features of text message injuries.

Use of mobile phone and sending text message is a very common in today's life. While sending a text message the users need to use their thumb and other palm muscles extensively. The thumb most of the time adducted on the key pad of the mobile and use high force to type the letters.

Back pack injuries in Indian school children: risk factors and clinical presentations.

The use of backpack increased substantially among the school children. Studies have shown that carrying a backpack cause to develop different symptoms of musculoskeletal disorders among the carrier of the backpack. In India there are fewer studies available in literature which explains the musculoskeletal discomfort among the school children.

Correlation of ergonomic risk factors with RULA in IT professionals from India.

Work-related musculoskeletal disorders (WMSD) are common in computer professionals worldwide. Studies have shown that there is an association between the working posture and the development of musculoskeletal disorders. The IT professionals are exposed to different awkward posture while working.

The effect of cetylated fatty esters and physical therapy on myofascial pain syndrome of the neck.

Participants with Myofascial Pain Syndrome (MPS) of the neck were randomly assigned into 2 groups of the double-blinded study: topical cetylated fatty ester complex (CFEC) cream application plus physical therapy (CF-PT; n=37), and placebo cream application plus physical therapy (PL-PT; n=35). There were 3 visits during 4 weeks of treatment. Physical Therapy (PT), given twice/week, included Ischaemic Compression, Deep Pressure Trigger Point Massage and Myofascial Releases.

Workstyle risk factors for work related musculoskeletal symptoms among computer professionals in India.

Introduction: Work-related musculoskeletal disorders are common in computer professionals. Workstyle may be one of the risk factors in the development of musculoskeletal discomfort. The objective of this retrospective study was to examine the prevalence of adverse workstyle in computer professionals from India and to evaluate if workstyle factors were predictors of pain and loss of productivity.

Recent advances in management of cerebral palsy.

Recent advances in clinical research have increased our understanding of causal pathways, opportunities for primary prevention, and the value of specific intervention strategies in the management of Cerebral Palsy (CP). Despite the increasing popularity of newer treatment alternatives, e.g.