Sindh physiotherapy & Rehabilitation clinic

Sindh physiotherapy & Rehabilitation clinic Mission
Physiotherapy is a Nobel health care profession that is concerned to restore Normal human fu

Mission
Physiotherapy is a Nobel health care profession that is concerned to restore Normal human function and movement by maximized physical potential and improves quality of life. Vision
To add healthy years to the lives of our patients in an accessible & affordable environment.

DROOLING IN CHILDREN WITH CP AND INTERVENTION DISCLAIMER: This information is solely for educational purposes. Images at...
21/11/2022

DROOLING IN CHILDREN WITH CP AND INTERVENTION

DISCLAIMER: This information is solely for educational purposes. Images attached are used for purposes of clarity. None of the images used in this post do we have copyright to use. They are directly picked up from google to support our content for better understanding.

INTRODUCTION:
One of the major problems faced by children with CP is drooling. Drooling occurs when saliva flows outside the mouth, defined as “saliva beyond the margin of the lip”. In a normal case, a person can feel the excessive production and can swallow the saliva. But children with CP exhibit sensory dysfunction which in turn make it difficult to recognize drooling. Adding on this their anatomic or motor dysfunction of swallowing may also impede the ability to manage increased secretion. Reduce drooling in children.

It is always appropriate to consider getting professional advice before you try self-treatment at home. Nevertheless the following are some tips you can follow as parents/ caregivers of children with drooling.

TIPS FOR DROOLING CONTROL

These techniques below help your child to increase oral sensory awareness.Earlier the intervention better the prognosis or chances of improvement i.e any rehabilitation including speech therapy should start in the early years. The primary goals will be to improve jaw stability and closure, to increase tongue mobility, strength, and positioning, etc. reduce drooling in children

1. Eating and drinking skills
Poor eating skills can exacerbate drooling.
Special attention and developing better techniques in lip closure, tongue movement, and swallowing may lead to improvements to some extent.
Acidic fruits and alcohol stimulate further saliva production, so avoiding them will help to control drooling.

2. Oral facial facilitation
This will help to improve oral motor control, sensory awareness, and frequency of swallowing. This is usually done by speech therapists but at home, you can take up the following simple techniques:

•Icing:
This increases oral stimulation and awareness. Using popsicles, ice, etc. move over the lips from the middle outward and then ask the child to smile. If they are sensitive to ice try wrapping ice in a towel and place it in and around the cheek muscles in a clockwise and anti-clockwise direction. This helps in improved sensation, and tone which in turn reduces drooling to an extent.

•Brushing:
You can use a finger brush or a brush with soft bristles to stimulate the sensations of your buccal /cheek muscles It is better to undertake before meals.

•Vibration:
Battery-operated vi*****rs can be used to stimulate the muscles of the cheeks and lips. Vi*****rs come in all shapes but you should use one with a small head. A battery-operated toothbrush (its back head) can be used as an alternative.

•Manipulation:
Close your child’s upper and lower lip and stimulate the area around the lips by tapping, stroking, patting, firm pressure directly to muscles using fingertips. This will help to improve oral awareness and in turn, will be able to voluntarily control drooling to an extent.

Oral motor sensory exercise:
Playing the kissing game – To make it interesting put lipstick on the lips and leave a kiss on a mirror, tissue, or hand.

Whistle – Blowing musical instruments like a mouth organ or whistle.

Hold it tight – Holding paper or a spatula between the lips for increasing lengths of time.

Straw Drinking – Sucking liquid up straws of various thickness, starting with a short straw. You can use a thick milkshake instead to make the task difficult at the same time this will be a better option for kids at risk of aspiration.

Blowing Games – Tempt the child to blow out their cheeks and push the air from one side to another. Make it more fun by making them blow out candles and bubbles.

Playing games that require sucking air up a straw. This activity has the objective of picking up a pea or small pieces of paper, ensuring that the peas are larger than the straw! Counting the number of peas transferred can be a fun activity.
Have your child hold a tongue depressor between their lips (without using their teeth) during times when they are concentrating on something, like drawing or storytime.

Add sour and spicy foods like lemonade or salsa and cold foods such as frozen fruit or popsicles to the child’s diet to “wake up” the mouth.
Apply flavored lip balm (containing only edible ingredients) to increase awareness.
Rub a variety of textured cloths around the child’s mouth.

RADICULOPATHIES AT INDIVIDUAL LEVELS IN CERVICAL RADICULOPATHY C5 radiculopathy. This might present as pain associated w...
21/11/2022

RADICULOPATHIES AT INDIVIDUAL LEVELS IN CERVICAL RADICULOPATHY

C5 radiculopathy. This might present as pain associated with tingling and numbness which might radiate down from the neck into the shoulder and going down the arm upto the thumb. Patient might experience some weakness in the shoulder and upper arm.

C6 radiculopathy. Radiation of symptoms usually follows the arm into the index finger. Weakness might be elicited in the biceps or the wrist.
C7 radiculopathy. Tingling, numbness, and/or pain may be felt down the arm and into the middle finger. Weakness might be experienced in the triceps.

C8 radiculopathy. Symptoms may radiate down the arm and into the little finger. Handgrip strength might be reduced.

Tietze Syndrome 🔵 Definition/Description 🔸Tietze syndrome is a benign inflammation of one or more costal cartilages.🔸 Th...
13/11/2022

Tietze Syndrome

🔵 Definition/Description

🔸Tietze syndrome is a benign inflammation of one or more costal cartilages.

🔸 The condition is characterized by tenderness and painful swelling of the anterior (front) chest wall at the costochondral (rib to cartilage), sternocostal (cartilage to sternum), or sternoclavicular (clavicle to sternum) junctions.

🔸Tietze syndrome affects the true ribs and has a predilection for the 2nd and 3rd ribs, commonly affecting only a single joint.

🔸 Local swelling of the involved costal cartilages is visible and patients complain of chest wall pain.

🔸 Tietze's syndrome causes severe pain when coughing and deep breathing.

🔸It's not life-threatening or contagious but it is a fastidious and painful condition

🔵 Symptoms

🔹The most common symptoms of Tietze syndrome are chest pain and swelling.

🔹These can appear suddenly and disappear just as suddenly, or they may develop gradually then come and go for years.

🔹It's also possible for the pain to disappear even while the swelling continues.

🔹The pain of Tietze syndrome sometimes extends to the neck, arms, and shoulders.

🔹The pain can be mild or severe, dull or sharp.

🔹Some say it feels like being stabbed with a knife.

🔹Coughing, sneezing, exercise or other physical activity, breathing deeply, laughing, wearing a seatbelt, hugging someone, or even just lying down might make the pain worse.

🔹One might mistake the pain from Tietze syndrome for a heart attack but there are differences: Tietze syndrome usually only affects a small area of the chest while a heart attack covers the whole chest.

🔹 If you're having a heart attack, you may also be short of breath, nauseous, and sweating.

🔹Tietze’s syndrome leads to a limitation of muscle strength and upper limb range of motion.

🔹Patients with Tietze’s syndrome can be imitated in activities of daily living like: ironing, lifting, combing and brushing hair, but normally the disability of Tietze’s syndrome is minor.

🔵 Causes

◻️The exact cause of Tietze syndrome is unknown. However, researchers believe that it may be the result of small injuries to the ribs.

◻️The injuries may be caused due to Excessive coughing, severe vomiting, upper respiratory tract infections, including sinusitis or laryngitis, strenuous or repetitive physical activities, injuries or trauma

🔵 What are the risk factors?

◼️ The biggest risk factors for Tietze syndrome are age and possibly the time of year.

◼️Beyond that, little is known about factors that may increase your risk.

◼️ What’s known is that: Tietze syndrome mostly affects children and people under age 40.

◼️It’s most common in people who are in their 20s and 30s.

◼️A 2017 study noted that the number of cases was higher in the winter-spring period.

◼️And also, this same study found a higher proportion of women develop Tietze syndrome, but other studies have found that Tietze syndrome affects both women and men equally.

🔵How doe Tietze syndrome and costochondritis both cause chest pain around the ribs, but there are important differences:

▫️ Costochondritis is relatively common and typically affects people over age 40.

▫️Symptoms include pain but not swelling, involves more than one area in at least 90 percent trusted Source of cases and Most often involves the second through fifth ribs.

🔵 Physical Therapy Management

▪️The physiotherapist can:Reassure the patient by explaining the condition.
Instruct a good body position and give exercise advise.

▪️Patients need a good balance between exercise and rest.

▪️It is important that the physiotherapist gives good information about the posture of the patient during sitting and during daily activities.

▪️It’s also important that the patient avoids repetitive movements/ activities.

▪️Exercises in the range of motion should be induced as soon as possible.

▪️The patient may not have pain when he is doing the exercises.

▪️If powerful exercises exacerbate the symptoms, you need to stop and avoid these kinds of exercises.

▪️Teach the patient breathing exercises and ask





PHYSIOTHERAPY IN DOWN SYNDROME The intervention of physiotherapy or physical therapist is crucial in the management of a...
10/11/2022

PHYSIOTHERAPY IN DOWN SYNDROME

The intervention of physiotherapy or physical therapist is crucial in the management of a Down syndrome. Countless of symptoms may be presented by a child with Down Syndrome, but the few of them which will need intense physiotherapy care will be important for the child with Down Syndrome to live quality and independent life.

One of the problems many Down syndrome children face is the risk to have developmental delay. This is to mean that some important milestones may not be attained at the time they must be attained. Mostly this is believed to be due to changes in muscle tonicity, loosed joints and a decreased strength.

In this article we are looking at what can be done to help address developmental delay issue in Down Syndrome. However, subsequent post will address other interventions. Stay tuned for those ones.

PHYSIOTHERAPY INTERVENTION FOR DEVELOPMENTAL MILESTONES:

Physical characteristics of the child with DS such as low muscle tone, loose joints and decreased strength may influence the speed of mastery or alter the form of the developmental milestone. Persons with DS generally naturally overcome these challenges through perseverance.

The goal of physiotherapy is not to ‘speed up’ the rate of development. It is simply to facilitate the development of optimal movement patterns. Depending upon capabilities and adaptations made, physical compensations such as pain or inefficient walking patterns may occur. A physiotherapist is to provide the building blocks to develop a solid physical foundation for movement and exercise that your family member can build on for life.

Physiotherapy sessions focusing on developmental milestones should be specifically tailored to each child’s current level of development. This very section is so important and must be understood and treated with all respect. It is always not the best to waste your time on things the child is able to do. It is important to observe the child’s abilities and determine what skills should be learned next. As each person is different, skills should be taught in the way the child learns best. It is important that tasks are broken into smaller parts and practiced using different methods based on individual learning styles and physical make up.

Encouraging the Family to be Involved in this is a crucial part of this part of our therapy.It is important to get family members involved with treatment. Practice at home is essential for mastery, and engaging family participation is key.You can teach the family to:

Use their child’s interests to encourage new skill development
Build on already mastered skills,Focus on what their child is willing to learn, Practice often and
Be patient.

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