It is a chronic progressive disorder of brain characterized by features of stiffness, slow movements, shivering, poor balance, frequent falls, small steps in walking. It can be assessed and treated by a physiotherapist with various methods of rehabilitation. Our aim will be to decrease the stiffness, maintain joint range, improve balance.
It is a sudden onset of weakness of one half of face of same side due to viral infection, jaw fracture, sinusitis, also exposure to cold. Symptoms may be unable to close the eyes, loss of facial expression, dribbling of fluid from corner of mouth, impaired speaking, and difficulty in eating. Some patients may have pain, which can be managed by Infrared rays, facial massage, and moist heat. Muscle reeducation will be done by using galvanic electrical stimulation, PNF techniques and facial exercises.
It is a form of chronic motor disability, which is non-progressive, incurable and results from damage to growing brain before, during or after birth. Commonest type of crippling disease in children. Children may have difficulty in breathing, drooling of saliva, difficulty in feeding, emotional disturbances and IQ is normal. Management will be respiratory care, positioning and handling, manual stretching, splints, serial casting, ROM exercises, weight shifting, balance and gait training.
It is an acute onset of neurological dysfunction due to interruption of the blood flow to the brain resulting in the alteration in the function of the part of brain. Symptoms like weakness of one half of the body, inability to walk, difficulty in speaking, sudden loss of balance and coordination. There are many type of stroke and we have to assess and decide the management according to the patients need. Our management will be positioning, improve respiratory function, prevent pressure sores, improve joint mobility, and gait training.
FOOT DROP & WRIST DROP:
These are due to an injury to nerve in hand or leg. According to some classification we have to differentiate the injury of nerve whether it is compressed or partially injured or completely damaged. Based on the injury we can manage the condition. Physiotherapy management for these conditions will be electrical stimulation (faradic/galvanic), passive movements, usage of splints, PNF techniques, orthotics, and to relieve pain TENS.
It is due to direct or indirect trauma to the spinal cord results in slippage of disc called as intervertebral disc prolapse. It causes spot pain mostly over the lower back region and radiating pain towards both the legs and either one side of leg. According to the grade of disc prolapse we can manage the symptoms. We can reduce the radiating pain by using interpelvic traction and interferential therapy, decrease the muscle tightness by passive/active stretching.