Procedure: Patient side lying on edge of bed with test leg upper most. Flex hip to 60° with knee flexed. Stabilize hip and apply downward pressure to knee.
Air is moistened because it is passed through the water vapour, Patient is asked to inspire the air by face mask or by the mouth piece. • Normally air passing through nose& pharynx is continuously moistening the respiratory mucous, if this is inefficient cilial action is impaired & secretions are viscid so need of humidifier to loosen viscid & thick secretions. • Humidification is moistening of air & gases, this is normal function of upper respiratory tract if this is inefficient then artificial humidifier is required Indications - 1) Patient with tracheostomy/ endotracheal tube 2) patient with oxygen mask 3) when thick secretions Choice of humidifier Ultrasonic type - patient with dry gas Disposal type - patient with respiratory failure like in chronic bronchitis, asthma, emphysema Method Humidification given by wide boring tube,,,,, short period given before chest clearance done for patient who is not intu...
Muscular dystrophy is a group of rare hereditary progressive disease in which muscle fibers are usually susceptible to damage. Muscular dystrophies are genetically determined myopathies in which progressive degeneration & wasting of muscles occur. Dystrophies can be of 3 types Congenital muscular dystrophy Genetic muscular dystrophy Metabolic muscular dystrophy Epidemiology :- Commonly seen in males. Pathophysiology :- Deficiency of dystrophin protein (due to defect in the XP21 gene which codes dystrophin) Loss of properties of skeletal muscle cells membrane ( Dystrophin is essential to maintain the properties of skeletal muscle cells membrane) Cell break down Release of all contents of cell into the serum Death of cell i.e necrosis of muscle cells Fatigue, weak & dystrophin muscles Elevated serum creatinine phosphokinase levels. Classification :- based on inheritance & clinical picture X-linked recessive - Duchenne muscular dy...
Lifting and Carrying The therapist needs to instruct the patient or caregivers to carry the child in special way in order to prevent worsening of deformities. Positioning Lying Supine - a pillow placed under the head, or a pillow on both sides of the head and shoulders often promotes symmetry. Prone Children are often more symmetrical in this position, but a prone wedge board is used to raise the upper torso off the floor so that they use their hands to stabilize and heads to extend. W- Sitting Standing prevents the deformity at the ankle. While standing the hips and knees should be extended hips slightly externally rotated and abducted knees should be straight and feet should be plantigrade. Floor Sitting - Types Corner sitting: the child sits supporting the back in a corner of the wall, chair or sofa with legs supported by gaiters. In India, where there is little furniture in many houses, and all activities are on the floor, the child is given a corner floor se...
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