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...
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...
Painful elbow syndromes encompass(to contain) lateral, medial and posterior elbow syndromes. The one commonly encountered is the lateral tennis elbow which is known as the classical tennis elbow and is the pain and tenderness on the lateral side of the elbow, some well defined and some vague that results from repetitive stress. It is a lesion affecting the tendinous origin of common wrist extensors from the lateral epicondyle Causes:- • Epicondylitis this is due to single or multiple tears in the common extensor origin, periosteitis, angiofibroblastic proliferation of extensor carpi radialis brevis(ECRB). Etc. • Inflammation of adventitious bursa Between the common extensor origin and radio humeral joint. • Calcified deposits Within the common extensor tendon. • Painful annular ligament is due to hypertrophy of synovial fringe between the radial head and the capitulum's. • Pain of neurological origin, for example, cervical spine affection, radial nerv...
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