RESUMEN
Tennis elbow, medically referred to as lateral epicondylitis, is a common musculoskeletal condition that results in tenderness and pain on the outer side of the elbow. Physiotherapy is a conservative therapy for treating tennis elbow that emphasizes pain control, functional improvement, and recurrence avoidance. The case report examines the case of a 25-year-old woman who experienced a gradual onset of pain and mild swelling in her right elbow. As a result, she had hand trembling during flexion and extension, which was ongoing for the previous two days. As per the case study results, physical therapy has a crucial role in enhancing the endurance of muscles, increasing the range of motion, facilitating regular activities, and improving overall quality of life. According to recently published articles, a physical therapist plays a critical role in healing overuse injuries and helping patients resume their regular activities. For this patient, we developed a four-week treatment plan that includes several advanced therapy approaches, such as the Cyriax technique. The specific intervention used in the treatment was the Cyriax technique, which included intense deep friction massage followed by Mill's manipulation in addition to conventional physiotherapy which includes eight minutes of clinical ultrasound, isometric wrist joint stretches, praying position stretches, stretching exercises, and ice fomentation). For a total of 12 sessions, four weeks, the patient received treatment three days a week. For our patient, who had right-hand lateral epicondylitis, we designed a comprehensive rehabilitation program, and it was remarkably effective. We assessed the efficacy of our end measures using a variety of outcomes, including the Visual Analogue Scale (VAS) and the Patient-Rated Tennis Elbow Evaluation (PRTEE) scale. It was shown that giving patients a Cyriax method approach in addition to a regular physiotherapy treatment would be more advantageous for enhancing their general health and quality of life. To treat lateral epicondylitis, physiotherapists use a variety of manual treatments, such as mobilization, manipulation, and massage.
RESUMEN
The condition known as tendonitis, tennis elbow, lateral epicondylalgia, or lateral epicondylitis affects the radiohumeral joint and causes persistent, severe discomfort in the elbow. It commonly affects those who work in professions that need repetitive forearm motions, like athletes who play on courts, computer operators, and woodworkers. It tends to originate from additional rapid, tiresome, recurring eccentric contractions and activities that grab gliding joints. It commonly affects the dominant hand. This case report describes the author's seven years of experience living with lateral epicondylitis, including functional disability in day-to-day life, and then physiotherapy management was started. Mill's and Cozen's tests were performed, and lateral epicondylitis was confirmed. From 2023, the physiotherapy session, including active release technique and conventional therapy, was taken regularly for four weeks. The outcome measure score of the Visual Analog Scale (VAS) was 7/10 pre-treatment and 2/10 post-treatment, and for the Patient-Rated Tennis Elbow Evaluation (PRTEE) scale, it was 50/100 pre-treatment and 25/100 post-treatment. The results that are reported from this particular case study suggest that physiotherapy has a significant effect in improving muscle strength, increasing range of motion, improving activities of daily living, and enhancing the overall quality of life. The study concludes a physiotherapist is crucial in treating these overuse injuries and returning the patient to their daily activities.
RESUMEN
Organophosphate poisoning (OPP) results from the occupational, accidental, or suicidal intake of organophosphate pesticides (OPs). There is a huge limitation in the available literature on OPP cases and the role of physiotherapy in such cases. We report a case of a 33-year-old farmer, found in a state of ingested insecticide and admitted to the emergency department. The patient had two to three episodes of vomiting, associated with continuous tremors in his hands and legs. Immediately infused with atropine, the patient's general condition deteriorated, and he was intubated with an endotracheal tube. With the signs of long-term intubation, a tracheostomy was done. A respiratory therapy consult was taken for indications of intermediate syndrome and to achieve early weaning. The patient's referral was received in view of the long-term requirement of bronchial hygiene and the need for early ambulation as well as psychological support. Informed consent was taken from the family prior to the commencement of the treatment. Respiratory therapy interventions included body positioning, bronchial hygiene techniques, chest proprioceptive neuromuscular facilitation (PNF) techniques, and mobility exercises to achieve early ambulation. Physiotherapists have the appropriate training, knowledge, and skills to deliver the exercise components and help patients return to their activities of daily living. Significant levels of improvement have been seen in the general condition of the patient. The overall functioning of the patient's health was seen as improved on the scales of consciousness, early mobility in the step-down unit, and quality of life.
RESUMEN
Acute demyelinating inflammatory polyneuropathy is a variant of Guillain-Barre syndrome (GBS) - an asymmetrical condition that primarily affects the segment of the peripheral nervous system. Weakness or tingling sensations that be commenced in the inferior limbs and progress to the brachium and face are early signs of this condition. Physiotherapy plays a very crucial role in acute demyelinating inflammatory polyneuropathy in combination with medical management. Criteria through which the clinicians conclude the same are marked affection in the proximal musculature, lower motor neuron type of manifestation, and commencement of symptoms in an ascending sequence. In this study, we presented a case of a 62-year-old male who manifested with the complaint of bilateral superior and inferior limb weakness and was admitted to our hospital. He was diagnosed with acute demyelinating inflammatory polyneuropathy after investigations, such as a lumbar puncture, which revealed a raised level of proteins in cerebrospinal fluid (CSF). With these complaints, he was referred to the physiotherapy wing, and physiotherapy rehabilitation was commenced. Thus, we concluded from this study that in the case of acute demyelinating inflammatory polyneuropathy, physiotherapy rehabilitation was proven to be fruitful in the speedy recovery of the patient and preventing secondary complications along with improving strength and activities of daily living (ADLs) and enhancing the overall quality of life.