Phy20Health Education

Use of AFO   In CEREBRAL PALSY  CHILD and Other child Developmental Disability  What is a AFO brace An AFO is a device that is used to control instabilities in the lower limb by maintaining proper alignment and controlling motion. It is most often used with patients suffering from neurological or orthopedic conditions such as stroke, multiple sclerosis, cerebral palsy, fractures, sprains and arthritis. What are the positive impacts of wearing an AFO? The results of these studies indicate that wearing an AFO can positively affect gait speed, temporal and distance factors, and joint kinematics and kinetics of the ankle and knee joints, but the effects of AFO use on gait when not wearing an AFO have not been shown.   Why do people with CP wear braces and orthotics? The strength and stability of a person's body is of paramount concern for individuals with Cerebral Palsy; the more stable a body is, the better a person can ambulate and complete tasks both big and small. Orthotic devices

  Name : XyZ  Age /sex : 16 years DOB : 1-07-2005 Birth cry ; yes Delivery ; normal Delivery Diagnosis : mental retardation with seizures Disorder with old CVA ( RT fronto temporo parietal infarct ) Past medical history : Fever and jaundice Current medical history Frequent episode of Seizures Problem list ; Circumductory gait High steeping Internal tibial torsion left leg Both side hams tight Left side T A tight Flat feet Left hand flexed internal rotated wrist flexion ulnar deviation Tightness of pectoral muscle Shoulder flexor Pronator teres tightness Gross muscle weakness of left side of upper limb and lower limb Physiotherapy management Mild Hamstring stretching of left side leg T .A stretching left side Hip flexor stretching Left hand Pronator stretching Basic active muscle strengthening exercise Bridging Pull to stand Pull to sit Throwing ball high Sitting Standing and kneeling Sit to stand high level chair to low level chair Squatting to standing with maintaining alignment Knee

  Name : XyZ Age/SEX  :- 6 years /M DOB :- 11 APRIL -2016  ORDER OF baby :- first  child  Birth cry  "- yes  NICU    : 15 DAYS for low sugar  Diagnosis  :- ADHD At the age of 3 and half parents were not aware of he has any problem   He achieved has achieved neck control and sitting around 8months  He has  He has start walking at age of 1 year  6 months Problem List Poor Eye contact  Poor balance   Impulsive behaviour  Rare bitting habit when he got angry    echolalia : meaningless repetition of another person's spoken words Speech speaking incomprehensive words Eating  habits.. he used to prefer sweet ,  he don't  like bitter  not point at objects to show interest (for example, not point at an airplane flying over) not look at objects when another person points at them have trouble relating to others or not have an interest in other people at all Poor eye contact and want to be alone have trouble understanding other people’s feelings or talking about their own feelings ap

Neurodevelopmental Treatment Technique Key Points of Control Following are the points from which spasticity is reduced and simultaneously to facilitate more normal postural and movement reactions. Head  Extension of the head (with extension of the shoulder girdle) Rising of the head in prone - lying, in sitting and standing, helps in most cases to facilitate extension in the rest of the body. But if there is an influence of symmetrical tonic reflex activity when the head is raised, flexion of the hips and legs may follow, and this , although neck and spine extend, may lead to lordosis and increased flexor spasticity of the hips and legs. If rising of the head produces a total extension pattern it is useful in prone lying and standing, but will interfere with hip flexion in sitting. Flexion of the head with flexion of the shoulder girdle. This will inhibit extensor spasticity or extensor spasms, (e.g. in spastic and athetoid patients with strong neck and shoulder retraction when they ar

The  of Arch Of Foot  The arches are shaped by the metatarsal and tarsal bones and braced by tendons and ligaments of the foot.    Arches are supported by intrinsic and extrinsic muscles of the sole in addition to ligaments, aponeurosis and shape of the bones.  Foot prints are not complete due to the arches The foot has to suffer from many disorders because of tight shoes or high heels which one wears for various reasons arches of the foot help in fast walking, running /land jumping In addition, these help weight-bearing and in providing upright posture the foot is really unique to human being.    Introduction  The foot has to act   1) as a pliable platform to support the body weight in the upright posture, and   2) as a lever to propel the body forwards in walking, running or jumping. To meet these requirements, the human foot is designed in the form of elastic arches or ' springs. These arches are segmented, so that they can best sustain the stresses of weight and of thrusts. The