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Shamy, S.
- Physiotherapy in the Management of Post-operative Pulmonary Complications: A Critical Review of Literature
Authors
1 Coventry University, Coventry, GB
2 Coventry University, Coventry, IN
3 Maya Corporate Paramedical Research Institute, Cheyyar, Tamilnadu, IN
4 Maya Corporate Paramedical Research Institute Cheyyar, Tamilnadu, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 2 (2014), Pagination: 69-73Abstract
Introduction: Postoperative pulmonary complications are the leading cause of postoperative morbidity and mortality and increase in the length of stay in hospital, medical consumption, and expenses. Physiotherapy treatment for patients with post-operative pulmonary complications consists of a variety of interventions which includes lung expansion exercises, secretion clearance techniques, limb exercises, progressive mobilisation programs, and other techniques.
Aims&Objectives: To explore and present the evidence of the effectiveness of physiotherapy in the management of PPCs, the barriers for physiotherapy in critical care, the techniques and the physiological effects of Physiotherapy through a literature based review.
Search Method: All relevant databases like AMED, CINAHL, PUBMED and Cochrane databases for systematic reviews were searched and evaluated to find the relevant researches on the topic.
Conclusions: Non-invasive respiratory muscle aids are recommended in the treatment of atelectasis and pneumonia that occur after abdominal surgery.
Keywords
Physiotherapy, Exercises, Atelectasis, Pneumonia, Spirometry, Intermittent Positive Pressure Breathing (IPPB), Nasal Intermittent Positive Pressure Ventilation (NIPPV)
- The Effects of Unilaterally Applied Grade Iii Postero- Anterior (pa) Glide on Transverse Process of Lumbar Spine for Chronic Low Back Pain (lbp) Patients Showing Early Signs of Nerve Impingement - A Critical Literature Review
Authors
1 Coventry University, Coventry, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 2 (2014), Pagination: 105-109Abstract
Introduction: Joint mobilisations in the spine are used as an integral part of the treatment and rehabilitation to alleviate pain and reduce stiffness. Mobilisation has also been used to improve muscle strength as described in the literature. However, there is dearth of data exploring the effect of mobilisation on muscle strength in Chronic LBP. Physiotherapy treatment for patients with Chronic LBP consists of a variety of interventions which includes Spinal Manipulative Therapy (SMT), McKenzie exercises, Core Strengthening Exercises and so on. Specific and most effective treatment regimen for chronic LBP is still undiscovered in physiotherapy context.
Aims&Objectives: To explore and present the evidence of the effectiveness of PA Lumbar mobilisation in the management of Chronic LBP in patients with early signs of nerve impingement and the techniques and the physiological effects of lumbar mobilisation through a literature based review.
Search Method: All relevant medical databases like AMED, CINAHL, PUBMED, Academic search complete and Cochrane databases for systematic reviews were searched and evaluated to find the relevant researches on the topic.
Results&Conclusions: Several studies were identified which supports the use of PA lumbar mobilisation (Grade III) in Chronic LBP patients. From the critical appraisal and looking at the evidences it is evident that Maitland's Postero-Anterior mobilisation of the lumbar spine is helpful in eradicating/reducing the Pain and improving the ROM in LBP patients. The technique definitely has some implications on the pathophysiology of LBP. It also tends to increase the pain threshold locally and creates a hypoalgesic effect. The mobilisation technique tends to produce both general as well neurophysiological effects which are illustrated by many researchers in the course of time.