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Sinha, A. G. K.
- Functional Status and Disability in Stroke Survivors of North India
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Authors
Affiliations
1 Department of Physiotherapy, Punjabi University, Patiala, IN
1 Department of Physiotherapy, Punjabi University, Patiala, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 240-244Abstract
Stroke is one of the leading causes of morbidity and mortality. It is necessary to not only focus on the medical aspect of the disease but to also cater the disabilities associated with it. The study investigated the complexity of factors that influence the functional status and disability following stroke using qualitative interviews. It was found that majority of stroke patient's fall in the age group of 60-75 years. Occurrence of stroke was found to be more among high income group; those living in joint families and urban dwelling, but the post of disabilities were more severe in rural dwellers. The percentage of motor disability was highest followed by cognitive and social. A majority of stroke patients were leading a poor quality of life with male sufferer's leading a comparatively better life. Disability increased with the increase in level of spasticity and decrease in balance status Majority of subjects who received physiotherapy were mildly dependent for their daily activity and on the other hand those who did not receive were moderate to very severely dependent, depicting that physiotherapy is essential during rehabilitative phase of stroke management.References
- Davidson. Principles and Practice of Medicine. 18 ed. New York: Churchill Livingstone. 1999; 974-977.
- Anand K, Chowdhury D, Singh KB, Pandav CS and Kapoor SK. Estimation of mortality and morbidity due to strokes in India. J. Neuroepidemiology 2001; 20(3): 208-11.
- Ellekjaer H, Holmen J, Indredavik B and Terent A. Epidemiology of stroke in Innherred, Norway, 1994 to 1996: Incidence and 30-Day Case Fatality Rate. J. Stroke 1997; 8(11): 2180-2184.
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- Jonathan W, Amanda K, Geoffrey A, Dewey P, Donnan MD, Helen M, Richard A, Sturm PD, Macdonnel MD, and Velandi S. Quality of life after stroke. J. Stroke 2004; 35:2340.
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- Kapral MK, Mamdani M and Wang H. Effect of socioeconomic status on treatment and mortality after stroke. J. Stroke 2002; 33(1):274-5.
- Watkins CL, Gregson JM, Leathley MJ, Moore AP, Sharma AK and Smith TL. Prevalence of spasticity post stroke. J. Clin Rehabil 2002; 6(5):515-22.13. Pound P, Ebrahim S, Bury M and Gompertz P. Views of survivors of stroke on benefits of physiotherapy. J. Quality Health Care 1994; 3(2):69-74.
- Epidemiology of Cerebral Palsy in Jalandhar
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Method: Total 193 children between the age of one year to thirteen years were registered in a camp held at Lyallpur Khalsa College, Jalandhar, Punjab for two days in the month of February, 2007.Clinical findings of each child was recorded in a predeveloped format consisting of birth history, motor assessment, associated problems, gross motor function, deformity, gait and nature of treatment taken.
Result: Out of 193 children reported at the camp, 154 were identified as having cerebral palsy. Spastic subtype of cerebral palsy constituted the predominant group(65.8%) followed by mixed type (5.18%),dystonic(4.7%), athetoid (2.5%) and flaccid(1.5%). 40.93% children had some associated problems like convulsion disorder (17.61%) subnormal intelligence (9.8%)and speech defects(13.46%). Majority of the children (36.26%) were at sitting level and only 12.43% had achieved independent ambulation. Equinus foot and knee flexion deformity were commonly observed among diplegics (39.89%).
Conclusion: Prematurity and birth asphyxia found to be the most common contributing factors for cerebral palsy. Spastic diplegia constituted predominant presentation. Convulsion disorders were observed as an associated problem in majority of children having cerebral palsy.
Authors
Raju Sharma
1,
A. K. Purohit
2,
E. RajinderaKumar
3,
S. Perssona
2,
A. G. K. Sinha
4,
S. K. Tripathy
5
Affiliations
1 Department of Physiotherapy, Lyallpur Khalsa College Road, Jalandhar, IN
2 Department of Neurosurgery, NIZAM, Hyderabad, IN
3 Department of PM&R, NIZAM, Hyderabad, IN
4 Department of Physiotherapy, Pbi Uni. Patiala
5 P & O E, Orthotech Appliances, New Delhi, IN
1 Department of Physiotherapy, Lyallpur Khalsa College Road, Jalandhar, IN
2 Department of Neurosurgery, NIZAM, Hyderabad, IN
3 Department of PM&R, NIZAM, Hyderabad, IN
4 Department of Physiotherapy, Pbi Uni. Patiala
5 P & O E, Orthotech Appliances, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 3 (2012), Pagination: 213-216Abstract
Objective: Cerebral palsy is primarily a disorder of movement and posture. The purpose of this study was to find out the various etiological factors, associated handicaps, clinical profile and nature of treatment taken by children having cerebral palsy through a screening camp.Method: Total 193 children between the age of one year to thirteen years were registered in a camp held at Lyallpur Khalsa College, Jalandhar, Punjab for two days in the month of February, 2007.Clinical findings of each child was recorded in a predeveloped format consisting of birth history, motor assessment, associated problems, gross motor function, deformity, gait and nature of treatment taken.
Result: Out of 193 children reported at the camp, 154 were identified as having cerebral palsy. Spastic subtype of cerebral palsy constituted the predominant group(65.8%) followed by mixed type (5.18%),dystonic(4.7%), athetoid (2.5%) and flaccid(1.5%). 40.93% children had some associated problems like convulsion disorder (17.61%) subnormal intelligence (9.8%)and speech defects(13.46%). Majority of the children (36.26%) were at sitting level and only 12.43% had achieved independent ambulation. Equinus foot and knee flexion deformity were commonly observed among diplegics (39.89%).
Conclusion: Prematurity and birth asphyxia found to be the most common contributing factors for cerebral palsy. Spastic diplegia constituted predominant presentation. Convulsion disorders were observed as an associated problem in majority of children having cerebral palsy.