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Gnanadoss, James J.
- Home Based Exercise Program for Frozen Shoulder- Follow-up of 36 Idiopathic Frozen Shoulder Patients
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Authors
Affiliations
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 221-226Abstract
Introduction: Adhesive capsulitis or frozen shoulder is a condition characterized by generalized pain and stiffness with progressive global restricted motion of the shoulder1. There are many variations of physical therapy protocol .Most of the protocols are extensive and do not suite the Indian scenario as most of the patients are not involved in active sports or high end activities. Furthermore, the compliance of the patient is not good and cost of physiotherapy is high. Hence, we decided to develop and validate a Shoulder Accelerated Rehabilitation Protocol (SHARP) for patients with frozen shoulder in our Indian scenario.Method and Material: Thirty six consecutive idiopathic frozen shoulder patients with a painful shoulder of more than 4 weeks and less than 6 months duration and with limitation of active and passive range of movement greater than 25% in abduction and external rotation compared with the other shoulder were selected and subjected to the SHARP protocol.
RESULTS: The mean constant shoulder score at the start of protocol was 26.69 (SD- 8.522), which improved to 98.58 (SD-2.892) at 15 months. Maximum patients reached a constant shoulder score of 100 at 15 months (22 patients). The mean VAS score for pain at the start of the protocol was 7.14 (SD-1.222) which improved to 0 at 18 months.
Conclusion: SHARP is a non-invasive, easy to follow and reproduce, home based exercise program effective in early improvement of pain and disability in patients with frozen shoulder
Keywords
Adhesive Capsulitis, Frozen Shoulder, Shoulder Accelerated Rehabilitation Protocol (SHARP)
References
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- Simple and effective Rehabilitation Programme (SERP) for Patients Undergoing Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction in Indian Scenario
Abstract Views :455 |
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Authors
Affiliations
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
1 Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Pondicherry, IN
2 Department of Physical Medicine & Rehabilitation, Pondicherry Institute of Medical Sciences, Pondicherry, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 222-228Abstract
Introduction: Rehabilitation after surgery for an Anterior Cruciate Ligament (ACL) reconstruction is a lengthy process. Return to sports and other activities take months. There are many variations of ACL rehabilitation. Most of the protocols are extensive and do not suite the Indian scenario where the compliance of the patient and cost of physiotherapy are the major limiting factors. Hence, we decided to develop and validate a Simple and Effective Rehabilitation Programme (SERP) for patients undergoing ACL reconstruction in our scenario.Materials and methodology: Fifty patients with isolated ACL tear with or without partial menisectomy were selected for this systematic review from November 2010 to July 2012. All 50 patients underwent arthroscopic ipsilateral quadruple hamstring tendon reconstruction (semitendinosis and gracilis double folded) using endobutton (Smith and Nephew) for femoral fixation and bio absorbable interference screw for tibial graft fixation. They were subjected to SERP. SERP is a home based programme consisting of 5 phases spanning over 6 months. Test- retest was done using Modified Cincinnati Rating system Questionnaire on a prospective basis. The results were than analysed.
Results: Applying the Modified Cincinnati Rating System Questionnaire, results were tabulated. 84% of the patients had excellent results and 16 % had good results at the end of 3 months. At the end of 6 months, 94 % of patients had excellent results and 6% had good results. The result remained the same after 1 year of follow-up. There were no fair or poor results.
Conclusion: SERP is a home based programme which is understandable, convenient and reliable for patients who are undergoing arthroscopic ACL reconstruction; especially in our setting with excellent functional outcome.
Keywords
SERP (Simple and Effective Rehabilitation Programme), Anterior Cruciate Ligament, Modified Cincinnati Rating System QuestionnaireReferences
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