Popular Articles from around the World.

The Human Hip – Part Three

Sunday, November 1st, 2009

The effect on the function of the hip joint of a difference in the length of the legs has been mentioned previously in an article in this series. The longer of the two legs will attempt to keep the head level by flexing slightly at the hip and knee, leading to a lack of movement into extension of the hip as we walk. Rotation of the hip and pelvis is required to achieve a more normal gait pattern if extension is not fully achievable. This may be a small change in joint movement, but on repetition thousands of times per day this can set up difficulties in joint movement and over time a painful joint condition.

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Introduction to Simple Spinal Exercises

Saturday, February 7th, 2009

The cost of low back pain to society is very great, with high financial costs in terms of lost income, lost production and time off work and the costs of medical and physiotherapy and other treatments. This is apart from the personal consequences of the loss of one’s work or job role, loss of the ability to do normal activities and the pain itself. Many back pain treatments have been developed, most of which do not have high levels of effectiveness, and much is down to self management. An exercise programme has been shown to be an important aspect of this and this includes stability work, gym or aerobic exercise and lumbar and pelvic ranges of movement.

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Colles Fracture Rehabilitation by Physiotherapy

Friday, January 30th, 2009

Colles’ fractures, named after Abraham Colles who first described in 1814 the common fracture of the last inch of the radius and ulna near the wrist, is a very common consequence of a fall on the outstretched hand (FOOSH). Typical treatment is immobilisation in a plaster of Paris or similar material for five to six weeks to allow bony union, followed by a rehabilitation period of a month or more, a short period of which might involve a wrist brace for comfort during activity. Due to the functional importance of the hand, the period of immobilisation is kept to a minimum to prevent dysfunction of the hand and wrist.

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Spinal Cord Injuries and Physiotherapy

Sunday, January 25th, 2009

Spinal cord injuries (SCI) are one of the most serious consequences of high speed accidents or sporting activities, a rare but devastating injury which can also occur after infections, tumours or ischaemic damage. The largest risk group are younger people due to their propensity to perform risky activities but a person of any age can suffer from SCI. Car and motorcycle accidents account for the highest proportion of injuries and due to the complicated picture after this injury a multi-disciplinary team of professionals is vital to ensure the patient reaches the highest level of independence for their particular condition. The terms quadriplegia and paraplegia are used to describe the resulting disability.

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Physiotherapy Joint Examination

Thursday, January 8th, 2009

We thrive on participating in and completing many different activities which to a large extent depend on the condition of our body joints, from the large joints of locomotion (hips, knees) to the small joints such as the temporo-mandibular for speaking and eating. Our well-designed and durable joints do a very good job of allowing us to get about and involve ourselves in activity. Damage to our joints can be the result of disease, illness or trauma and this can restrict our mobility and reduce our functional capacity. Joint examination is a core ability of physiotherapists, consisting of a logical assessment, testing to find an abnormality and targeting of the treatment plan to these problems.

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Physiotherapy for Ankylosing Spondylitis

Friday, January 2nd, 2009

Ankylosing spondylitis is an inflammatory arthritic disease or spondyloarthropathy, classified with reactive arthritis, bowel disease arthritis and psoriatic arthritis. The underlying relationships between these diseases are complex but they are connected by enthesitis (inflammation of the ligament/bone junctions) and by possession of the HLA B27 gene on white blood cells. The enthesitis process at the joint edges can cause fibrosis and then ossification of the area (bone formation).

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Physiotherapy Approach to Benign Joint Hypermobility Syndrome

Thursday, January 1st, 2009

Collagen is an extremely important connective tissue protein in our bodies, making up significant amounts of our skin, tendons, discs and ligaments. Collagen gives structure to these organs, allowing them to heal normally, to have elasticity, to be strong and to hold together well under the stresses of functional life. It also gives our major blood vessels and other organs the strength they need to remain working correctly. People vary very greatly in the suppleness of their joints and skin and show the whole range from very stiff jointed to very mobile or “double jointed”.

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Treatment for Ankle Injuries

Sunday, December 21st, 2008

Recent studies have shown that one tenth of all emergency department visits are attributed to injury of the ankle. Most of these injuries are simple sprains. Common treatment for acute ankle sprains involves the practice of RICE therapy. Patients are first instructed to rest the ankle. Next, they are told to ice the area for 20 minute sessions. Then, the ankle is wrapped in compression bandages. Jones compression dressing uses alternating layers of compression bandages and elastic bandages. Finally, the patient elevates the ankle. Ibuprofen can be prescribed as a pain killer. If the patient is intolerant to aspirin, a substitute like acetaminophen can be provided.

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