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Thursday, January 29, 2009

Physiotherapy In Bell's Palsy

Physiotherapy is very important therapy in curing Bell's Palsy.
There is 100% result when commenced from Ist day of onset of symptoms.
What is Bell's Palsy?
Bell's palsy is a paralysis of cranial nerve VII (the facial nerve) resulting in inability to control facial muscles on the affected side. Several conditions can cause a facial paralysis, e.g., brain tumor, stroke, and Lyme disease. However, if no specific cause can be identified, the condition is known as Bell's Palsy. Named after Scottish anatomist Charles Bell, who first described it, Bell's palsy is the most common acute mononeuropathy (disease involving only one nerve), and is the most common cause of acute facial nerve paralysis.

Physiotherapy Treatment:
Physiotherapy treatment consists of:-
1. Galvanic Current over motor Points.
2.Faradic Current over branches of Facial Nerve.
3.Facial Exercises.
4.PNF
* Treatment should be started as soon as possible. Signs of recovery are seen after 8-10 days and treatment is over by minimum 15 days and maximum 4 wks.

19 comments:

Nithilan said...

Dear Dr.
Is there a physiotherapy treatment for infants (5 mnth old) with facial palsy...If so cud u please elaborate more on it..
Thanks in advance

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PAY BAND REVISED

TATA MEMORIAL HOSPITAL
TATA MEMORIAL CENTRE
PAREL, MUMBAI

Advt.No. 08/2009

LAST DATE FOR RECEIVING APPLICATIONS 10.04.2009

Applications are invited for the following posts

1 Officer-In-Charge(Physiotherapy):
Degree/Diploma in Physiotherapy from a recognised University/Institute. Post Graduation in any Rehabilitation discipline desirable. Atleast 10 years experience in Physiotherapy work in a large Hospital/Institute. Candidate should be well versed with Physiotherapy work. Experience in Oncology centre will be given preference.

2 Officer-In-Charge(Occupational Therapy):
Degree/ Diploma in Occupational Therapy from a recognised Univesity/Institute. Post graduation in any Rehabilitation discipline desirable. Atleast 10 years experience in Occupational Therapy work in a large Hospital/Institute. Candidate should be well versed with Occupation Therapy, Speech Therapy & Amputees, patients who need advise about Breast Prothesis and Wigs. Experience in Oncology centre will be given preference. The work involves Breast and Cervix cases, hence female candidates will be preferred.

3 Scientific Officer ‘SB’ / ‘C’ (Pathology) :
M.Sc.(Life Sciences/Biotechnology) and preferably with a Diploma in Medical Laboratory Technology from a recognized institute and atleast 5 years experience in a Histopathology Laboratory of a large hospital/medical institution. Candidates with proficiency in English language and Computer Skills will be given preference. Candidates with B.Sc. + D.M.L.T. and 5 years relevant experience will be considered for lower grade.

4 Scientific Officer `SB’/‘C’ (Haemato-Pathology):
M.Sc. with a Diploma in Medical Laboratory Technology from a recognized institute and atleast 5 years experience in a busy Haematology Laboratory of a large hospital/medical institution doing routine haematology including coagulation tests. The job responsibility comprises of running laboratory analysers, performing laboratory tests and Quality Control at routine and emergency hours. Knowledge of Flow Cytometry and molecular techniques is desirable. Candidates with B.Sc. + D.M.L.T. and 5 years relevant experience will be considered for lower grade.

5 Institution Review Board(IRB) Administrator:
M.Sc. in Life Science or Social Science from a recognised University. The candidate should be trained in managing all functions of a busy IRB with good communication and organisational skills. Preference will be given to the person with sound knowledge and experience of clinical trials and data management in Medical Research. Working knowledge of computer will be essential with proficiency in MS Office viz. Word, Excel, Power Point and Internet.

6 Assistant Public Relations Officer:
Graduate with one year P.R. Diploma from a Govt. recognised Institution. Minimum 5 years experience in a reputed organization with a flair for writing and good rapport with Media. Persons should have a pleasing personality and good communication skills. Will be required to do shift duties and outside liaison work.

7 Scientific Assistant `B’ (Dosimetry):
B.Sc.(Physics) with minimum 55% marks and Postgraduate Diploma in Radiotherapy Technology. Preference will be given to those who have some experience in the field.

8 Scientific Assistant `B’ (Microbiology):
B.Sc. with 60% marks. Candidate should have practical experience in Bio-medical Waste Treatment in a Hospital.

9 Pharmacist `B’:
S.S.C. plus 2 years Diploma and 3 months training in Pharmacy along with registration with the Central or State Pharmacy Council duly allotted Registration Number. One year experience in a large Hospital/Dispensary is essential. Experience of working on computerised system desirable. Candidate should be prepared to work in shifts duty, including night shift.

10 Lower Division Clerk:
H.S.C. plus Certificate Course in Computer Application from a recognised institute. Preference will be given to graduates. Candidate should have minimum one year clerical work experience.

11 Clerk cum Telephone Operator:
Graduate from a recognised University with Telephone Operator’s Course with excellent communication skills and minimum one year experience of handling Exchange Board preferably EPABX and Radio Paging System Encoder in a reputed Institute/Hospital. Ability to converse in English, Hindi and Marathi. Will have to work in shift duties including nights, Sundays and Holidays and when required in Reception and other office area.

Top

PAY BAND & AGE LIMIT:

Post

Pay Band

Grade Pay

Age Limit

Officer-in-Charge(Physiotherapy)

Rs.15600-39100
PB-3

Rs.5400

40 years

Officer-in-Charge(Occupational Therapy)

Scientific Officer `C’

Scientific Officer `SB’ & IRB Administrator

Rs.9300-34800
PB-2

Rs.4600

35 years

Asst.Public Relations Officer

Rs.4200

Scientific Assistant `B’

30 years

Pharmacist `B’

Rs.5200-20200
PB-1

Rs.2800

30 years

Lower Divn. Clerk

Rs.1900

27 years

Clerk cum Telephone Operator

Age Relaxable by 5 years for SC/ST and 3 years for OBC). The age will be reckoned as on 10.04.2009. Age may be relaxable in cases of exceptional merit ,qualifications and experience and also for departmental candidates.

In addition to pay other allowances as admissible under Central Government Rules. The Institution has an option either to offer scale of pay as mentioned above or consolidated pay for a fixed term contract basis to the selected candidates. On the recommendation of the Selection Committee, candidates may be offered a higher or lower grade than advertised depending on the qualifications, experience and performance in the interview and needs in respective Dept.

Appointed candidates may be placed as per needs of the Departments in the Tata Memorial Hospital and /or ACTREC at Navi Mumbai.

Top

Application should be sent alongwith non refundable Demand Draft of Rs. 100/-(Rs.25/-for SC/ST candidates) drawn in favour of Tata Memorial Centre, Parel, Mumbai – 400012.

Out Station candidates called for interview will be reimbursed railway fare(other than Rajdhani/Shatabdi/ Janshatabdi trains) not exceeding first class/AC-III Tier by shortest route excluding reservation/superfast surcharge/safety surcharge, etc. for Sr.No.1 to 5. SC/ST candidates will be paid second class railway fare for Sr.No.6 to 11. The train fare will be reimbursed from the candidates normal place of residence in India and back strictly on production of tickets and evidence indicating class of journey.

Typewritten Application superscribing the post applied for on the cover along with a recent passport size photograph affixed on right hand top corner with attested copies of all certificates should be forwarded to the H.R.D. Officer, Tata Memorial Hospital, Parel, Mumbai–400012 so as to reach him on or before 10.04.2009. Persons working under Central/State Government/Autonomous Body/Semi Government Organisations and other Public Sector Undertakings should submit their application through proper channel.

Names and addresses of Three Referees to be given by the candidate who should be closely linked to his training and experience within the last 5 years. (Applicable for Sr.Nos.1 to 6)

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CONTENTS

What is physiotherapy

PHYSIOTHERAPY

"Physiotherapists are good people to know. They're educated in understanding the interaction of all your body parts. Their hands-on approach begins with examination, diagnosis, and treatment of the immediate problem. Then they teach you how to take care of yourself by showing you how to do exercises and how to use your body properly to gain strength and mobility and prevent recurring injury. You'll find them advising on proper posture and body motion in the work place, treating injuries, consulting on fitness, and administering physical therapy in the home. Today physical therapists provide help for every part of the body to everyone from infants to the elderly - more than 1 million people every day!
Physiotherapy means "therapeutic system of medicine which includes examination treatment, advice and instruction to any person preparatory to or in connection with movement dysfunction, bodily malfunction, physical disorder, disability, healing and pain from trauma, disease, physical and mental condition, using physical agents including exercises, mobilisation, manipulation mechanical and electrical therapy, activities and devices for diagnosis, treatment and prevention".
It includes mainly two fields for its therapeutic effects. These are Mechanotherapy and Electrotherapy. Mechanotherapy basically involves the manual procedures that are soft tissue manipulation, popularly known as massage and the other is manipulation techniques which has joint mobilisation, and Electrotherapy includes electric modalities for the treatment such as - diathermy, ultrasound, laser etc.
Physiotherapy (P.T.) is considered as a conservative treatment method addressing the treatment, healing and prevention of injuries and disabilities. P.T. focuses primarily, but not solely, on pain relief, promoting healing, restoring function and movement, facilitation and adaptation associated with injury. Other areas that are focused upon within P.T. are ergonomic (body mechanic) training, Fitness/wellness, and especially education.
Myths regarding physiotherapy
Many patients may think that they know how to properly exercise, manage their pain and rehabilitate themselves. We have commonly been given explanations from patients for why they do not need therapy - i.e.: "I have had this before and I know what works for me" or "I know what is causing this, because my neighbour had the same thing so I will just do what she did" and attempt to manage themselves. A Physical Therapist is a specialist skilled and educated specifically in proper rehabilitation. We are continually educated as to management for different dysfunction's, differentiation of one dysfunction/injury from another and work closely with the referring physician in the development of a rehabilitation program specifically designed for each individual. The other important aspect to remember with physical therapy is that each individual is different. We all have different types of bodies, different patterns of movement, different alignments and different habits. A physical therapist, along with the trained staff, monitors each individual and attempt to correct improper habits, alignments and movement patterns.
Who is a "Physiotherapist"?
Today's physical therapist has a lot to offer for patients of all ages.
Chances are, you have already heard of physiotherapist. You might have heard from a friend how physiotherapy helped get rid of his or her back pain, or you might know someone who needed physiotherapy after an injury. You might even have been treated by a physiotherapist yourself. But have you ever wondered about physiotherapist -who we are and what we do? Read on.
The Essence of Physiotherapy
Although the use of certain techniques of physiotherapy goes back to ancient times, the modern profession of physiotherapy developed in the twentieth century, in the wake of World War I. The very first modern American physiotherapists were trained to work with soldiers returning from the war, and several groups of "reconstruction aides," as they were then called, actually were sent to military hospitals in France to institute early rehabilitation with wounded veterans.
Today's physiotherapist is a direct descendant of these brave women (and a few men). Physiotherapists now practice in a wide variety of settings, with patients from all age groups. Many people are familiar with physical therapists' work helping patients with orthopaedic problems, such as low back pain or knee surgeries, to reduce pain and regain function. Others may be aware of the treatment that physiotherapists provide to assist patients recovering from a stroke in learning to use their limbs and walk again. If you are old enough to remember the mid-century polio epidemics, you might be aware of the important role that physiotherapists played in helping people with this disease minimise or overcome its paralysing effects. Each of these recollections captures the essence of physiotherapists. In today's health care system, physiotherapists are the experts in the examination and treatment of musculo-skeletal and neuromuscular problems that affect people's abilities to move the way they want and function as well as they want in their daily lives
Movement and Function
The ability to maintain an upright posture and to move your arms and legs to perform all sorts of tasks and activities is an important component of your health. Most of us can learn to live with the various medical conditions that we may develop, but only if we are able to continue at our jobs, take care of our families, and enjoy important occasions with family and friends. All of these activities require the ability to move without difficulty or pain.
For some of us, the ability to move is not merely a matter of using our limbs to walk or handle objects. There are cardiac and pulmonary problems that interfere with the body's ability to use oxygen, which is the "fuel" of muscles and movement. Because people of all ages, from the newborn to the very aged, have the need to move and function, physiotherapists work with patients across the life span. You might see physiotherapists working with patients or clients in hospitals (even critically ill patients in the intensive care unit), in nursing homes, in outpatient clinics, in the home, in schools, and on the job.
Because physiotherapists are experts in movement and function, they do not confine their talents to treating people who are ill. A large part of a physiotherapist's program is directed at preventing injury and loss of movement. Physiotherapists work as consultants in industrial settings to improve the design of the workplace and reduce the risk of workers overusing certain muscles or developing low back pain. They also provide services to athletes at all levels to screen for potential problems and institute preventive exercise programs. With the boom in the fitness industry, a number of physiotherapists are engaged in consulting with individuals and fitness clubs to develop workouts that are safe and effective, especially for people who already know that they have a problem with their joints or their backs.
Education and Qualification
Because physiotherapists are required to understand a vast array of problems that can affect movement, function, and health, all physical therapists are college graduates. The majority of physiotherapist education programs graduate students with a Bachelor's degree, and a few schools offer a Master's in physical therapy. All these programs should be offered on campus because experience with handling live cases under appropriate supervision is a necessity.
The cornerstones of physiotherapy treatment are therapeutic exercise and functional training. In addition to "hands-on" care, physiotherapists also educate patients to take care of themselves and to perform certain exercises on their own. Depending on the particular needs of a patient, physical therapists may also "mobilise" or "manipulate" a joint (that is, perform certain types of movements at the end of your range of motion) or massage a muscle to promote proper movement and function. Physiotherapists also use methods such as ultrasound (which uses high frequency waves to produce heat), hot packs, ice and other Bio-electrical modalities. Although other kinds of practitioners will offer some of these treatments as "physical therapy," it's important for you to know that physiotherapy can only be provided by qualified physiotherapists, who have a bachelor's degree.
When do you need a Physiotherapist?
The following list contains some of the most common reasons to see a Physiotherapist:
Low Back Pain
Neck Pain
Shoulder, arm, wrist, or hand problems
Knee, ankle or foot problems
Carpal tunnel syndrome
Repeated Stress Injuries (RSI)
Peripheral Nerve Injuries
Sprains and Muscle Strains
Arthritis
Post Traumatic Stiffness
Cardiac Rehabilitation
Rehabilitation after a serious injury
Chronic Respiratory Problems
Stroke Rehabilitation
Problems with balance
Disabilities in newborns
Pre/Post natal Programs
Hip fractures
Incontinence
Fitness and Wellness Education
Post Surgical cases
Tendon Repair
Areas of physiotherapy
Critical Care Medicine & ICU
Cardiology & Cardiac Surgery
Cardiothoracic & Vascular Surgery
Chest Medicine
Dental Surgery
Endocrinology
General Surgery
Genetic Medicine
Multi organ transplantation
Nephrology
Neurology
Neurosurgery
Nuclear Medicine
Obstetrics and Gynaecology
Orthopaedics
Paediatrics
Paediatric Surgery
Plastic Surgery
Psychiatry
Renal Transplant Surgery
Surgical Gastroenterology
Urology

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