Abstract
This case study where 14 year old subject following post epiphyseal fracture of tibia treated conservatively.
Aims and Objectives: Aims and objective of this presentation was to analyse impact of various means of exercise therapy in the rehabilitation with evidence and to find how case study can be used for learning of student physiotherapists.
Materials and Methodology: The subject was treated with physiotherapy from February 2017 to April 2017 for post immobilization stiffness of knee with specific PNF Techniques and kinematic exercises.
Result: With an Improved ROM, decrease in pain (VAS) by 50%, cadence have increased by two times and fivefold betterment with functional activities with womac score of the subject in 25 sessions.
Conclusion: The finding of this study were to be used for methodological application of exercise therapy as a major tool with evaluation of each session and time framed rehabilitation are the core component of this presentation.
Keywords: Epiphyseal fracture , Growth plate, Proprioceptive Neuromuscular Facilitation(PNF) Various PNF stretching techniques based on kabat’s concept are: Hold and relax technique; CR- contract relax CRAC-contract relax antagonist contract
References
1. Proprioceptive Neuromuscular Facilitation (PNF):Its Mechanisms and Effects on Range of Motion and Muscular Function by Kayla B. Hindle1, Tyler J. Whitcomb1, Wyatt O. Briggs1, Junggi Hong1
2. The Effects of Physical Activity on the Epiphyseal Growth Plates: A Review of the Literature on Normal Physiology and Clinical Implications Timothy A. Mirtz,a,c Judy P. Chandlerand Christina M. EyersbJ Clin Med Res. 2011 Feb; 3(1): 1–7. Published online 2011 Feb12
3. Growth Plate (Physeal) Fractures Treatment & Management Updated: Dec 12, 2014 Author: Charles T Mehlman, DO, MPH; Chief Editor: Dennis P Grogan,MD
4. Eccentric loading for achillestendinopathy strengthening or stretching? Allison GT Purdam C Br J Sports Med. 2009;43 (4):276.
5. Cumulative incidence of achilles tendon rupture and tendinopathy in male former elite athletes .Kujala UM Sarna S KaprioJ..Clin J Sport Med. 2005
6. Perspective. Osteoclastogenesis and growth plate chondrocyte differentiation: emergence of convergence 2003Odgren PR, Philbrick WM, GartlandA..
7. Growth plate physiology and pathology ,Iannotti JPVan der Eerden BC, Karperien M, Wit JM. Systemic and local regulation of the growth plate.Endocr RevOrthopClin North Am.1990 Jan;21(1):1-17.
8. Cartilaginous epiphysis and growth plate: normal and abnormal MR imaging findings.AJR Am J Roentgenol. 1992 May;158(5):1105-10 Jaramillo D1, Hoffer FAAJR Am J Roentgenol 1992;
9. Insightsab out bone physiology and its clinical applications. Anatomy, 2001 Frost HM. From Wolff’s law to the Utah paradigm:
10. Biomechanical strategies for articular cartilage regeneration. Darling EM, Athanasiou KA Ann Biomed Eng2003;31 (9):1114-1124.
11. A progressive 5 week exercise therapy program leads to significant improvement in knee function early after anterior cruciate ligament injury by J. Orthop sports physiotherapy, NOVEMBER 2010.
12. Continous Passive Motion, Early Weight Bearing And Active Motion Following Knee Articular Cartilage Repair: Evidence For Clinical Practice by Jenifer S Howard, Carl G. Mattacola, Spencer E. Romine, and Christian Laterman 2010.
13. Comparison of the clinical effects of open and closed chain exercises after medial patello-femoral ligament reconstruction by Feng Zhang, Jun Wang , Fei Wang 2014.Curr Rev Musculoskelet Med. 2013 Sep; 6(3): 250–257.
14. Hip arthroscopy for extra-articular hip disease Michael S. Reich, Claire Shannon, Eugene Tsai, and Michael J. SalataCurr Rev Musculoskelet Med. 2013 Sep; 6(3): 250–257.Published online 2013 Jul 24.
15. Proprioceptive Neuromuscular Facilitation Stretching Mechanisms and Clinical Implications Melanie J. Sharman, 1 Andrew G. Cresswell1,2 and Stephan Riek1 1 School of Human Movement Studies, The University of Queensland, Brisbane, Queensland, Australia 2 School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
Corresponding Author
Dr S.S.Subramanian
M.P.T (Orthopaedics), M.S (Education), M. Phil (Education), Ph.D (Physiotherapy) The Principal, Sree Balaji College of physiotherapy, Chennai – 100 (Bharath) University, BIHER Chennai – 73.
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone: 99400 47137