Online ISSN: 2515-8260

Keywords : Physiotherapy Rehabilitation


A Case report on impact of physiotherapy rehabilitation on partial claw hand secondary to borderline tuberculoid Hansen disease.

Swapna Jawade; Sugat Jawade

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1983-1986

Abstract: Background: Hansen’s disease known as leprosy originated by Mycobacterium
leprae is a chronic infectious disease. It hampers mostly skin and peripheral nerves.Claw hand
is secondary impairment following Hansen’s disease specially those not gone under
physiotherapy treatment. .Primary goal of physiotherapy rehabilitation is to reverse the
functional impairment caused by Hansen’s disease and customize lifestyle modification to
restore functional day to day activities. In this case report presented that modified
physiotherapy rehabilitation of partial Ulnar clawing following borderline tuberculoid
Hansen’s disease have very important role in regaining range of motion
(ROM) ,sensation ,muscle strength and improve hand grasp. Case Presentation: A 30 year old
female reported to Dermatologist with the complaints of light coloured lesion over her right
arm, loss of sensation of lesion and tingling numbness over right hand since 7 months and
was diagnosed as a borderline tuberculoid Hansen’s disease with partial Ulnar clawing of
right hand. Then she was referred to physiotherapy for the rehabilitation after one month of
multidrug therapy with the complaints of loss of sensation, weakness in attempting grasp with
difficulty in doing functional activities. Patient was on lumbrical blocking splint to stretch the
impaired fingers and regain range of motion. In physiotherapy rehabilitation, TENS, motor
point electrical stimulation, Maitland’s mobilization, mirror therapy with sensory re-education
and strengthening exercises was given for 6 weeks, 5 days per week. Conclusion: In this case
used modified physiotherapy rehabilitation for partial Ulnar clawing following borderline
tuberculoid Hansen’s disease aid in early regain of sensation, ROM and hand muscle strength
and restore functional grasp

Post-operative physiotherapy rehabilitation in rare combined full thickness tear of supraspinatus and subscapularis tendon managed by arthroscopy with mini open Supraspinatus tendon repair: A Case report

Swapna Jawade

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 1212-1219

Background: Complete combined disruption of muscle fibres of Supraspinatus
and subscapularis tendon are rare than any other tear of rotator cuff. Mini open
arthroscopy supraspinatus tendon repair is used to repair a torn supraspinatus along with
other tendon that forms rotator cuff. Prime aim of post-operative physiotherapy
rehabilitation following arthroscopy mini open supraspinatus tendon repair (STT) is focus
on healing of repaired tendon when reducing muscle atrophy and stiffness due to
prolonged immobilization. In this case study Rehabilitation protocol has been modified
into four phases from immediate protection phase to advance strengthening exercises on
the basis of surgery procedure.
Case Presentation: A 41 year male who was diagnosed with combined full thickness tear of
supraspinatus and subscapularis tendon which are rare than any other tear of rotator cuff.
Patient underwent arthroscopy with mini open supraspinatus tendon repair (STT) after 20
days .Patient was referred to physiotherapy with complaints of pain, restricted range of
motion (ROM), muscle weakness and difficulty in functional activities. Rehabilitation was
given according four phases to accelerate early healing of repair tendon. Patient was
treated 5 days per week for 22 weeks. In Phase I patient was explained maintain the arm in
abduction sling for 5 week, removed only during exercises and no lifting of objects or
taking body weight. Key exercises of rehabilitation were therapeutic modalities to reduce
pain (cryotherapy, Interferential therapy) scapula isometrics, range of motion,
strengthening exercises, muscle energy technique (MET) with open-chain proprioceptive
activities.