Spinal Cord Injury

A spinal cord injury is a damage to any part of the spinal cord, or nerves at the end of the spinal canal causing permanent changes in strength, sensation and other body functions below the site of injury

A very good and famous example of this is Ms. Deepa Malik, the Indian athlete, she is the first women who won medal in Paralympic games and won silver medal in 2016 in summer Paralympic in shot put. She has got this physical limitation ever since she was diagnosed with spinal tumor in 1999 but that also dint stop her achieving the medals in the carrier of sports.

The impairments and complications are depend upon the type of injury that has occurred to the body. Like if somebody has

Complete spinal cord injury: the person may not able to appreciate any kind of sensation and will not be able to control the body movements below the level of injury.

Incomplete spinal cord injury: the person may have some motor or sensory function below the injury level. There are varying degrees of incomplete injury.

There are various techniques and methods that has been opted to deal with the complication of spinal cord and the biggest limitation of these patients are that they cannot ambulate on their own which in turn lead to bedsore, tight muscles, muscle atrophy, improper circulation of blood in lower limb. But ABTP for the very first time in India has got the solution to it which not only can help in improving the circulation and preventing the bed sore but will help them to walk on their own. Walker view is a highly advance and equipped with high technology which uplifts the spinal cord patient straight up with the help of the harness by which they can put the body weight on their own feet and get the proprioception training and we can even ambulate on the treadmill with the help of the therapist.

OSTEOPOROSIS

It is common in women especially after menopause as estrogen a hormone decreases in women sharply which protects the bone. Typical symptoms of osteoporosis are

Back pain

Loss of height over time

Stooped posture

Bone that break easily than expected

Osteoporosis occurs when there is an imbalance between new bone formation and old bone resorption. The body may fail to form enough new bone, or too much old bone may be reabsorbed, or both. Two essential minerals for normal bone formation are calcium and phosphate Calcium is essential for proper functioning of the heart, brain, and other organs. To keep those critical organs functioning, the body reabsorbs calcium that is stored in the bones to maintain blood calcium levels. If calcium intake is not sufficient or if the body does not absorb enough calcium from the diet, bone production and bone tissue may suffer. Thus, the bones may become weaker, resulting in fragile and brittle bones that can break easily.

It can be treated well by

  • Eat a healthy diet rich in calcium and vitamin D. Vitamin D is essential to absorbing calcium. You’ll find it in cooked salmon; dairy products and greens including broccoli, bok choy and kale.
  • Get at least 30 minutes a day of weight-bearing physical activity. Jogging, walking and hiking are great activities to strengthen your bones. Dancing, yoga and tai chi can also build up your density levels while improving your balance.
  • Get outdoors in the sun. Sunshine helps your body process vitamin D, which is essential to calcium absorption. Exercise outdoors and get a double benefit!
  • Get your vitamin D and calcium levels checked by your health care provider if you are over the age of 50 or post menopause.

VARICOSE VEIN

Pregnant women are more susceptible to varicose veins. Varicose veins are large, swollen veins that often appear on the legs and feet. They happen when the valves in the veins do not work properly, so the blood does not flow effectively.

To prevent the vein from further damaging, some measures can be taken at home which include

Exercises of the lower limb to maintain circulation, wearing stockings initially full day without failure, losing weight, raising the leg up above the heart level while lying straight on back, no keeping leg down on floor for long, avoiding standing long hours

An Increase in Cardiovascular Disease on the Horizon?

The dramatic decrease in mortality from cardiovascular disease between 1970 and 2010 is one of the greatest successes of modern medicine.  In several industrialized countries (particularly North America, Western Europe, Japan, Australia, New Zealand), the mortality rate fell by about 70% during this period, so that in some countries (notably Canada), cardiovascular disease is no longer the leading cause of death, now ranking second to cancer. 

What about India? 

With the turn of the century, cardiovascular diseases (CVDs) have become the leading cause of mortality in India. In comparison with the people of European ancestry, CVD affects Indians at least a decade earlier and in their most productive midlife years. For example, in Western populations only 23% of CVD deaths occur before the age of 70 years; in India, this number is 52%. In addition, case fatality attributable to CVD in low-income countries, including India, appears to be much higher than in middle- and high-income countries.  

Causes: 

The age standardized CVD death rate of 272 per 100 000 population in India is higher than the global average of 235 per 100000 population 

Ischemic heart disease (IHD) and stroke constitute the majority of CVD mortality in India (83%), with IHD being. Together, IHD and stroke are responsible for more than one-fifth (21.1%) of all deaths and one-tenth of the years of life lost in India. The years of life lost attributable to CVD in India increased by 59% from 1990 to 2010 (23.2 million to 37 million). 

 Hypertensive heart disease, among other CVDs, is a significant problem in India, with 261694 deaths in 2013; this is an increase of 138% in comparison with the number of deaths in 1990. 

Rheumatic heart disease also continues to be a problem in several parts of India, with an estimated 88674 deaths (7 per 100 000 population) in the year 2010. 

The contribution of atrial fibrillation and flutter to the overall CVD burden in India appears to be small. Furthermore, the proportional mortality and morbidity burden attributable to other types of CVD such as aortic aneurysms, peripheral vascular disease, and endocarditis are also relatively small. 

Risk factor

Non – modifiable risk factor Modifiable risk factor 
Age  Alcohol consumption 
Genetic factor Any form tobacco use (Smoking, chewing) 
Race Obesity  
 Hypertension 
 Diabetes mellitus  
 Sedentary life style 
 Lower socioeconomic status 
 Poor consumption of fruit and vegetables 
 More usage of hydrogenated vegetable oil with high trans-fat (palm oil) 

Prevention and treatment strategies: 

The decline in cardiovascular mortality in western countries was driven by population-level changes in common risk factors and medical therapies, with more than half of the reduction in mortality attributed to improvements in population-level risk factors like obesity, alcohol and tobacco use, cholesterol,  and blood pressure

How ABTP will help you in this? 

Walker view 

It is an immediate and objective feedback allows for analysing your walking and running in which we can perform a cardiac fitness test with a help of cardiac sensors. 

After the cardiac fitness test we can plan a proper periodization program to improve the cardiac health and fitness. 

EMS training: 

EMS training from is a full body workout that doesn’t only target one specific muscle group. During EMS training, up to 90% of muscles are activated simultaneously and the muscle contractions are of higher quality and more intense than a voluntary exertion can do alone. Compared to conventional weight training, EMS training activates deeper muscle group which leads to better balance amongst the muscles in the body and increased core stability. 

The EMS device is able to stimulate multiple muscle groups simultaneously, allowing for a repeated activation of the whole body. You can always do your EMS training under the guidance of our Physical Therapist who can activate eight muscle groups individually (such as the lower back, abdomen, biceps and gluteus) according to your goals and needs. 

“Commit to be robustness and sporty with ABTP” 

Get Best Physiotherapist in Chandigarh

Our physiotherapy centre is an amalgamation of knowledge, skills, the latest technology, and the right technique. Our primary focus is to help in accelerating the body’s natural healing process!

Physiotherapy can elevate the quality of life by focusing on the essential aspects of health and well-being. It is a crucial treatment that effectively helps in improving movement, reducing pain and stiffness, speeding up the healing process after injury, and preventing further injury. Our physical therapist work as a part of a multidisciplinary team incorporating specialists and other allied health professionals to ensure that our patients receive holistic care.

Physiotherapy can help you in a broadspectrum of life!

The Physical therapist is qualified experts who have expertise to diagnose certain conditions. They offer education and advice on different problems and towards its effective management. Our teams of professional physiotherapist in Mohali develops customised treatment plans that focus on encouraging physical activity along with a range of advanced techniques such as adapted exercises, massage, and manipulation.

Physiotherapy treatment is beneficial for a wide range of conditions, such as back pain, delays in childhood development, sports injuries, incontinence, and neurological issues such as Parkinson’s disease.

What makes us the best physiotherapist in Chandigarh?

We not only develop a treatment plan to prevent loss of mobility altogether, but we also design wellness programs for patients to live a healthier and more active lifestyle. Physical therapy is a dynamic profession, and our therapists maintain certain conduct and possess exceptional qualities that promote the pink of health. We provide an elaborate treatment plan that helps you get back to your regular daily routine at the earliest. Moreover, our top-notch infrastructure and the ace services make our physiotherapy in Chandigarh stand out of the rest. 

AWARENESS ON LOW BACK PAIN

The Best Physiotherapists in Bangalore, New Delhi, Gurgaon, Mohali, Bhubaneswar, and Pune give you an understanding on Low Back Pain!

Low back pain is defined as pain and discomfort, localized below the costal margins (margin of the ribs) and above the gluteal folds (fold of the buttock), with or without leg pain. Low back pain is a major health problem throughout the world. It is one of the leading causes for disability which interferes with quality of life, work performance, sports performance and general well-being. It cannot be termed as a disease because most of the time the cause and symptom exhibited is non-specific.In Indian population the prevalence of low back pain has been found to range from 6.2% to 92 % with increase of prevalence with age and female preponderance (Bindra et al., 2015).
Low back pain is one of the most researched areas in the musculoskeletal health science. A study on worldwide research productivity in the field of back pain shows there were more than 50,000 research articles published related to back pain in the past 20 years and about 600 research studies were from India (Wang and Zhao Medicine, 2018). But still the problem of low back pain remains a grey area because of the complexity of the structures in the low back region and also because the causes vary from a simple muscle cramp to inflammatory condition or degenerative condition or neoplastic disease or spinal fractures.
To keep it simple, based on the mode of presentation, the low back pain patients can be categorized into 5 groups. (i) Patients who have low back pain only, (ii)Patients who have low back pain with back stiffness, (iii) Patients who have low back pain with radiating pain to lower limbs, (iv) Patients who have low back pain with altered sensation in the lower limbs, (v) Patients who have low back pain with weakness of lower limbs. Pain is something through which our body tries to convey us that something is not right. It may be structural or psychological, but whatever may be the presentation, everything needs appropriate attention at the earliest.
Low back pain is mostly managed conservatively with exercises, medication and life style modification. Surgery is indicated only if there is a potential nerve damage or severe compression of nerve roots or worsening structural changes.
At ABTP, we have world-class, hi-tech assessment devices to conduct a comprehensive evaluation to find out the exact cause of the pain and design an appropriate treatment program.
Our treatment includes corrective exercises to rectify the muscle imbalance and postural deviations, conditioning exercises to improve the endurance of the abdominal muscles and spinal muscles to bear load, functional exercises to prepare the whole body to perform the daily activities with improved efficiency without any pain or discomfort, stretching exercises to maintain proper muscle length and manual therapy like myofascial release, trigger point release and joint mobilization are also used to facilitate the healing process.
Life style modification plays a major role in the process of rehabilitation and also in preventing low back pain. Eating healthy, getting a sound sleep, proper exposure to sunlight, making exercise a habit, cultivating positive thoughts and maintaining a good posture will help in preventing low back pain. Human body is designed to move, keep moving, movement is the magic!

Dr. Earnest Paul, MPT (Orthopaedics)
Senior Physiotherapist,
ABTP, Bangalore.

Gait Analysis Assessment

The Best Physiotherapists in Gurgaon, Mohali, Pune, New Delhi, Bhubaneswar, and Bangalore give you an understanding of Gait Analysis Assessments!

Introduction

Gait analysis is a method for identifying biomechanics abnormalities in the gait cycle – in other words, it’s a way to assess how an individual walk or run.

Using cutting-edge video technology of Technobody device, Walker-View it’s easier to fully visualize and identify minute to minute differences in walking and running pattern via the use of sensor electrodes and 3D camera and determine whether your foot falls inwards (pronates), doesn’t roll inwards enough (overpronates/supinates) or stays neutral. This information, combined with an understanding of your injury history and the kind of distances you regularly run, allows users to correctly identify your walking and running efficiency which can help the athlete as well as the high-performance expert to improve posture and performance of the client.

The process behind

The first stage of the process is to capture a short video – around 30 seconds to 1minute – of you running on the treadmill with attached foot sensors in a neutral shoe with little cushioning. This will help to highlight abnormalities in your gait, which will be determined based on the capacity and complain about which client is entering the facility. 

Based on the data captured walker view will detect the range of motion for hip, knee, and ankle, length, speed, the symmetry of pace, and efficiency of walking or running pattern. 

The software will thus use the cumulative data to formulate a report which consists of asymmetry between the right and left side taking while comparing it with the normative data of the same age group.

Benefits of gait analysis

  1. Injury prevention by correcting the gait mechanics
  2. Diagnose issues causing pain
  3. Increasing performance in athletes 
  4. Helps in implementing treatment to correct abnormalities
  5. Improve posture
  6. Increasing efficiency specific to sports

Gait analysis and sports

Nowadays sports physiotherapists and gait analysis experts are in a great position when it comes to analyzing and understanding running gait. They can relate the on-field and off-field performance of individual athletes with knowledge of their pain, pathology, biomechanics, and motor learning which helps them to reason through how changes might help an athlete. One area where improvement can be done is our understanding of the implications for performance. It’s easy, as a physio, to focus on treating pain but with athletes, we must keep performance a priority too. Working with other members of the multidisciplinary team can help us provide comprehensive, integrated care.

Gait analysis and retraining can play a valuable role in managing running injury as part of a comprehensive treatment program. In runners we are often trying to achieve a balance between how much someone runs and how much their body can cope with, balancing loading habits with load capacity.

An integrated care approach that includes gait retraining, appropriate training structure, and progressive strength and conditioning can help injury management and prevention by modifying loading habits and improving load capacity.