Indian Journal of Physical Medicine and Rehabilitation

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2020 | October-December | Volume 31 | Issue 4

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Amol Kakade, Prasad Dandekar, Jaini Patel, Aashish Contractor

Improving Outcomes in Patients of Breast Cancer with Integrated Oncology Services

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:5] [Pages No:75 - 79]

Keywords: 6-minute walk test distance, Breast cancer, Functional assessment of chronic illness therapy scores, Oncology-specific rehabilitation exercises

   DOI: 10.5005/jp-journals-10066-0091  |  Open Access |  How to cite  | 


Aim and objective: The main objective was to determine the outcome of oncology-specific rehabilitation (OR) exercises in patients of breast cancer in terms of improvement in 6-minute walk test distance (6MWTD) and quality of life (QOL). Materials and methods: An observational study was performed on patients with breast cancer who underwent OR exercises during their treatment of the disease. The 6MWTD was documented before and after exercises, different parameters were statistically analyzed, and QOL improvement was recorded with a functional assessment of chronic illness therapy (FACIT) questionnaire. Results: Post-OR exercises, all (n = 46) patients had a statistically significant improvement in 6MWTD (p = 0.0001). Patients not receiving chemotherapy did not show any improvement post-rehabilitation (p = 0.103). Patients of age <55 years did better than ≥55 years in 6MWTD (p = 0.003). Functional assessment of chronic illness therapy questionnaire showed a statistically significant improvement in the physical, emotional, and additional well-being of the patients. No significant benefit was seen in social and functional well-being. The total FACIT score showed a statistically significant improvement in the QOL of all patients (p = 0.01). Conclusion: With the above experience, OR exercises program for patients with breast cancer has a significant impact on physical endurance and QOL as per our study.



Jagannatha Sahoo

Comparative Study of Different Incision Methods for Posteromedial Soft Tissue Release of Idiopathic Club Foot in Children: An Institutional Study

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:6] [Pages No:80 - 85]

Keywords: Club foot, CTEV, Hemi-Cincinnati incision, Posteromedial soft tissue release

   DOI: 10.5005/jp-journals-10066-0094  |  Open Access |  How to cite  | 


Introduction: Various surgical procedures and techniques have been described for club foot to achieve the goal of complete anatomic restoration. As in any procedure involving multiple anatomic steps, exposure is key to a successful comprehensive release. In this study, we were doing posteromedial soft tissue release (PMSTR) in club foot through different incisions. The better approaches for the PMSTR were found out by clinical, footprint radiological evaluation. Materials and methods: This prospective study of 35 patients (57 feet) with idiopathic club foot presenting to the Balaji Institute of Surgery Research and Rehabilitation for the disabled from October 2007 to May 2009 were treated with PMSTR by three exposures. Three groups were formed as per exposure. Clinical evaluation for deformity and radiological evaluation was done in each group. Results: In the case of single, double, and hemi-Cincinnati procedures, average incision lengths were 8.3, 10.7, and 6.1 cm, respectively. Among all the post-operated feet, 25, 20, and 35.2% had <10° of dorsiflexion as well as 20, 15, and 5.9% of feet had <15° plantar flexion in case of double, single, and hemi-Cincinnati incision, respectively. In comparison with other incisions, the hemi-Cincinnati incision had less postoperative pain, better function, and less complication rate. Conclusion: Wound healing was satisfactory in the hemi-Cincinnati incision. The scar was well concealed under the strap of the sandal. In the future, the hemi-Cincinnati incision will be time-demanding in the case of a club foot.



Amit K Mallik, Deepak Kumar, Sanjay K Pandey, Sanyal Kumar, Deependra K Rai, Shikha

Effectiveness of Ozone Diskectomy in MRI Staging 1–2 and 3–4 of Prolapse Intervertebral Disk in Terms of Pain and Functional Improvement: A Comparative Study

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:4] [Pages No:86 - 89]

Keywords: Lumbar diskectomy, Pain, Prolapse intervertebral disk, Visual analog scale

   DOI: 10.5005/jp-journals-10066-0095  |  Open Access |  How to cite  | 


Aim and objective: The study aimed to see the efficacy of ozone diskectomy as a minimally invasive treatment option for MRI staging 1–2 and 3–4 in prolapse intervertebral disk (PIVD) in improving physical function and reducing pain. Materials and methods: Setting: PMR Department, AIIMS, Patna. Study design: Prospective comparative study. Study period: One year from December 2017 to November 2018. Study population: Patients of low back pain attending PMR OPD with the diagnosis of PIVD at L4–L5, L5–S1, and fulfilling the inclusion criteria. Outcome measures: Improvement in pain and function by using a visual analog scale (VAS) and Oswestry disability index (ODI), respectively. Results: Functional status of group I (MRI stages 1–2) was significantly improved on Oswestry low back pain disability score and pain intensity on VAS score with a p value < 0.0001. Conclusion: Ozone diskectomy is a more effective treatment option for PIVD with MRI stages 1–2 in comparison to stages 3–4.



Sanjay K Pandey, Sanyal Kumar, Anjani Kumar, Amit K Mallik

Comparative Study of Botulinum Toxin ‘A’ on Upper and Lower Limb Spasticity: A Clinical Aspect

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:6] [Pages No:90 - 95]

Keywords: Botulinum toxin A, Modified Ashworth scale, Modified Tardieu scale, Range of motion, Spasticity

   DOI: 10.5005/jp-journals-10066-0100  |  Open Access |  How to cite  | 


Aims and objectives: The study intended to compare the effect of botulinum toxin A on clinical aspects of spasticity recorded in various scales. It compared the data of upper and lower limb spasticity. Materials and methods: This is an open-level prospective controlled study, involving patients with upper and lower limb spasticity. Assessment at 3, 12, and 24 weeks post-injections. The modified Ashworth, modified Tardieu scale of spasticity, percentage of passive range motion, Motricity Index for fine and gross motor activity were used. A total of 34 patients were enrolled—25 males, 9 females. There were 51 upper limb and 49 lower limb muscle groups. Three patients were lost after 3 weeks post-baseline follow-up. Results: There was a significant improvement in all the parametric variables post-injections. Aggregate outcome scores comparing groups post-baseline showed a significant difference in modified Tardieu, Motricity Index, interventional goal assessment scales for lower limb muscle groups from upper limb. Conclusion: It was concluded that botulinum toxin A has a definite effect on the impairment and focal disability within a rehabilitation setup of selected patients with focal spasticity.



Surajit Bhattacharjee

A Review on the Types, Risk Factors, Diagnosis, and Treatment of Cerebral Palsy

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:5] [Pages No:96 - 100]

Keywords: Antioxidants, Cerebral palsy, Diagnosis, Paralysis, Therapy

   DOI: 10.5005/jp-journals-10066-0088  |  Open Access |  How to cite  | 


Introduction: Cerebral palsy (CP) is the principal cause of disability in children. It is a neuromuscular disease that occurs due to the lesion in the infant's cerebral motor cortex that is acquired before, at, or within 5 years of birth. Aim and objective: The purpose of this review is to inform the persons who are working on rehabilitation services, doctors, and well-wishers of disabled children to reduce their problems by diagnosing the type of CP and by using suitable bioactive molecules, antioxidants, chemicals, and different therapies. Materials and methods: Eligible articles of various journals which are obtained from the Internet were studied very carefully to establish the results of types, risk factors, diagnosis, and the management of CP. Results: Total 76 reviews or research-based journal articles were reviewed. Among them, 28 were correlated with diagnosis, 7 were related with risk factors, 6 were associated with diagnosis, 20 were linked with the prevention, and the rest 15 articles were connected with the introductory part of CP. Conclusion: The findings of this article emphasize describing the types, risk factors, types, correct diagnosis methods, and treatment processes of CP.



Raj Kumar, Achintya Prakash, Sant Prakash Gautam, Rishabh Gupta

A Unique Perspective of Prosthetic Fitment to an Amputee with Very Short Transtibial Amputation and Knee Arthrodesis: A Case Study

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:4] [Pages No:101 - 104]

Keywords: Jaipur limb technology, Knee arthrodesis, Prosthetic management, Transtibial amputation

   DOI: 10.5005/jp-journals-10066-0102  |  Open Access |  How to cite  | 


This case study introduces a distinctive strategy for rehabilitation of an amputee with a very rare kind of transtibial amputation, leading an extremely short stump in addition to knee joint arthrodesis leading the stump in a fixed extension position, in a very cost-effective way by utilizing the Jaipur prosthesis fabrication technology and material.



Pictorial CME

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:2] [Pages No:105 - 106]

   DOI: 10.5005/jp-journals-10066-0099  |  Open Access |  How to cite  | 



Medical Philately

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:1] [Pages No:107 - 107]

   DOI: 10.5005/jp-journals-10066-0098  |  Open Access |  How to cite  | 



Rehab Quiz

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:1] [Pages No:108 - 108]

   DOI: 10.5005/jp-journals-10066-0097  |  Open Access |  How to cite  | 



PG Forum

[Year:2020] [Month:October-December] [Volume:31] [Number:4] [Pages:1] [Pages No:109 - 109]

   DOI: 10.5005/jp-journals-10066-0096  |  Open Access |  How to cite  | 


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