you CAL GME Sue EDT 1 a9 C Poosan CHATURVED —— gygmarTTED @Y: ShaKSH SHARMA ‘CURSE or Code + PTyu0! REGISTRATION MO, + ILFIO34S DATE OF SUGMIssions 8 HI fa. ‘ 08) SLs BD a GROUP sa a be an / secna 9) | SuGseLT: PHNSIOTHERRPY IN nlevRoLoGY fp meuRasvAnerY DA WRITE Dowh PINSIOTHEARPY TANRGEMENT gf NAL cA IIURES ? Gee? Spinal Grd Thpaier CSE) tan be Gefined as a Haumatic. ec nm- Wauinedic even “hak feads to newrek damage dyt influence motor, Pe ee vepiedoy unctten aa cet os "yllaia phowel and semen PHYSIOTHERAPY MANAGEMENT rn eee a : The aucte manssemak aye velo bibitedion edt SCE depends ab athe evel ond aybe injury te the spiaol sThe management of on ‘nelividuol ust seth tax and Lip beguiding a mult ckice’ plans oyproad,. ane gis . sCefore oxiig any intentendins yrysiohtohy examisetion ln bedoy 9) PHYSioTHERAPY examin ATION + cau ab sansa: $US iy Reipivatony expriqacon 2 ePhystothenapirt cheek fo funchon of aeafochony tere eee rruuclas chart expen , breallay pattem cough | and vitel_eametty iy Ska aumento: Check be bed dosed of ony ota. opposed valettatae se tee one epangss pauient. dis Seaton + Aves derchou in portteslos. divtnotsmel gitate eusluole iy Sersohon ée deeb al yy: wi) Tone_anc deeb torelon ighlway must be checked wy Manual muscle dest _ond mngel. men anenwuacs mt be dame. ep a jot tne fancied i ‘ viv “Fanchonal Aha 4 be drecked 4 daktnion oe fundieral indejesln aj tre mit: + ASIA pripoivtnent Seale ton be vied to clawiby Apinol word mjwiie ay Compleat cae A) or Incgmplede CANS 8,¢,D andl ): » Cink us? og Cental cord Join, brown seque Scanned with CamScannerGanoa meeluler’s ation, F tofd_syndiome, cant u bebeue “ogelging phynothoupyf Gud waning gmdenme yn fnlevvenhon. a Asser, tenpalmants, adtvity Lteiiakou and parke’ pakton yesticttons Set goals which oye yelewant do ackiiy binitatow and Pavia patton —yertriebiona. > Lorch bichon of. key impaiement that ave tering a eyemeude q goals. Ww) Taek Rication and admmiskatiry of pryplthapy qrdeyientions fie chengthening _frcgtom , jah mobil , moby skit durelebrnat, exralien cago eabiedoly fonclionng , fain, pnegemuct. bed tore ‘STEPS IN MANAGEMENT O€ INDIVIDUALS Witt ser + maragemént ete) \) Meauument ab treotmaect_ sushi. B® PristoTHERRPY IN DIFFERENT PHASES of SCC; re cof andividuola witha Sc tan be ands te Arvee phases ent vy Ace, Calo tm pgexent Craplicodow . : ty Gibcaaude C Goal dulguceed vPeeset on mmoaienad ‘vwdefandence kay eioleqedtn to Crmonic ( fakient speolfe, evened Awoult pauorts reeds } i) AquTe Punse: a einphosis on veiph ; Jon of adieeck Tmpolmart andl compticahons, maintaining Ror and wooremind fecibecton : ‘ ‘ Koy | 5 papedaey Butoh: Scr san coe byprrestiotn y eelededs euetn ‘qezenhn, and prenna’s. Bs tated ith @g3 Tebeaplegn + CH na Ingen + “Reeath® indapendarsly CETEMS” sfediaad ital capacity ond difftculty im yaish Gn -abdaeninal prenure foe ‘nk-albdemrne! chee ough ox ESTE. Claced explanted mechanitel yénttlodkon mechan eo Unraamnxt Snlelendions + pan sony, vibeadters , shalt . - o> fercuuion, vibrations , Shale) Postal chrain A fox seunhon lenin else oF Farah are 3. To_improle ventiiahin —# plbdeminal " eubpatt, posit arr J = deeb breathing Scanned with CamScanneren a = - a ausal, Ynaaie spiromelay ‘ingpirabory wacle Euiprrenhy auch as CPP ke BPAP ean alten be usec. by Fun cttonal Range a yotion Rom gh abl yoink Pessiwe aleetehing , W Se ae iit % lor ! #40 ze positioning 1h _ Aer hones partivon and othe. common hypetlncic tyechnauk 4ecFntyue™ auch a4 Fst freak ond —yuateined deeb poate? eon be usedolong wily PROM euerciie c) Provun_Uenis preven» Peegaant vablleg _regioiss and mobilizing 04 4 well ar deg ole sien moishel ving smutridion and moniiodg On be dnd. in gate phast- a vatatng ond Rrchiing tvereted fee > Seyene — Assishance haining con bbe ued oth j-9 gob af deine 12-2 Ames pit wees Vy SUBACUTE. PHASE (REHABILITATION. prace : andhis prare wtde vange cL, ton ve wwed ayn Ub onkvrody potent specific - anvenenchord al) Robt _euenuiaes by Shengtianyg _quectiaed a pa Warupeu Ake wuld manila gupine te doy siisesiLintad co no UY ute © feeb oF yaa. Silly wuugpoued ity , Ueiagiedtot end smouyest Ay wheelchalt twO) mobility cain be Hagin to parton > Cait Amand , bakowrce eerie jae b Clanding can ke adtained by vain authue dawices guch at titk jebles , sandy Whe or standing Proma, nice tanaby om he done. Spine & Cowie mogaliver Uke TEMS) y carrelivesculot fines Guucses ryote Edapoxsling ufon Scrtevel I) con be afegtical stieudthion tan be used: Fundioal of Se RM Lak AO OR aoe ig | geal reppired fir community pottidipeshin Me EM Scanned with CamScanneree Mi is eriewkd “Rusoud) toning The reiw@hy @Pandion and fo rehnforce dam ae ere . recmety gt Punction and fo " Occupatoros therapist can alte hut fhe olone vita phyaiathee Pek te Raguiting Roving shelly J * Sot Auur moripulatton and ghee treiopettc exocicer Gn alee Be wate. Releaznce + \owsus phigsio peda. com (2 WHAT 1S “TASK ORIENTED APPREACH . voRITG A Note { AMS TASK ORIENTED APPROACH + ; Teak ovteyed trolrny sg rerfovave Ahempeutic approach boreal om athe safe theory gl moby cmbnl , “Totk ovtented apprcoch wor siven by Bernstein in 964 To adlaln achve aralernondy ie. Cie of achive ce ant pieimise Aands tesa and mastimize pole as training thermputcl, FB) To Harti the potent quay dwn oalng anistve deviter touarel Tndeper drt | ction ai donned the posit t able. i) chvely ¢oundermct the ebeeta of, Trtrabelity ard the gavelg! ee ered auch os muse weakele gy.tom al fest kitty, rant t promote we: daperdind- cateas phased ly, prevent leened von—use af the involved segerants while Saat rece ry. potieuty Jewel thi Ablgpadesl Ay yyntalwe the faba ty 2al_teltne Scanned with CamScannerfo eae oe ea: pe nd decision makin hanein ‘ niche —— enhancing welwakion and promafing acive * Task analysis include an tandeislandiog of ra) naduie of. tosh bythe enero elomank within the Tose, © the endack or anvironmaick im uskich tak cece. “The Wergpil select qehuhts nd raectifies Jask demands haved om onalyrs he diene on ppeeiete +The dasks ave modified coriqually cto : i> tereage the Level d iffy Sypromole adlablato of sketly Wy promote independence example : - ively dowerlng Poe seat hulgtet dluting’ sik-slend an (Eee ic kandi g yeaenses the the feb whl fhe padtient table fo sland wf dom a 1! nacmal yeak tsight. sTavetargeled ehabiliteson dudes § i i ivi i ing, hygiene , ec, Basie ackwitier daily diving Mike qeudi pavettig yore ete. i recital sat skill CMC) Like ed Oa bl , earafert and Aocemetion ineade wat ef itive deste ce AMAL function fog. o) fatly Ae y dos Naas nl efit and Locomotion pdreisieg + Toake_ ta dusing Jake verabivtation depends urpen the paced \s Jorlal ceulery and discharge platemont pthc yndudes: a) jaghumental achwidiea af daily dvieg dike home chores shop ing by Gammunity mob Ay © Work guivites 5 jawie_ber taic approach following parameter nmuut be hesermined these tineducdad + . a) Manage doljee determine yeak ond preachce fone faa) pexfermente 5 ee ‘i or intenaity , minimal number! repens, a) Eslablich practee guredute of tasks, shifkte waniable prackeets enhance peter on Scanned with CamScanneree Se ae Se :. Delerming the practee cided. coke 1) GhILt do saneleen ordel. fo enhance refention Ay torchol we ef Inshuekow and augmented feudback ty premate deatring. $>Gmirel use qf ain ted movements ts prone intial eauvng. RoLE “PERRERMANCE t O CuPAM ONAL PERFERMANE (git Ese] a, [pote saa Seon TASK ORIENTED ppRonclH USES THE S¥oTeMs Monel OF MOTOR CoNTROL To ILLUSTRATE THAT OCCUPITIONAL feRfoRrNNCe * * Baically tosk oriented taining evolves Atal —Lfe puks pracce , withthe jytention of acapetiog or redeguiring askall. “the teuk shoul be” chaltenging ond progtunticely aslapled Ghd Alaudd javelvie ahve parhapation. # Ute importeuk ty know hab it cefhus from vepehave Hramnigg ,wsheeethe Jose Bw dividid eto componénd pathy and thin reayemboted into an overall task onte eoth Gmponenh ie feormedt- + Repeltfiue alning u wavaliy convdittd 9 buthorn-up approrch and i missing dhe ord —geal tf acquiring x skal . Task -Orlended taining don inuetue Ahewse f ao technologie) ard 03 Ag ou he technology allows the patient tobe ackvely ‘vel “Tash opianted shalaing ts alo smokes caltad -foukespecitic ‘raining , gealcditecked training one dunctiwaS uk packs Pebersnce Cro Ke ENGINE + PHYsIOfEDIA * PHY SIMPAFIED Scanned with CamScanner@.3 were ROUT TYPES oF Inton/TIN ENCE ANE INGNTINENCE Li defined os jnobility te conbol #he flowe| wate dom dhe bladder Ce veunine InCONNENCE) of the eeape ef shal Bum she rechan Cit PECAE Intent ence "URINARY INCONTINENCE Jy dhe wiinlurhmol pain, a aa “tomo pavblim Theat ty offeck millions of people * Chuses of winary eminence canbe delirium, witechon , Magnitis oruethritis Pharma cual Cmetcahra) payehabegi ea! disordels, endocrine ards reriohncted mobility, ee othe prevalent jnexeaes with —incaeniiny Ot 6 OF INCONTINENCE ¢ ref ae Tramnene can be of mary types bee sex Ancombinence urpcncordinente , neoirhnance , funeral Icmtiaentey gives Ato jmemsnence or tntartnan ce oplet How, ‘1g 0) Shrem_incentinence ? 5, detined oa mvelanlary loced OTH lua Achos guchas eo gnetting and Li shat pul aledsnunad pretute Ps the bladder. 8°81 a Hs £9 orm shin the gphinckee murele of the blades ta voeakened eoge lis me 4 iy resulting = Qam pregewey ye ltldlirW 0nd eidbich and oy oe an panes : ‘In Ss lel re posiele and ca can Jeod to siren jacorthyance a gms nf splat eel (=SODTE NOH by urge yntamHMenee! ejrme jnesmbinene acount n pons uke hai a ok abel wage tp ualrote Hoot leads te wnconbrelleabte pier fot 3 voting “ah wanes lowe! naa ee ae Urtls , oladdee jrlarh , Ipovel sroldarnn, farmer's cldeote ) ANKE yInjary or nervoug Aafeinion %4 Ase aUseake, sem dornage Cee damay. onan pally muttiple schovscs, *Tdio; i uNge jaconinonte con als be these Scanned with CamScanneree ———— +E theve fs ne known Cove. yTe ty abi cated, everackve loladeler, ©) OVERFLOW INCONTINENCE: ——— OveLplows trocontineece. fs defined cu grant dvitbling a utine ually oxsodaded usith uninading fesqeantly and in Arnall qumownt. : UH ras gfe tainaey veleedion “This type of Tocantinente roy occu tn pegble wcll ck lofacldas,, ‘alocked urethra and newie downge Aram diakedt nel in men tsith presiade_ gland peobleiru d) FUNCTIONAL INCONTINENCE: — in olde chill themndinence occ beawe st any physical of made! imbsitinent ushich keebe Hem fm ranking it do the dotlel tn Kime. . + Ge exam@es- A severe adtenactinitis freachue acthvitis padiewt nist be able do vet twit in dime of imay net be cble 4o enbutn nis] hee porte quickly aout 2) Gross TOTAL jiconTl Nénice Cross otal continence ty dacribed a4 contiquow! dealing qf wine ,daoy ord wight se the petiadlte wntonctallable Neokking, o Aargt yolume af urine. Wn th dhe Mode hos no storage Cofncity. + Some pesple drove thi — betauue at anihenicad clakect . * Gress dota) inewdimence Gm allo be Cured by injucies dy dhe spinal gcd or uximaky sytem ge by on abnormal pening tollud Rola Ioehoew the bladder avid an adjacuc vhehu re puch Ga the Nagiaa Mixed Mantinence stn rine incontinence “inalvtdaal can peeeak (sith mare anant one Supe jncontingince | «Fox_cxomples Shes ‘vatrdinwnce and Joc Ue treadinenue wight be" masked | ey on overadive bladdt | RereRENcCe: PHYSIOPEDIA Neer Scanned with CamScanner+ Physical aherspi cts play an important Hiakegeat take -eche mi iia on SS —— 1 (CY WETE_PNSLOTHERAPY MANINGEMenT OF MULTIPLE SCleRenis # (NS MULTIPLE SeLeRosiS i an auttmmune cliseore of Cena nervout isle Cenals} chamnclutzed hy ehronic inblammedton , damyelinadion, qMech and neuronal less, *O con cco ar reblaaing - remitting er progurrsive wi nave ‘Pinaby ale d-3 hres mou. affected thon rroles, PHYSIOTHERAPY MANAGEMENT ; oF mulliple gcttuotis Thatughout the dese Courge fe ad diageess, Arg rele sear diaing atts of propoaton on well os pees ¢ shlty and atlowhin diseaie” becomes mort adirinced. a) Mt the Hime _of diagnosis : Phyaiertherapet eclucates potent ahr the tmdition amd role plusiotherapy in slaygng ackue , mobsle rode wed contlerla bbe 6) Prysiotherapisk de a Yowugle phyti¢el eaminabion and auratus baselrag Qik nelphul in acting yenbistic. and move pabacheeife ont ©) fased op aterinant and lage mudple acbees’ (fieetara pi alalgishs an evidence-based exoute ond physical activity preity i thetaptse soe tne mobility? pabenki cahuwas ay During able grows , theLapie — men mobibity sult the period of. velofhe ynaie aim is to achiee paeulons level func, 2) PHYSIOTHERAPY ASSESSMENT k_ INTERVENTIONS NTA AEST Ne at yealise the pated RecA foRMANLE rhoy be Limited by fotgue , peta or gther fa.chova +Rued on whol ls awertert atensdively exeicicet au berformed ay dlesingned a help potent: flattening | foshua canrect dah be tanght- V) Othe. jehabbilehon chabesies C Light compression, gente rackiey 26) along with mediation © iam la” wel 4) Musee WARNES 5 -o Weaken can be due to demyelinahan’{ puueat in Nucla Like bialis antesor ocibebcoms) oy duc do aligte oF hee ered MMT unk impaarmadacate Shins St ty seed PART funk impmerce Entervendions 5, gecranice TRAINING 2 Krequanty 98-3 sessions) week, Thenuity-» |-3 pele, &-ISrepebhow oF Go-wor| repetition maxinuem, Bese» eH uinutee Mode + Body Aesisdenle, yee eh wserght wachiines, yersane bans = XA © (O-0RDINANEN [ATRIA abe be ofl dur pee used de aateys fe , Rrabors Borand Hock con be afagenminti— 4 Holt feg teat Goxand Hock est Can atso be ued. eT interventions . Honagemuct On be done by abing Aig Lseighdtr an eteerifies | bracing | splinting tc. » Bolonte bared tevte weighting cn be led. AININIG 6) PeRogic ENDURANCE! TRAINING Retobic training enhances Grdievarutor Jhintth which may help with CNS newval remodelling vregisth and pavtectton in people udth mg. » Feguncy 7 3-4 geri] weeks i = Scanned with CamScanneree ,)Q,CO. P+ Dural = Bo Yo minutes - Je Made Susione 4a Medd + Swimming | stakenary bike, twalleing Nucl asm bike > ResPieAToAY euNcTION é = nether ib ie ambutdbry or non= ambulatory poet, hey have metsutable yeipritory quale weakners saesenrnnict + Chis qalutced ty ane peapiratoay funchony avery |-2 yeart afc Atagnestc of ms + PU indewventine : "Respiratory muck tciniag! + 8 tertond fsck fur Bo minules aye offeckve VG ton be dene on** Hakigue lays! ® FATIGUE Fakque can be duc to impaired nerve tanduchon Sr os crregubt et, aidecffet a medicghoni HAyeneraink > Subigchve eliswopiion, Modified Faitgua Impatl Sale ; jahqu sueity i Atala tan be used. “PT interventions : cnergsy consenwadive yonagemack alwoulld be thaue. Re holy jflonting, Prindieery gposidontey. Tau deplifgeahon | | { i | | * Rot breaks chould be given + Enyivenmondad modified on Lan Le done. AY MOTOR IAGERY gon beled ty dachbitade mobr_perbormance % “CET Comrie (EHAVLOURAL THERAPY) gan howe Poittive effect on fakes tw auch a a rs a AATERWNTIWEL + GRE VOTHE FP xr at watadgond ath fhond wiensity bewve uidente dwiprevemetin paheuls. | Fr RIMS and EXERCISE PROGRAM JINERVENTIONS di fhew, according do the alge. Crelopse, verniion) of ool dole advanced stage do multiple selowosis Refeunte Pou storeD A. “Physical sherapy tr miyliipl Sato CMotmal yuttiple Sclerosis Soveby Scanned with CamScannerWRITE DI : - ies Mca TESTING OF AUTONOMIC MeRUDIE eyCTEME TE ene enh (ee ein SIREN a a Nelo ic. dechniguer je NCW and Emo, be@ete pealganey ior 22 are unmyelinated « a oa ae uso amen ANS is indlercled, by eveluahing +he yedponse Cited reflex by approphae Atma. ‘a TESTING OF ANS: iy HRY analysis» 5 Heayt take Maxiatbity LuV) f& a medaure of, cardiac ductonamnic. hme. “HON te weted hosed gh Hivne- domaia ot frequincy demain anolycis » “Tndtces of Hene—damain anolytis, deve from either direc “RR interval” Teaiuverea od the —obhyeuuneas pahoeen Sducrercive RA Inlewal’? ty AUTONOMIc REFLEX SCREEN CARS) oF Res Pon SES » fradtovosulor softtices — oa “This HAL ty Eases upon ge resperues of dhe heoth mie anid blood. presiive dh iradour Ahnrucli . Syrmpothettc and paraiymparten. Bunedfon ib ynolved os Postural hypotension [Active standin spaemodyniamic reijences ba ackve doreling are akewed duaing dhe teat » guaject veil io spice. pasion, bebo. maneuvit and shen Immediately axume uptight “postin which Anode to wbrupt. felt in blood prematt butt fe globilizs opie, fkmiowtey das Jo acivedtion of compenuadory mechanism : JR fall ‘n_ gptle at below dsmmi and diostelre oF below Lo moll “labia minuder jn a petyt pestken abroad Cocunu totth esta) embrel + Qld pressor feat : Cxposure 4 cold ‘induces vasocontyichion ard a rie ace io ae in felond preduele- ceduee -* Sméision at fond oi a beak 60~ i ial (HCY and oles ohisack i ahah ce Herds toa sMioemally TL exceeds fy Sent ° thmehi : { : ented _airthmelig tet: Sire activates sympathatic auton and ee Scanned with CamScanneraye Ta Ihe BP Vooceduuty dak fosienct 4o Yprfoun atifalaubrhrackon Ceq# [ona-I8 ovlot) Rew Systolic BrP slowld exeesd [omni "Go andro! and perighetal ovons con afte hase tus Waltalva manoeuvre + OO tenth the potiext phates agent a clored _glnttic., Tneyenses fabrorthemeic preMie anddhur yadutts Yehour rehun and systemic SP “The heal ale arceltiates te moigtein a. 7 ofenin agit venous ren Tnueaies ond an ovetyhook AP uth Goadio® Alousing occutt Fin ienpaived sauporse occ wlth alfetiict or ephencay Ledins, * Nov-adyenaling infusi wat patoan Liowe si mpalhetic canon, ce Annee yaults in Ssupersensittutty? af dara mecth myuwcle to adrenctine with a marked rise in BP — dolkouzing iahusten- ii) DEEP BREATHING — Thictert jx bored on dhe phenomencn of repiralag orchids tlic ta mopt pronourcad at dhe veupivadion ote al 6 brentheper minutes Poadout 2 Sabjeck ia caked a wrath ok Cbprn CCsecond fahalation £ S2ec cy eahalahiots and smectuie the diffeunce behoetn dhe avenage af the dogs: coloakert duatng ‘esbicalim end avaiagt. af the dargeil. cecelevation 1 Ap alouddnit be Jowes_than lon\6 bpm Chréadn pes matte, > Ly TSOMeTetc Gale TEST fi vise in dliaztolic blend presiute move ron ismnma Aveaminat dusing Liamneshic _Preriing ofa hordevip dynesnameler ak approaately fark oe yyaidvium centincn shrexgt fos 3S minudes. A SS A A A a RT RATE > ) oe coutel sinus ahold Amwlate the barorecepbrs, Inceemte “Ee compellale discharge ond slow the neat rede . seat eau prafleunh lnvions abolish hic responie ae Cit eet © Rho na odnpine tHlods vegal ackon and usith ilact ea mnewation pCaults fn cua ‘nctensest heart yaute wid Heap-ue THT TEST, peovocodve JADE teak i petlaemed om an automate i yt deat deble_ushich alloun 4 _Gmalent slew ALE do fof", ee Scanned with CamScanner— — TH Ta oroluade: odaplakon to ouholiaas and sbiequent changes in Adem odynamic _payametent. Nil TESTING FoR sue MeTOR FUNCTON-P ne cholinergic part of, autem neous elem can be abened based on | | ! | tua glands reaction dv vations AHimulus, | I | | | | 4) Thermo regulatory cea tet: Tr tnictt, pucot accushon off yoising, badly Jemperanae by Tah is meatured *fowden Cotizarin red) doolcheng telper. an eXpotudt ts mofshaue aie weed “Temperahae gq aueat_chamber™ id OF ye-sat and subject 4 kept thou tor QS-4C minder . 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