Vitamin D

Kirti Gaur BOT 3

 Role in maintaining calcium and phosphorus
homeostatis.

 Formation of Bone.

 Vit D is unique because it is a vitamin synthesized

by the body and its functions as hormone.
Sources

Food sources:- some fish, fish liver oils,

egg yolks, Milk and some powdered milk.
Supplements:- capsule,chewable
tablet,liquid,drop,cod liver oil.
Non Food Source:- Sunlight.
Deficiency
Rickets
Osteomalcia
Osteoparosis
Rickets
 Disease of growing bone that is unique to children.
 It is caused by failure of osteoid to calcify.
 Sofetening and weakening of bones in children.

 Clinical features
 Wide structure head.
 Protuding forehead.
 Swelling in wrist and ankle.
 Bowing of legs.
 Bone tenderness.
 Muscles weakness.
 Knock-knees/Bowed legs.
 Pelvic deformity.
 Spinal deformity.
 Suchas:- Kyphoscoliosis and Lumbar lordosis .
 Grwpth disturbance.
 Harrisons groove

• Assesment
• Identification data :- Name
• Age
• sex
• Address
• Chief complaint.
• History:- Medical. Pre natal
• Post natal
• Natal
• VIT intake
• On Observation.
• On Examination:- Proper Positioning
• Posture
• MMT
• ADL
• Growth Parameter
• Gait
• Impairment due to Muscle Weakness
• Poor Lower Extremity Alignment
• genu varum and valgum shortening and lenghtening of muscles.
Management
PHARMACOLOGICAL :-
• Cholecalciferol 2000 – 5000IU/DAY+ Calcium supplements.
• In Renal Rickets,High doses – Cholecalciferol 150,000IU+Ca.
Calcitriol may be given as well.
SURGICAL :-
• Residual deformity is corrected surgically (Osteotomy).
COMPLICTIONS :-
• Due to disease –
• Rsdidual Deformity
• Pathologic Fracture
• Complicated Childbirth
• Respiratory Failure.
• Due to treatment –
• Hypercalcaemia
• Urolithiasis
• Nephrocalcinosis.
OT ROLE
• Recommendation of Vit D intake.
• Importance of proper sun exposure.
• Muscle strenghtening excersises.
• Resistamce training.
• SENSORYMOTOR ( based on task and functional requirement):-
Correct Posture, Weight Bearing.
• NDT APPROACH :- Involve selective muscle strenghtening,weight
bearing of muscle group based on postureal ontogenesis and
relative allignment of femur with respect to tibia.
• CONVENTIONAL STRATEGY:- ROM strengthening exercises for
Hip(Flexion/Extension,Abduction/Adduction) and rotation
Knee(Flexion/Extension) and Ankle&Foot(Flexion/Extension and
External/Internal Rot.)
Multipurpose Wheel,therapy ball activites:- Kicking
Ramp, Ascending/ descending with Wt. cuff, Sit to stand and vice
versa.
Along with hamstring,Quadriceps and Dorsiflexors strenghtening
based on capacity.
• SENSORY-MOTOR MODULATION STRATEGY :-
Helped in controlling muscle forces and muscle extensibilty in
frontal plane.
Generating and regulating appropriate postural brhaviour.
Thank you