Dr-Talha Zeb PT

26/12/2025

Most Important for Stroke Survivors

📌Positioning

👉Positioning helps in reducing/preventing:

Skin damage ( Bed sores)
Limb swelling ( DVT)
Blood Circulation
Shoulder pain
Subluxation
Discomfort
Respiratory complications ( chest congestion)
It also helps maximize function and maintain soft tissue length.

🔘Positioning recommendations

📌Chair

▪️sitting in an armchair (Arm Support devices such as a Lap Tray may be used to assist with arm positioning for those at risk of shoulder subluxation)
▪️Chair positioning with family addressing from hemiplegic side
▪️Trunk positioning with blanket roll to maintain upright
▪️Hemiplegic arm supported on bedside table
▪️Legs in neutral position can use blanket roll to assist
▪️Feet flat on floor

📌Bed

▪️Side lying on the unaffected side then side lying on the affected side. (2 hourly turning positions)
▪️Elevation of the limb when resting for individuals who are immobile to prevent swelling in the hand and foot (above the heart)
▪️Positioning for increased stimulation of the affected side for patients with hemi spatial neglect
▪️Head positioning with towel roll
▪️Hand with wash cloth roll.
▪️Foot positioning with Foothold boots or Skin Care heel float or pillow for positioning

Source :Stroke Foundation NZ

26/12/2025

✅ Types of Foot Deformities (Talipes)

✔️ Talipes cavus
→ High arch of the foot (exaggerated plantar flexion of forefoot).

✔️ Talipes equinus
→ Plantarflexed foot; patient walks on toes (cannot dorsiflex).

✔️ Talipes calcaneus
→ Dorsiflexed foot; patient walks on heel (cannot plantarflex).

✔️ Talipes valgus
→ Foot everted (turned outward at heel).

✔️ Talipes equinovalgus
→ Combination of plantarflexion + eversion.

✔️ Talipes calcaneovalgus
→ Combination of dorsiflexion + eversion.

✔️ Talipes varus
→ Foot inverted (turned inward at heel).

✔️ Talipes cavovarus
→ High arch + inversion of the foot.

✔️ Talipes equinovarus
→ Plantarflexion + inversion (classic clubfoot deformity).

✔️ Talipes calcaneocavus
→ Dorsiflexion + high arch.

26/12/2025

26/12/2025

🔹Physiotherapy exercises (Step by step)

🔻Neck exercises:
✔️Neurodynamic stretching
✔️Neck stretches
✔️ROM
✔️Isometric exercise
✔️Decompression
✔️Neck retraction

🔻Lumbar spine exercises:
》 Kneeling superman’s
》 Decompression
》 Pelvic Tilt Excercise
》 Prone position
》 Prone leg
》 Single knee to chest bending
》 Cobra gradually
》 Elbow extension
》 Lumber isometric
》 Swimming
》 Single Leg stretch
》 Hip abductor

🔲Avoid and precaution

👉Soft sofas and poor sitting posture

👉Lifting heavy objects improperly

👉Long bed rest

👉High heels or unsupportive shoes.

🔳Advice of Daily Living Activities (ADL)

》 Maintain good body alignment by keeping your head up, your ears over your shoulders, and your back straight
》 Avoid twisting, keep your back straight, and use your legs when lifting.
》 Use lumber corset when travelling and disk work
》 Positioning and postural correction ( Ergonomics)
》 Avoid prolong sitting & bending position
》 Position change after 30 min ( must)
》 Sunrise ☀ 45 min everyday if needed
》 Avoid weight bearing

》 Regular home exercises and swimming

》 Lifestyle Modifications

》 Don’t smoke or use other to***co products
》 Keep a healthy weight and reduce obesity

》 Hot and Cold Therapy

▪️Exercises should be done 3 times per day.

》 Holding 10 seconds ✖️ Repetitions 10 times

👉If you are unable to perform any of these exercises due to excessive pain or anything else, please inform a physicaltherapist.

15/11/2025

Celebrating my 5th year on Facebook. Thank you for your continuing support. I could never have made it without you. 🙏🤗🎉
Thanks everyone.

15/11/2025

Types of Muscle Contractions.
(Concentric – Eccentric – Isometric)
--------------------------------------------------------
▪️ Muscle contraction is the process that enables movement, stability, and control of body posture.
▪️ Although all muscle contractions generate tension, they differ in how the muscle length changes during the process.
▪️ There are three main types of muscle contractions:
1) Concentric Contraction :
- The muscle shortens as it produces force.
- This occurs when the force generated by the muscle is greater than the external resistance.
- Example: lifting a dumbbell during the upward phase of a biceps curl.
- It’s the most common type of contraction used to move a body part against gravity.
2) Eccentric Contraction :
- The muscle lengthens while still generating force.
- It occurs when the muscle resists a force but is overpowered by an external load.
- Example: lowering a dumbbell during the downward phase of a biceps curl.
- This type helps control movement and absorb shock, often associated with muscle soreness due to higher tension on fibers.
3) Isometric Contraction :
- The muscle generates tension without changing length.
- There is no visible joint movement during this contraction.
- Example: holding a plank position or maintaining a dumbbell at a fixed angle.
- Isometric work is essential for joint stabilization and posture maintenance.

Dr-Talha Zeb PT
Follow for more information.

08/11/2025

ایک اور اینٹ گر گئی دیوار حیات سے
آج زندگی کا ایک اور سال مکمل ہو گیا
۔کچھ خوشی کچھ دکھ کچھ آزمائشوں کے ساتھ۔زندگی کا ایک اور سال گزر گیا ۔اللہ تعالیٰ آنے والے اس سال کو میرے اور آپ سب احباب کے لیے خوشیوں اور کامیابیوں سے بھر دے ۔ آمین یارب العالمین
HBD To Me

03/11/2025

Anatomy Mnemonics
Skeleton system
🫁🫀🦴🥼👨‍⚕️💀💪🦵

Following

16/10/2025

Spine examination special tests 👨‍⚕️


👉Special tests used during physical exam low back pain

》Modified Schober’s test: Ankylosing Spondylitis
》Straight leg raise (SLR) test: Herniated Disc
》Reverse Lasègue test (femoral stretch test):
Lumber radiculopathy
》Lasègue sign (sciatic stretch test):lumbar disc hernia or piriformis syndrome
》Crossover sign : Sciatica
》Bowstring test : herniated lumbar disc


▪️Spurling’s test
▪️Shoulder abduction test
▪️Lhermitte’s sign
▪️Romberg’s sign
▪️Adson’s test
▪️Roos’ test
▪️Compression test
▪️Distraction test



🔹️Exposure

🔹️Look

🔹️Feel

🔹️Move

●Measurements

》Linear measurement

》Chest expansion

》Limb length discrepancy

■Movements

🔲Cervical spine

○Forward flexion
•Normal: 0 to 50 degrees

○Extension
•Normal: 0 to 60 degrees

○Lateral flexion
•Normal: 0 to 45 degrees

○Lateral rotation
•Normal: 0 to 80 degrees

🔲Thoracic and lumber spine

🔹️Forward flexion (Schober’s test)
•Normal: 90 degrees

🔹️Extension
•Normal: 30 degrees

🔹️Lateral flexion to left and right
•Normal: 30 to 45 degrees

🔹️Rotation to left and right
•Normal: 45 degrees

■Neurological examination

▪︎Tone

▪︎Power
▪︎Gait
▪︎Reflex
》Knee jerk
》Ankle jerk
》Babinski's test
》Clonus

▪︎Sensation:
》Temperature
》Touch

▪︎Dermatomes

🔸️Upper Limb

▪️C5 - Lateral forearm

▪️C6 - Lateral forearm, thumb and index finger

▪️C7 - Middle finger

▪️C8 - Ring and little fingers with medial forearm

🔸️Lower limb

▪️L1 - groin

▪️L2 - anterior thigh

▪️L3- anterior knee

▪️L4- Medial aspect of leg

▪️L5 - Lateral aspect of leg, dorsal aspect of foot

▪️S1- Lateral aspect of foot

▪️S2- posterior aspect of leg and thigh

▪️S3, S4- perianal region

▪︎Myotomes
🟧Myotomes: Nerve root and test

C5 = Elbow flexion (biceps, brachialis)

C6= Wrist extension (extensor carpi radialis longus/brevis)
C7= Elbow extension (triceps)

C8 = Finger flexion (flexor digitorum profundus to middle finger)

T1 = Finger abduction (dorsal interossei)

L2= Hip flexion (iliopsoas)

L3= Knee extension (quadriceps)

L4= Ankle dorsiflexion (tibialis anterior)

L5= Great toe extension (extensor hallucis longus)

S1= Ankle plantarflexion (gastrocnemius, soleus)

28/09/2025

• Receiving Certificate from Dr Eiman Sumayyah PT.

• 𝐏𝐌𝐑𝐎 : (Pakistan Medical & Rehabilitation Organization)
: One- Day Hands - On workshop Bobath revolution : Modern Tools for Neuro Recovery .

" 𝐔𝐧𝐥𝐨𝐜𝐤 the full potential Of Bobath Neurorehabilitation through our immersive hands - on workshop experience - Design to help you learn pondamental principles Apply techniques with confidence , enhance patient outcomes , and take your Neurotheraputic skills to a whole new level of clinical excellence".

• 𝐖𝐨𝐫𝐤𝐬𝐡𝐨𝐩 𝐁𝐲 :
𝐃𝐫 𝐄𝐢𝐦𝐚𝐧 𝐬𝐮𝐦𝐚𝐲𝐲𝐚𝐡 𝐏𝐓

08/09/2025

🌍✨ Happy World Physiotherapy Day – 8th September ✨🌍
💪 Movement for Life
👉 Just a little daily movement – walk, stretch or exercise – because movement is the best medicine!

👏 Congratulations to all Physiotherapists for changing lives every day.

🩺🌍 World Physiotherapy Day | 8th September
By: Dr-Talha Zeb PT

Physiotherapy is not just treatment, it’s movement, recovery, and empowerment.

On this World PT Day, let’s celebrate the dedication of physiotherapists who help restore lives through evidence-based care, mobility training, and pain management.

Whether it’s post-surgery rehab, sports injuries, stroke recovery, or chronic pain. Physiotherapy transforms lives one movement at a time.

💪 *Stronger. Healthier. Pain-Free.*

*Your body deserves expert care , trust the science of healing through movement.*

02/09/2025

for Hip exam
👉Thomas Test:
🔷Evaluates hip flexor tightness. A positive test occurs when the contralateral hip lifts off the table, indicating a fixed flexion deformity.

👉Ober's Test:
🔷 Assesses for tight iliotibial (IT) band syndrome. If the patient cannot adduct their leg, it suggests IT band tightness.

👉FADIR Test (Flexion, Adduction, Internal Rotation):
🔷 Provokes pain in the hip or groin, suggesting Femoroacetabular Impingement (FAI) or a labral tear.

👉FABER Test (Flexion, Abduction, External Rotation, and Extension) / Patrick's Test:
🔷 Assesses for intra-articular hip issues or sacroiliac joint pain. A positive test indicates pain or limited range of motion.

👉Log Roll Test:
🔷 Involves passively rotating the leg internally and externally. A "clicking" or popping sensation can suggest an acetabular labral tear.

👉Trendelenburg Sign:
🔷 Used to assess for weakness in the gluteus medius muscle, which can cause instability and a "dropping" of the pelvis on the affected side.

👉Piriformis Test:
🔷 Evaluates the piriformis muscle for tightness or to screen for sciatic nerve irritation as it passes under the muscle.

👉Fulcrum Test:
🔷 Assesses for posterior impingement.

👉Hip Quadrant Test (also called the Scour Test):
🔷 Screens for various intra-articular hip pathologies, including labral tears and osteoarthritis.

⭕ Special tests for the hip are clinical maneuvers used to help diagnose specific pathologies such as impingement, labral tears, and muscle or tendon injuries. During a physical exam, a healthcare provider will use these tests to determine the source of a patient's pain.