مركز الخُرَيِّف للعلاج الطبيعي - Al Kheraif Physical Therapy Center

  • Home
  • Saudi Arabia
  • Buraydah
  • مركز الخُرَيِّف للعلاج الطبيعي - Al Kheraif Physical Therapy Center

مركز الخُرَيِّف للعلاج الطبيعي - Al Kheraif Physical Therapy Center علاج إصابات الملاعب، والجلطات الدماغية، وخشونة الركبة، وآلام الظهر والرقبة

27/09/2021

مشاركة مركز الخريف في اليوم الوطني 91

للوقاية من كورونا اتبع إرشادات وزارة الصحة
18/03/2020

للوقاية من كورونا اتبع إرشادات وزارة الصحة

09/03/2019

Academics 09.03.2019 PHYSIOTHERAPY CLINICAL FACTS.
*_Techniques for reducing Spasticity in neurological conditions_* .*

#1- prolonged pressure on the long flexor tendons of hand & Low oscillating movements wch incorporate trunk/limb rotation e.g lower trunk rotation(bent knees moved from side to side) & upper trunk rotation (clasped hands with extended elbows moved from side to side) with pt is supine lying.

#2-weight bearing positions: quadruped, 2 point kneeling, weight bearing on d hands, plantigrade standing

#3-sustained stretching in upright postures

#4-active contraction of antagonists so as to cause relaxation of the spastic muscles.

#5-electrical stimulation to antagonists so as to inhibit or relax d spastic muz.

#6-ice wraps/packs to d spastic muz.

#7-splinting of d joint of d spastic muz

#8-biofeedback

#9-Advising pt to carry out a slow & controlled movement & not forcefuly.

#10-Positioning d Limbs in an antispasticity direction(pattern) e.g if extensor spasticity is present in d UL,d UL shld be advised to be bent in flexion.

#11-The following such as agitation, fear, excitation wch increases spasticity shld be reduced as much as possible and encourage pt to be relaxed when carryout d movt.

مجموعة صور من مركز الخريف للعلاج الطبيعي
02/01/2019

مجموعة صور من مركز الخريف للعلاج الطبيعي

Academics* 18.10.18LEG LENGTH DISCREPANCY (LLD)Definition/Description:Leg length discrepancy or anisomelia, is define...
18/10/2018

Academics* 18.10.18

LEG LENGTH DISCREPANCY (LLD)
Definition/Description:

Leg length discrepancy or anisomelia, is defined as a condition in which the paired lower extremity limbs have a noticeably unequal length.

Classification of leg length discrepancy (LLD) #

*Structural (SLLD) or anatomical: Differences in leg length resulting from inequalities in bony structure;

*Functional (FLLD) or apparent: Unilateral asymmetry of the lower extremity without any concomitant shortening of the osseous components of the lower limb.

factors #

Idiopathic developmental abnormalities;

Fracture

(Trauma to the epiphyseal endplate prior to skeletal maturity;)

Degenerative disorders

Legg-calvé- Perthes disease

Cancer or neoplastic changes

Infections

Functional:
Shortening of soft tissues;
Joint contractures;
Ligamentous laxity;
Axial malalignments;
Foot Biomechanics

Check for specific compensation used by the patient to level out the difference in height.

Longer Leg
Short Leg
Foot
Pronation
Supination
Ankle
Dorsiflexion
Plantarflexion
Knee
Flexion
Extension
Hip
Flexion and Internal Rotation
Extension and External Rotation
Innominate bone[2]
Posterior Rotation
Anterior Rotation

If the leg is left uncompensated, the anterior and posterior iliac spine on the side of the short leg can be lower which may result in a sacral base unleveling and/or scoliosis;
Increased muscle activity in several muscle groups.

The role of LLD on walking:

Gait asymmetries throughout the kinetic chain;
Increased vertical displacement of centre of mass resulting in increased energy; consumption.
Compensatory mechanisms for this: calcaneal eversion, knee extension, toe walking, circumduction, hip or knee flexion (steppage gait);
Decreased stance time and stride length in the shorter leg;
Decreased walking velocity, increased walking cadence;
.....Will continue...

Academics* 10.10.18Paediatric Ortho:"Mod Quad Surgery"Secondary Surgery in Children with Brachial Plexus Injury (Mod Qu...
10/10/2018

Academics* 10.10.18

Paediatric Ortho:
"Mod Quad Surgery"

Secondary Surgery in Children with Brachial Plexus Injury (Mod Quad Operation):

This does not mean that the primary surgery did not work. It describes another type of surgery later in time used to correct muscle imbalances.

The situation of muscle imbalance is very common among patients with Erb's palsy and with other brachial plexus injuries. In experience the majority of children whose injury does not resolve completely by 3 to 4 months of age will end up with a specific series of arm restrictions caused by a muscle imbalance between injured and uninjured muscles.

Among the muscles injured in Erb's are the abductors of the shoulder (that lift the arm over the head), as well as the external rotators (that help to turn the upper arm outward and to open the palm of the hand).

At the same time, the internal rotators (muscles that turn the arm and palm inward) and adductors (muscles that pull the arm to the side) of the arm are not involved in the injury because they are supplied by the lower roots of the plexus.

Therefore, these strong muscles overpower the weak muscles and over time the child cannot lift the arm over the head or turn the palm out, because of the muscle imbalance.

In order to use the hand effectively, the elbow becomes bent, and this eventually becomes fixed because of weakness of the triceps (the elbow straightening muscle).

The elbow-bent posture (also known as the Erb's Engram) contributes to the appearance of the arm being shorter, although it probably is in reality not much shorter when measured.

For this muscle imbalance, there is a very effective group of muscle releases and transfers which can put the arm in a more natural position and help to lift the arm over the head.

This operation called as the "quad" procedure because it has four components:

1.Latissimus dorsi muscle transfer for external rotation and abduction

2.Teres major muscle transfer for scapular stabilization

3.Subscapularis muscle release

4.Axillary nerve decompression and neurolysis).
Depending on the individual child, other nerve decompressions or muscle/ tendon transfers (such as pectoralis muscle releases) might be performed at the same time (the modified quad or "Mod Quad" procedure).

And find a 70 degree improvement in abduction and 60 degree improvement in external rotation at 6 months after surgery; these results should also improve with physical therapy

Academics* 15.09.18*Shoulder – SLAP Lesion -Repair"The shoulder is comprised of three bones called the scapula (Shoulder...
15/09/2018

Academics* 15.09.18

*Shoulder – SLAP Lesion -Repair"

The shoulder is comprised of three bones called the scapula (Shoulder blade), the clavicle (collarbone), and the humerus (upper arm bone). The glenoid is in the shallow socket of the shoulder blade where the head of the upper arm bone rests. The humeral head, or ball, of the shoulder joint is much larger than the glenoid socket, but the socket is surrounded by a ring of strong, fibrous tissue called the labrum. The labrum deepens the socket, serves as a bumper to provide additional stability, and serves as the attachment site to important ligaments. The biceps tendon also attaches to the top of the labrum, also called the SLAP region.

A SLAP tear occurs in the top (superior), the front (anterior) and back (posterior) of the point where the biceps tendon attaches to the labrum. The term SLAP is an acronym for 'Superior Labrum Anterior and Posterior.'

Causes #

A SLAP tear can occur either from trauma or from overuse. Motor vehicle accidents, falling on an outstretched arm, or forceful pulling on the arm can all result in a labrum tear. Shoulder dislocations can also cause a tear, often to the front (anterior) or back (posterior) of this structure. Repetitive overhead activities can also lead to tears of the top of the labrum. Chronic degenerative fraying of the labrum can be seen in patients over the age of 40 years. These chronic tears are not uncommon and are often seen in association with other problems including rotator cuff tears, and should be distinguished from acute traumatic tears in young people, or SLAP tears in overhead athletes.

Symptoms #

Some of the most common symptoms of a SLAP tear include:

A feeling of catching, locking, popping, or grinding in the shoulder.

Pain associated with overhead activities.

Loss of strength, pain with lifting heavy objects.
Loss of velocity or control in throwers, “dead arm” feeling.

Feeling of instability, or true dislocation of the joint, particularly with anterior or posterior tears

Treatment #

For most SLAP tears, conservative management is often effective in alleviating symptoms and improving function. Anti-inflammatory medication and periodic icing may be used to help alleviate some of the symptoms. Following diagnosis, rehabilitation exercises may also be administered to help strengthen the rotator cuff and correct shoulder blade mechanics.

If patients continue to experience symptoms despite conservative management, surgery may be recommended. Surgical treatment of labrum tears would include debridement, repair, or biceps tenodesis. For anterior and posterior labrum tears associated with instability or dislocation, repair is typically performed arthroscopically. For SLAP tears which involve the top portion of the labrum where the biceps tendon attaches, repair is typically reserved for young patients with tears due to trauma or participation in overhead sports. For most other patients, SLAP tears can be effectively treated by releasing the biceps tendon from the torn labrum, and reattaching the biceps tendon lower down on the humerus bone. This individualized approach to the treatment of labrum tears leads to decreased pain and improved function in the long term for the majority of patients.

A SLAP Lesion Repair is a minimally invasive arthroscopic procedure which uses a tiny camera and miniature surgical instruments to repair the damaged area.

Academics* 27.08.18"Knee Replacement Implant Materials"The replacement knee joint is comprised of a flat metal plate and...
27/08/2018

Academics* 27.08.18

"Knee Replacement Implant Materials"

The replacement knee joint is comprised of a flat metal plate and stem implanted in tibia, a polyethylene bearing surface and a contoured metal implant fit around the end of the femur. The use of components made from metals and polyethylene allow for optimum articulation (or joint mobility) between the joint surfaces with little wear. Because the knee implant has a flatter bearing, wear is less of a problem than in a hip implant which has a very deep bearing.

Materials which can be used in knee implants are:

Stainless Steel #

Due to limited ability to withstand corrosion in the human body in the long term, stainless steel is not often used in knee replacement implants. It is more suited to being used as temporary implants such as fracture plates and screws.

Cobalt-chromium Alloys #

Cobalt-chromium alloys are hard, tough, corrosion resistant, bio-compatible metals. Along with titanium, cobalt chrome is one of the most widely used metals in knee implants. There is no consensus as to which material is better and more suitable.

Although the percentage of patients having allergic reactions related to the use of cobalt-chromium alloys to is very low, one area of concern is the issue of tiny particles (metal ions) that may be released into the body as a result of joint movement. These particles can sometimes cause reactions in the human body, especially in case of those patients who have allergy to special metals like nickel.

Titanium and Titanium Alloys #

Pure titanium is generally used in implants where high strength is not necessary. For example, pure titanium is sometimes used to create fiber metal, a layer of metal fibers bonded to the surface of an implant which allows bone to grow into the implant or allows cement to better bond to the implant for stronger fixation.

Titanium alloys are bio-compatible in nature. They commonly contain amounts of vanadium and aluminum in addition to titanium. The most used titanium alloy in knee implants is Ti6Al4V. Titanium and titanium alloys have great corrosion resistance, making them inert biomaterial (which means they will not change after being implanted in the body).

Titanium and its alloys have a lower density compared to other metals used in knee implants. Additionally, the elastic nature of titanium and titanium alloys is lower than that of the other metals used in knee implants. Because of this, the titanium implant acts more like the natural joint, and as a result, the risk of some complications like bone resorption and atrophy are reduced.

Uncemented implants #

Knee implants may be “cemented” or “cementless” depending on the type of fixation used to hold the implant in place. The majority of knee replacements are generally cemented into place. There are also implants designed to attach directly to the bone without the use of cement.

These cementless designs rely on bone growth into the surface of the implant for fixation. Most implant surfaces are textured or coated so that the new bone actually grows into the surface of the implant.

For this, surface of the titanium is modified by coating the implant with hydroxyapatite, a bioactive surfacing agent that will ultimately bond as the bone grows into it.

Tantalum #

Tantalum is a type of pure metal, which has excellent biological and physical properties, namely flexibility, corrosion resistant, and biocompatibility. Recently, a new porous substance has been made of tantalum named Trabecular Metal. It contains pores, the size of which makes this material very good for bone in-growth. In addition, Trabecular Metal has an elastic nature which aids bone remodeling.

Polyethylene #

The tibial and patellar components in knee replacements are made of polyethylene. Though standard polyethylene surfaces traditionally suffered from wear in hip implants, wear is less of a problem in knee implants as the bearing surfaces are flatter and do not result in the same kind of wear. The use of Ultra Highly Cross Linked PolyEthylene (UHXLPE) or Ultra High Molecular Weight PolyEthylene (UHMWPE) reduces even the minimal wear enabling the knee implants to last for a much longer time.

Zirconium #

Zirconium alloy and all plastic tibial component:

Zirconium alloy is used in a new ceramic knee implant. The zirconium alloy is combined with an all-plastic tibial component, replacing the metal tray and plastic insert used in other knee replacements. It is believed that this new knee could last for 20-25 years, substantially more than the 15-20 years that cobalt chromium alloy and polyethylene implants are effective. The new combination can be lubricated, which results in a smoother and easier articulation through plastic.

Another important characteristic of this material is that it is biocompatible, meaning that people who have nickel allergies and cannot have knee implants made of cobalt chromium alloy (because nickel is an ingredient of cobalt chromium alloy). Zirconium alloy implants eliminate the risk to nickel-allergic patients because this new material contains no nickel.

Oxinium oxidized zirconium: #

Oxinium-Zirconium Knee Implant (Smith & Nephew)

Oxinium oxidized zirconium is a new material used in knee implants since 2001. It is basically a transformed metal alloy that has a ceramic bearing surface. It contains zirconium and niobium alloy that was oxidized to convert the surface of the material into zirconia ceramic. The advantage of this metal is that just the surface has been changed, so the rest of the implant component is a high tensile metal. Although it is twice as hard as cobalt chromium alloys, it provides half the friction thus performs with higher quality and lasts for a longer time.

Ultimately, knee replacement surgeon will recommend using whichever implant or implants he or she feels is right for situation and whichever product he or she has previous success with.

Academics*16.08.18Exercise precautions for Clients living with anaemia :When someone is anemic, the body doesn’t have...
16/08/2018

Academics*16.08.18

Exercise precautions for Clients living with anaemia :

When someone is anemic, the body doesn’t have enough healthy red blood cells to carry oxygen to the rest of the body—making it challenging to exercise. However, that’s not to say exercising with anemia is impossible. Therapists have to take these simple precautions to maintain workout routine when client living with anemia.

1. Start off slow. If the client have anemia, might feel fatigued due to a lack of oxygen circulating through body. Start workouts slow and progressively increase the intensity over time. Stick to lower intensity workouts, too, like a yoga class or a walk rather than a run or HIIT (high8 intensity interval training) workout.

2. Give breaks often:
Always listen the client body—if feel tired, pause and assess whether or not can continue. if the client feel exhausted,ask to sit down and catch breath. Waiting it out might be the best option.

3. Shorten workouts:
Even working out for 15 minutes is better than not working out at all. If the thought of getting on a treadmill or Stairmaster for an hour seems daunting, start off with shorter workouts.Ask to client Take a walk around the block or try a short spurt of exercise at the gym.

4. Timing is key:
Workout when the client feel the most energized. For some, working out in the morning is when they have the most energy. For others, a late-night gym session is when they hit their peak performance. Sometimes this takes trial and error, but workout when feel most invigorated.

5. Client Education and discussions with THERAPIST :
Ensure workout routine is safe and remember to always stick to the treatment plan already prescribed.
Because there are both mild and extreme forms of anemia, may have to change up routine.

Exercising with anemia is possible as long don’t overexert . Listen to body’s needs and act accordingly.

Address

طريق الملك عبدالله/الإسكان/بريدة
Buraydah
52387

Opening Hours

Monday 9am - 9pm
Tuesday 9am - 9pm
Wednesday 9am - 9pm
Thursday 9am - 9pm
Saturday 9am - 9pm
Sunday 9am - 9pm

Telephone

00966163240064

Website

Alerts

Be the first to know and let us send you an email when مركز الخُرَيِّف للعلاج الطبيعي - Al Kheraif Physical Therapy Center posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to مركز الخُرَيِّف للعلاج الطبيعي - Al Kheraif Physical Therapy Center:

Shortcuts

Share

Category