Emerging Physios

Dear Participant,

I am Sonali Tushamer, pursuing post-graduation in Physiotherapy. I am conducting a research survey "KNOWLEDGE, ATTITUDE, AND PRACTICE OF URINARY INCONTINENCE – A COMMUNITY STUDY" under the guidance of Dr. Jeyanthi and Dr. Kiran Sharma.

I request you to fill out the form if you fulfill these requirements:
1) Community living adult
2) Aged more than 18 years.
3) Able to read and understand English
4) Not a health professional

All the data will be kept confidential and will only be utilized for study purposes only. please fill the form by clicking the link.

Research: Knowledge, Attitude and Practice of Urinary Incontinence in Community- A Cross Sectional Study Dear participant, I am Sonali Tushamer, pursuing post graduation in Physiotherapy . I am doing research under guidance of Dr. Jeyanthi and Dr. Kiran sharma. I request you to fill the form if you fulfill these requirements: 1) Community living adult 2) Aged more than 18 years. 3) Able to read and und...

Happy World Physiotherapy Day to all the Physiotherapist.

Ans B - Acute nerve compression

Why?🤔

👉Joint Manipulation is a passive, high velocity, low amplitude thrust applied to a joint complex within its anatomical limit with the intent to restore optimal motion, function, and/ or to reduce pain.

🔸Contraindication of Manipulation:-

• Any pathology that leads to significant bone weakening
• Neurological: cord compression, cauda equina compression, nerve root compression with increasing neurological deficit
• Vascular: aortic aneurysm, bleeding into joints
• Lack of diagnosis
• Patient positioning can not be achieved because of pain or resistance.

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Ans C - Brachialis

Why? 🤔
👉🏻 In the elbow, heterotopic bone most often develops in the brachialis muscle or joint capsule.

🔹The most frequently involved sites for Myositis ossificans are the elbow region and thigh.

🔸Causes of Myositis ossificans:
1.Trauma: such as a
✔️comminuted fracture of the radial head,
✔️ Fracture-dislocation (supracondylar or radial head fracture) of the elbow, or
✔️Tear of the brachialis tendon

2. Neurological impairments:
✔️Specifically traumatic brain injury or spinal cord injury, and patients with burns to the extremities are also prone to develop this complication.

3. After trauma:
✔️Aggressive stretching of the elbow flexors after injury and a period of immobilization.

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Ans A - Vestibulospinal tract

Why? 🤔

👉Extensor tone against gravity is required by the postural muscle, so that posture is maintained for longer periods.

The lateral vestibulospinal tract descends to all levels of the spinal cord and gives important contributions to postural control and movements of the head (facilitates axial extensors; inhibits axial flexors)

🔹 Whereas; The pontine (medial) reticulospinal tract enhances spinal cord antigravity reflexes and extensor tone of lower limbs.

🔸 So, in whole; the Ventromedial pathways (i.e., vestibulospinal tracts, tectospinal tract, and pontine and medullary reticulospinal tracts) are involved in the control of posture and locomotion.

💠 The medial vestibulospinal tract - also involved in coordinated head and eye movements.

💠 The medullary (lateral) reticulospinal tract - has the opposite effect, reducing antigravity control.

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Ans A - Anteriorly.

Why?🤔

👉 Anteriorly the ligaments are stronger but lack of muscle makes it weaker.

🔸Posteriorly, where the ligaments are weakest, the medial rotators are greater in number and stronger – they effectively ‘pull’ the head of the femur into the acetabulum.

🔹Anteriorly, where the ligaments are strongest, the medial flexors (located anteriorly) are fewer and weaker.

🔸Extension at the hip joint is limited by the joint capsule and the iliofemoral ligament. These structures become taut during extension to limit further movement.

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Ans B - It is less mobile.

Why?🤔

👉The medial meniscus gets torn more often because it is less mobile (being fixed to the medial collateral ligament).

🔹The medial meniscus is more vulnerable to injury to due to its intimate attachment to the medial collateral ligament. The moveable lateral meniscus is less prone to tear except when the ACL is injured.

🔸It is fused with the tibial collateral ligament which makes it far less mobile than the lateral meniscus. The points of attachment are relatively widely separated and, because the meniscus is wider posteriorly than anteriorly, the anterior crus is considerably thinner than the posterior crus.

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Ans B - Derangement.

Why?🤔

👉The centralization and peripheralization of symptoms can only occur in the derangement syndrome. Thus the treatment for derangement syndrome focuses on repeated movement in a single direction that causes a gradual reduction in pain.

🔹 The Derangement Syndrome involves mechanical obstruction to movement within the joint. Dysfunction Syndrome involves pain caused by the mechanical loading of structurally impaired soft tissues and in Postural Syndrome pain develops from prolonged overloading of tissue.

🔹 Dysfunction Syndrome involves pain caused by the mechanical loading of structurally impaired soft tissues and in Postural Syndrome pain develops from prolonged overloading of tissue.

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Ans B - Psoriatric arthritis.

Why?🤔

👉Dactylitis(sausage fingers) is one of the telltale symptoms of psoriatic arthritis (PsA). It’s earned the nickname “sausage digits” because of the swelling in the affected fingers and toes.

🔸Dactylitis refers to an intense swelling of an entire digit (toe or finger). It's often referred to as a "sausage digit" because that's what it looks like. The swelling makes your fingers appear puffy and the joint definition isn't visible, so they look, well, sausage-like.

🔹Dactylitis is a symptom that is most often seen in patients who have inflammatory Psoriatic or Rheumatoid arthritis, which are auto-immune diseases. It is also known as “Sausage Finger” or “Sausage Toe” because of the localized, painful swelling that causes digits to look like sausages.

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Ans B - Planter calcaneo navicular ligament.

Why?🤔

👉The plantar calcaneonavicular ligament (inferior or internal calcaneonavicular ligament; calcaneonavicular ligament; Spring ligament) is a broad and thick band of fibers, which connects the anterior margin of the sustentaculum tali of the calcaneus to the plantar surface of the navicular.

🔸It helps to maintain the medial longitudinal arch of the foot. By providing support to the head of the talus, it bears most of the body weight in a normally functioning foot.

🔹Its plantar surface is supported by the tendon of the Tibialis posterior; its medial border is blended with the forepart of the deltoid ligament of the ankle-joint. The plantar calcaneonavicular ligament, by supporting the head of the talus, is principally concerned in maintaining the arch of the foot.

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Ans C - Anterior talofibular ligament.

Why?🤔

👉Ankle sprains most commonly involve injury to the anterior talofibular ligament (ATFL).

🔹The most commonly injured ligament is the anterior talofibular. Injury to this ligament results in swelling and pain on the outside of the ankle. If the force is more severe, the calcaneofibular ligament is also damaged. The posterior talofibular ligament is less likely to be damaged.

🔸Due to its low ultimate load and the anatomical positions of origins and insertions, the ATFL is most commonly injured in a lateral ankle sprain. The subtalar joint is formed by the articulation between the bottom of the talus and the calcaneus.

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