Physiotherapy for the patient on the ventilator

It has been aptly said by Napoleon Hill that “What the mind of man can conceive, the mind of man can achieve”. 

We have been privileged to belong to the world of Physiotherapists. We had a vision that the realm of Physiotherapy in India would benefit when there would be a vibrant interactive platform available to her brilliant physiotherapists. PHYSIOTIMES, India’s first magazine for physiotherapists, aims towards identifying the unmet need for information in the field of physiotherapy & make concentrated efforts to address those needs by providing latest & useful contents, thereby helping the physiotherapists in enhancing their knowledge & clinical skills. The wealth of invaluable suggestions and rich content of PHYSIOTIMES is the result of the unstinting efforts of ALL the team members involved. We have a young and dynamic team with us forever rearing to explore best possible ideas to make PHYSIOTIMES an enjoyable and enriching read.  We have made a beginning only to better our efforts in the times to come to be able to provide you with a worthy reading experience.

COVER STORY: Physiotherapy for the Patient On The Ventilator: Do we have any right answers even today? by CLINICAL MEDICINE INFORMATICS INDIA

Increasing numbers of critically ill and injured patients are surviving their initial hospitalization. The immobilization associated with long-term critical care can lead to deterioration of the musculoskeletal system within 6 h of bed rest, and muscle strength can decline by as much as 40% within a week of immobilization. Advances in critical care and mechanical ventilation over the past 2 decades have resulted in the increased survival of patients who are critically ill. Some patients requi... Read More

CLINICIAN'S VIEWPOINT: A physician’s expectations from a physiotherapist for managing the patient on the ventilator

Treatment of the patient in the ICU and especially the patient on the ventilator requires a multidisciplinary approach.The intensivist, the physician, the nurses and the physiotherapists, ALL , play a wonderful cohesive role in ensuring a positive outcome for the patients. As physicians involved with the patients in the ICU , managing the patient on the ventilator is a major challenge we face. Ventilator-associated pneumonia (VAP) is a leading cause of mortality in critically ill patients. Th... Read More

REVIEW ARTICLE: Sleep Apnea And The Role Of Physiotherapy by DR. S. RAMANATHAN IYER

Sleep apnea is a sleep disorder characterized by pauses in breathing during sleep. Each episode, called an apnea lasts long enough so that one or more breaths are missed, and such episodes occur repeatedly throughout sleep. Clinically significant levels of sleep apnea are defined as five or more episodes per hour of any type of apnea. There are three distinct forms of sleep apnea (Mayo Clinic Discovers New Type Of Sleep Apnea) Central, Obstructive & Complex (i.e., a combination of central... Read More

PHYSIO SPEAKS: Interview With the president of WCPT by DR. MARILYN MOFFAT by Mr. Mukesh Nayak

Dr. Marilyn Moffat is a Full Professor of Physical Therapy in the Department at New York University, where she directs both the professional doctoral program (DPT) and the post-professional graduate master's degree program in pathokinesiology. Dr. Marilyn Moffat, a recognized leader in the United States and internationally, is a practitioner, a teacher, a consultant, a leader, and an author. She received her baccalaureate degree from Queens College and her physical therapy certificate and... Read More

PHYSIO SPEAKS: Interview With DR. SARA MEEKS - a global authority on Osteoporosis

Sara M. Meeks, P.T., M.S., G.C.S., K.Y.T.  is a Physical Therapist based in Newyork, with over 43 years clinical experience, has spent 23 years specializing in the unique management implications of persons with osteopenia and osteoporosis, and has developed an easy, effective, comprehensive, site-specific, 12-part program for the conservative management of persons with osteopenia, osteoporosis, postural problems and back pain. In a free-wheeling conversation with Mukesh Nayak, Sara M... Read More

STUDENT CORNER: NSAIDS - An Update For Students & Practitioners by DR. VAISHALI DADKAR

Pain and inflammation are the most common disorders faced by the clicnian and physiotherapist in their day to day practice. Fulfilling the patient expectations o a RAPID and magical relief from pain is an uphill task that we face. There are several emerging therapeutic options to meet this challenge but we are still far off from the  EUTOPIA of the well tolerated MAGICAL pill. Yet we must look at the overall perspective of the currently available anti inflammatory drugs and painkillers s... Read More

MARKETING MANTRA: Starting & Managing Private Practice In Physiotherapy by MUKESH NAYAK

There has been an increased awareness of and demand for physiotherapy treatment in recent years as GPs and consultants are referring more and more patients. The number of people holding private medical insurance and the value of the private medical insurance market has also increased. Applications for physiotherapy courses and the number of students taking those courses have also increased, indicating a bright future for the profession. Hence getting into private practice is an ideal thing to... Read More

PHYSIO YOGA: Yoga And Rehabilitation by DR.NILIMA PATEL

The human being is a powerhouse and a constant generator of energy. What is required is to understand its source. I too believe that this source is one’s own “Self”. Yoga is a way of life. It is the journey and the destination to “The Self”. Yoga to me is Self discipline. From time immemorial the science of yoga has been recognized and practiced for upliftment and betterment of human life. It is a blessing, from our great saints to people of the universe. Althoug... Read More

CASE REPORT: Effect Of Ozone Therapy & Aerobic Exercises On Diabetic Wound by DR. SUJATA YARDI

IntroductionDiabetic foot ulcers are common and estimated to affect 15% of all diabetic individuals during their lifetime. Almost 85% of amputations are preceded by diabetic foot ulcers. Like other forms of macro-vascular disease, peripheral vascular disease (PVD) is more common in diabetes. Diabetic foot is characterized into 2 types: the neuropathic foot where neuropathy dominates and neuro-ischemic foot where occlusive vascular disease is the main factor.&nbs... Read More

CURRENT AFFAIRS: Physiotherapy Central Council:An Update by Dr. Nitesh Bansal

The regulatory mechanism for all allied health care disciplines was being considered by the Ministry since its way back in 1995 with the setting up of Dr.S.D.Sharma Committee, which proposed to set up an Omnibus Council Act for all paramedical disciplines which was endorsed in a meeting of Health Secretaries held on the 28th May, 1995.  The Act was proposed to be an umbrella Act under which there was to be a number of independent Central Professional Councils with uniform cons... Read More

BOOK REVIEW: Yoga And Rehabilitation Dr Nilima Patel & Red Flags: A Guide to identifying serious patholgy of the spine by Sue Greenhalgh

YOGA AND REHABILITATION By: NILIMA PATEL

The “realized self” through yogic practice, along with scientific guidelines, is a key factor in Rehabilitation. The book “Yoga and Rehabilitation” by Dr Nilima Patel displays an Integrated Approach to Physio Yoga, listing various paths of yoga and how it results in Positive Health. The Astang yoga is described in detail in this book, and how it is a spiritual tool to achieve Positive Health. What is i... Read More

SPECIAL ARTICLE: Findphysio.com, India

If we were to zero in on the biggest invention of the 20th century, perhaps Internet and its usage would top the list.  Advent of internet has revolutionized the way we live life. It has changed the way we express ourselves, the way we shop, the way we keep in touch, the way we exchange information, the way we travel, the way we seek or offer jobs and the way we get married perhaps. ( did you read  shadi.com ?) Google’s search engine is the next best thing that coul... Read More

Evidence Based Clinical Pearls

Rehabilitation of upper limb after stroke: Task-oriented intervention does not result in improvements in function of the affected upper limb in people with chronic stroke rather the integration of upper limb activities into global functional activities might be more beneficial in terms of upper limb rehabilitation. 

The effective technique for increasing glenohumeral external rotation motion: The posterior mobilization (PM) techniquea... Read More

Journal Scan: Best of World Leading Journals in Physical Therapy

Effect of therapeutic ultrasound on calcific supraspinatus tendinitis: Calcific tendinitis is an important cause of shoulder pain. There are various modalities used to treat calcific tendinitis. Ultra-Sound therapy (UST) is a non-invasive modality of treatment. It is not costly. The aims of the present study were to see the efficacy of UST on calcific tendonitis. This was a prospective study done at BSMMU, BIRDEM and Rangpur Medical College Hospital. All the cases with duration of illness mor... Read More

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