LETS NOW DISCUSS ON BASICS OF PHYSICAL MEDICINE AND REHABILITATION
TOPIC NO 1 - REHABILITATION OF CEREBELLAR ATAXIA
A ) BASICS
B ) 1 - APPROACHES FOR IMPROVING PROPRIOCEPTION ( in the foll order )
A ) proprioceptive neuromuscular facilitation
B ) rhythmic stabilization
C ) slow reversals
D ) resistive exercises
E ) johnstone pressure splints
F ) gait exercises on different surfaces ( soft , intermediate , hard )
G ) pylometric exercises
H ) balance board ball
I ) mini trampoline exercises
J ) vibration therapy
K ) suit therapy
2 - FOR IMPROVING BODY AWARENESS
A ) FELDERKRAIS METHOD
B ) ALEXANDER TENCHNIQUE
3 - ACTIVITIES FOR IMPROVING BALANCE ( in the foll order )
A ) 1stly proximal muscles and stabilisation of trunk should be done by mat activities and use of PNF technique
B ) bridge technique should be followed
C ) balance training on one leg
D ) by use of visual biofeedback
E ) by improving gait
F ) use of taichi and yoga
4 - VESTIBULAR EXERCISES
A ) by use of repeated head movements
B ) by use of cawthorne and cooksey exercises
5 - FOR EXTREMITIES ATAXIA
A ) by use of coordinated frenkel exercises
B ) by use of coordination dynamic theory
6 - USE OF SUPPORTIVE AIDS
7 - HORSE RIDING , SWIMMING , PLAYING BILIARDS , GOLF AND DARTS
In CTEV -
A ) The most common used outcome measure is the scoring system of Pirani.
B ) This scoring system assesses the severity of clubfoot deformity and response to treatment
C ) It has a predictive value concerning the number of casts needed to correct the foot.
D ) A high score, 4 or more, predicts the use of at least 4 casts.
E ) A score less than 4 predicts the need of 3 or fewer casts.
F ) Each component is scored as 0 (normal), 0.5 (mildly abnormal) or 1 (severely abnormal)