பிசியோதெரபி & உடல் மறுவாழ்வு இதழ்

Prevalence, pathophysiology, diagnostic and therapeutic approaches of urinary incontinence are well studied in women, however studies on male urinary incontinence focus on incontinence following surgery of the bladder or prostate, predominantly incontinence after radical prostatectomy. Aging men suffer from incontinence; most frequently urge incontinence (Overactive bladder) nearly as often as women do. The domain of conservative therapy of urinary stress incontinence in men is pelvic floor training. It remains unclear whether biofeedback procedures, electrostimulation therapy or magnetic stimulation therapy can enhance pelvic floor training. There are data suggesting that an off-label therapy with Duloxetin®, a selective Serotonin-Noradrenalin-Reuptake-Inhibitor (SSNRI), improves urinary incontinence following radical prostatectomy. Antimuscarinics in combination with bladder training have been proven as safe and effective treatment in male patients with OAB. Data, however, suggest that men with OAB are far less frequently treated than women.

Purpose: To characterize the state of the evidence for peripheral muscle dysfunction in individuals with interstitial lung disease (ILD).
Method: A scoping study was performed by searching multiple electronic databases for published papers and conference abstracts of any study design that included a measure of peripheral muscle dysfunction and/or structural and metabolic characteristics of muscle. All sub-types of ILD were eligible.
Result: Forty-five studies representing 2522 individuals with 34 sub-types of ILD were included in this study. Data were charted using descriptive numerical analysis of study characteristics. Peripheral muscle dysfunction was predominantly reflected by reduced volitional isometric strength (17 studies), whereas the evaluation of muscle endurance was rare (2 studies). Volitional muscle force or torque was measured in the quadriceps (14 studies) and handgrip (8 studies), with strength preferentially reduced in the lower limbs. Eight studies measured structural or metabolic characteristics and found evidence of reduced muscle size and oxidative stress. Findings of muscle injury and muscle inflammation (e.g. serum markers, electromyography and muscle biopsies) were reported primarily in individuals with idiopathic inflammatory myopathies and connective tissue diseases.
Conclusions: Reduced volitional muscle strength was the most common finding of peripheral muscle dysfunction in ILD. Further quantification of peripheral muscle dysfunction and identification of structural and metabolic characteristics are needed to target specific interventions and optimize muscle function.

Pressure ulcer (PU) is a common complication after SCI which Physiotherapists needs to treat on an urgent basis. This case study reports the combined effect of LASER therapy and ultrasound for the extensive PU in a young patient which resulted in complete recovery within 12 weeks. PU was around 24 cm2 in length and breadth and 1.9 cm deep. Patient was treated with LLLT and Ultrasound for 12 weeks with required dosages. Assessment was done with the help of PUSH scale. After 12 weeks of treatment there was complete closure of PU.