Physiotherapy treatment given for stiff knee, after surgery for short Quadriceps tendon.

• Passive movements, Metland and Mulligan techniques to improve knee flexion.  
• Active and resisted exercises to increase muscle strength. 
• Balance and gait [walking] training.
• Prognosis-Complete recovery in six months. 

Physiotherapy treatment given for Quadriplegia due to vertebral fracture at C3-4-5level.

[all four limbs paralysed due to vertebral fracture at neck level]

Treatment given-

• All passive movements for all four limbs to maintain joint ranges.
• Training for breathing exercises to avoid respiratory complications.
• muscle stimulation to wrist and ankle muscles to improve muscle strength of innervated muscles.
• Training to relatives to turn the patient in bed and make him sit with proper support.
• Advice to avoid pressure sores.
• Prognosis-Patient needs assistance by relatives for whole of his life. Relatives are trained during 3-4 months of Physiotherapy treatment to manage patient and avoid complications.

Physiotherapy treatment given for quadriplegia due to fracture of C5, C6 and T1 vertibrae.

• When the treatment started patient was completely bed ridden. He was unable to move his limbs and also turn in the bed. He has Trachiostomy done and had bed sore on both the buttocks. 
• He was given-
• Ppassive movements to all four limbs to reduce joint stiffness.
• Muscle stimulation to wrist and ankle to establish muscle contraction and strengthened innerveted muscles. 
• Breathing exercises to prevent pulmonary complications. 
• Training to turn in the bed, sit in the bed and stand out of the bed with the help of relatives. 
• After three months of treatment, he was able to move his elbows. Wrists and ankle joints. 
• He could balanced his body in sitting for two to three minutes without support and for ten minutes with support. 
• The activities regained due to physiotherapy also helped him to reduce bed sores. 

Prognosis -
He requires wheel chair for his mobility and support from relatives for measure of his daily activities through out of his life. He needs physiotherapy treatment and advice to prevent associated complications.

Physiotherapy treatment given for Hemiplegia [Paralysis].

Treatment given-

• Exercises for affected upper and lower limb. 
• Training for rolling in the bed, sitting, standing and walking. 
• Prognosis-Patient was rehabilitated in 6 months period. 

Physiotherapy treatment given for right Frozen shoulder.

• Massage manipulations for muscle relaxation, all passive movements to shoulder joint in available range, Metland technique to mobilize shoulder joint to increase ranges. 
• SWD for pain relief. 
• Finger ladder, shoulder wheel  and stretching belt exercises for improvement of joint ranges and strengthening of shoulder muscles.
• Prognosis Patient can lead painfree life with 3months of regular exercise programme. 

History of  Total Hip replacement[2016]

Physiotherapy treatment given for right knee pain, limping while walking and right Scoliosis[spinal bent to one side].

• Massage manipulations and SWD for pain relief and muscle relaxation. 
• Streching of tight muscles. 
• Mulligan method for pain relief in weight baring. 
• Exercises to correct right Scoliosis.
•  Strengthening of weak muscles for normal gait [walking].
• Prognosis- Patient can lead active painfree life with regular exercise programme and following of ergonomic advice. 

Treatment given for Spina Bifida [Syringomyelia]. 
She was operated on day one and at the age of five years for decompression of the nerve supplying lower limbs. She is monoplegic with paralysis of left leg and no bowel and bladder control.

• Her physiotherapy started at three months of age with passive movements of all four limbs for prevention of spasticity of lower limb muscles and joint contracture. 
• Exercises were taught to mother and continued at home. Later her physiotherapy was continued at GMC for one year and then was discontinued for one year after that. Because of discontinuation of physiotherapy, child developed stiffness of both the knees, ankles and feet. 
• Her physiotherapy started again with us from July 2016. Her treatment started with passive movements and stretching of lower limbs to reduce stiffness. 
• She was given stimulation for strengthening of quadriceps muscle and extensors of ankle of right leg. She was adviced to ware push knee splint and ankle foot orthosis for reduction of knee and ankle stiffness. 
• Strengthening of upper limbs also was started for enableing her to propel her body with the help of walker. Her walking training started with the help of caliper and walker after three months. 

Prognosis-She  needs life long physiotherapy to tackle various associated problems.
We pray to Sadguru for her overall healthy and successful life.