Evidence-Based Practice
P Shanmuga Raju, MPT, MIAP
Head Department of Physical Therapy Chalmeda Anand Rao Institute of Medical Sciences
Karimnagar (Andhra Pradesh) India
Foreword C Lakshmi Narasimha Rao
V Surya Narayana Reddy
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India
Phone: +91-11-43574357, Fax: +91-11-43574314
Website: www.jaypeebrothers.com
Offices in India
- Ahmedabad, e-mail: ahmedabad@jaypeebrothers.com
- Bengaluru, e-mail: bangalore@jaypeebrothers.com
- Chennai, e-mail: chennai@jaypeebrothers.com
- Delhi, e-mail: jaypee@jaypeebrothers.com
- Hyderabad, e-mail: hyderabad@jaypeebrothers.com
- Kochi, e-mail: kochi@jaypeebrothers.com
- Kolkata, e-mail: kolkata@jaypeebrothers.com
- Lucknow, e-mail: lucknow@jaypeebrothers.com
- Mumbai, e-mail: mumbai@jaypeebrothers.com
- Nagpur, e-mail: nagpur@jaypeebrothers.com
Overseas Offices
- Central America Office, Panama City, Panama, Ph: 001-507-317-0160e-mail: cservice@jphmedical.com, Website: www.jphmedical.com
- Europe Office, UK, Ph: +44 (0) 2031708910e-mail: info@jpmedpub.com
Handbook of Neurological Physical Therapy-Evidence-Based Practice
© 2012, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2012
9789350255537
Typeset at JPBMP typesetting unit
Printed in India
3To
All our Patients at Chalmeda Anand Rao Institute of Medical Sciences Karimnagar
5Foreword
I am happy to know that Dr P Shanmuga Raju, HOD, Department of Physical Therapy of this Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, Andhra Pradesh, India is bringing out Handbook of Neurological Physical Therapy—Evidence Based Practice.
I have gone through the book and found exemplary hard work and interest shown by Dr P Shanmuga Raju in treating the people suffering from various disabilities in the rural areas, where this Institute is located. Neurological disabilities cripple one's life. Overcoming this by Physical Therapy is challenging and Rehabilitation is of utmost concern.
I congratulate Dr P Shanmuga Raju for successfully bringing out this edition. This book would be much help to upcoming physical therapists, faculty, students and all health care professionals.
C Lakshmi Narasimha Rao be mba
Chairman,
Chalmeda Anand Rao
Institute of Medical Sciences
Arihant Educational Society
Karimnagar
India
6Foreword
It gives me great pleasure to write this foreword for the Handbook of Neurological Physical Therapy Evidence based Practice written by Dr Shanmuga Raju. This book follows a simple principle, and easy to implement it in a day-to-day practice.
This Handbook explains the problem of threatening neurological disability with Physical Therapy interventions in the step by step manner. It is designed to give advance informative, resources and practical guidance for Undergraduate and Postgraduate Physical therapy students and also for the practicing all Rehabilitation professionals. All Chapters dealt with technological interface are equality informative.
I congratulate Dr P Shanmuga Raju for successful completion of this work. I hope that this book will be useful to students and postgraduates.
I wish this book a great success.
V Surya Narayana Reddy ms (gen. surg)
Director
Chalmeda Anand Rao Institute of
Medical Sciences
Karimnagar, Andhra Pradesh
India
7Preface
Handbook of Neurological Physical Therapy - Evidence-based Practice, is to help clinicians make better decisions about patient care. This book is to provide simple format, evidence based Physical Therapy and Rehabilitation.
Mission
This edition, will be useful to Physical Therapy students, Interns, Medical students, Faculty, Nurse practitioners, Occupational therapists, Physiatrist and physicians Assistant's will find the descriptions of diagnostic and Physical therapy management with citations to the current literature useful in day-to-day patient care.
Outstanding Features
- Concise, clear presentation of the latest scientific facts, models and methods of practice.
- More than 93 Indian Patients clinical photo gallery.
- Details presentation of all chapters including Neurological examination, Neuroradiology imaging, Physical therapy in Bell's palsy, Stroke physical therapy, Parkinson's disease, Spinal cord injury Rehabilitation, Cerebral palsy, Cerebellar ataxia, and Orthotics in neurological Rehabilitation.
- Recent references, articles, abstracts, and full further editions in writing or via electronic e-mail. The author e-mail address: shanmugampt@rediffmail.com
P Shanmuga Raju
8Acknowledgments
I would like to thank our parents Shri K Perumal, Smt P Nallammal, sisters, and all my teachers.
I express deep thanks to our Chief Patron Shri C Anand Rao, BL, Ex. Minister of law, AP and Social worker, Dr V Bhoom Reddy, MS (AIIMS), Ex-Vice President of National IMA, Shri C Lakshmi Narasimha Rao, BE, MBA, Chairman, Prof. Dr V Surya Narayana Reddy, MS, Director, Arihant Educational Society, Karimnagar, who provided me heart felt support always, in publishing this educational hand book.
My Sincere thanks to Prof. Dr SA Aasim MD, Medical Superintendent, Prnicipal, Prof. Dr Sudha Deshpande, MD, Prof. Dr Jawhar, MS, Prof. Dr Gopal Rao S Jogdand, Ph.D, Prof. Dr N Samanta, M.Ch, Prof. Vittal Reddy, MD, Prof. Dr Aruna, MD, Prof. Dr Neelee Jayasree, MD, Dr Ezhilarasi Ravindhran, MD, Dr. Charan Paul, MD, Dr Jyothi, DGO Dr EV Sridher, MD, Dr HarshaVaradhan, MD, and Mr P Ramakrishana, Mr G Malla Reddy (Steno), Mr Y Venkateshwer Rao, Mr Tiwari, Mr CH Prithvidhar Rao and all CAIMS teaching and nonteaching staff.
I would like to express my thanks to Dr George Williams PT, Dr Hendry Mohan Doss, PT, Prof. Dr V Murugesan, MPT, Prof. Dr SD Sivaganesa, MPT and my friends for their extensive guidance.
I am very grateful to Shri Jitendar P Vij, Group Chairman and CEO, Mr Tarun Duneja, Director (Publishing), Mr Jayanandan, Author Co-ordinator (Chennai), Jaypee Brother's Medical Publishers (P) Ltd, New Delhi, for ideas and extended cooperation in publishing this handbook.
Finally, I thank our patients for their role in inspiring me to write this book.
P Shanmuga Raju