Taping in hemiplegic shoulder subluxation


The shoulder complex consists of four separate joints, which afford it incredible mobility in all planes of motion, but at the expense of its stability. The glenohumeral joint (GHJ) relies on the integrity of muscular and capsuloligamentous structures rather than bony conformation for its stability. Injury or paralysis of muscles around the shoulder complex mayContinue reading “Taping in hemiplegic shoulder subluxation”

Outcome Measures used in Cerebral Palsy; Types of scales & Validity, reliability & sensitivity of scales


Outcome Measures used in Cerebral Palsy; Types of scales & Validity, reliability & sensitivity of scales What is outcome measure? Why do we have to measure the outcome? How to choose the outcome measures? Which scale will be able to pick up the change? What is validity, reliability and sensitivity of a scale? What levelContinue reading “Outcome Measures used in Cerebral Palsy; Types of scales & Validity, reliability & sensitivity of scales”

Evidences of cerebral palsy management


management of cerebral palsy is always a challenge. What should be plan of treatment? What is effective what is not? what is the evidences of cerebral palsy management? These are the common questions in the therapist and students mind. Hear i have given an  overview of it. please click on the link. link: EVIDENCE BASEDContinue reading “Evidences of cerebral palsy management”

Spastic muscles cant do eccentric lengthening


Spastic muscles are in the state of concentric contractions can’t do eccentric lengthening. Spastic muscles are in shortened state and active eccentric contraction in difficult. This can be due to a. Weakness of antagonistic muscle b. Due to reciprocal inhibition causes relaxation of antagonistic muscle Spastic muscles act like spring that work in concentric contraction andContinue reading “Spastic muscles cant do eccentric lengthening”

Never plan the therapeutic management based on the medical diagnosis or cause of stroke


All students and the therapists who are treating patients with stroke must have thought or heard this kind of question in their practice. What is the therapeutic management of frontal lobe bleed/infarction? What is the therapeutic management of occipital bleed /infarction? What is the therapeutic management of parietal bleed /infarction? What is the therapeutic managementContinue reading “Never plan the therapeutic management based on the medical diagnosis or cause of stroke”

Never plan the therapeutic management based on the diagnosis or cause of stroke, but based on sign and symptoms and the patients’ occupational demands.


All students and the therapists who are treating patients with stroke must have thought or heard this kind of question in their practice. What is the therapeutic management of frontal lobe bleed/infarction? What is the therapeutic management of occipital bleed /infarction? What is the therapeutic management of parietal bleed /infarction? What is the therapeutic managementContinue reading “Never plan the therapeutic management based on the diagnosis or cause of stroke, but based on sign and symptoms and the patients’ occupational demands.”

Every patient of thalamic bleed doesn’t show symptoms of thalamic syndrome…!


 Most of the patients with thalamic bleed don’t show the typical symptoms of thalamic syndrome or thalamic pain. These bleeds are around the basal ganglion and internal capsule so they do show signs of hemiplegia and some will show signs of hemianesthesia on opposite side of body. We assume that every patient of thalamic bleedContinue reading “Every patient of thalamic bleed doesn’t show symptoms of thalamic syndrome…!”

HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS WITH ASIS TYPE C QUADRIPLEGIA WHO DO NOT HAVE HAND CONTROL TO HOLD THE WALKER DUE TO LMN LESION AT C7, C8 & T1.


Quadriplegic patients who have LMN lesion at C7, C8 & T1 do not have hand control and are unable to hold the walker.  In spite of improvement in lower limb and trunk strength these patients are unable to walk with walker because they can’t hold the walker. So what is the solution? The solution isContinue reading “HOW TO DO WALKING TRAINING WITH WALKER IN PATIENTS WITH ASIS TYPE C QUADRIPLEGIA WHO DO NOT HAVE HAND CONTROL TO HOLD THE WALKER DUE TO LMN LESION AT C7, C8 & T1.”

DO NOT WORK ON MOBILIZATION & INCREASING THE RANGE OF MOTION IF MUSCLES DON’T GOOD STRENGTH THROUGHOUT THE RANGE.


Patients with Chronic hemiplega have shoulder stiffness and pain. To reduce the stiffness and to improve the range of motion we perform mobilization of shoulder and try to get the full range of motion. We can get the full range of motion of shoulder but they typically don’t have strength throughout the range. Higher degreeContinue reading “DO NOT WORK ON MOBILIZATION & INCREASING THE RANGE OF MOTION IF MUSCLES DON’T GOOD STRENGTH THROUGHOUT THE RANGE.”

DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS


DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH Most of the neurological cases presents with calf (Tendo Achilles tendon) tightness i.e hemiplegic, paraplegic, cerebral palsy & Parkinsonism. On routine examination we come across mild to moderate TA tightness. And common line of treatment is TA stretching. But very fewContinue reading “DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS”