Autism is a pervasive developmental disorder. This means that most people on the autism spectrum have delays, differences or disorders in many areas -- including gross and fine motor skills. Children on the spectrum may have low muscle tone, or may have a tough time with coordination and sports. These issues can interfere with basic day-to-day functioning -- and they're almost certain to interfere with social and physical development.
Children with autism would rarely be termed physically disabled (though there are some autistic children with very low muscle tone, which may make it difficult to sit or walk for long periods).
Autism spectrum disorders include:
How physiotherapy helps?
Physical therapy may be an option for children with autism who need help developing age-appropriate motor skills, have low muscle tone, or have problems with physical systems such as breathing control. Older autistic children can also benefit from carefully constructed exercise programs, which may be led by a physical therapist.
Physical therapists may work with very young children on basic motor skills such as sitting, rolling, standing and playing. They may also work with parents to teach them some techniques for helping their child build muscle strength, coordination and skills.
As children grow older, physical therapists are more likely to come to a child's preschool or school. There, they may work on more sophisticated skills such as skipping, kicking, throwing and catching. These skills are not only important for physical development, but also for social engagement in sports, recess and general play.
Apart from the games and activities, other physical therapies required by autistic children include:
The earlier you start with the therapy the better. Although physiotherapy cannot totally alleviate the symptoms of ASD, in most cases it can at least help a child gain valuable skills for living a more active, enjoyable life. If your child has Autism Spectrum Disorder, contact a physiotherapist today to discuss how he or she can use physiotherapy to greatly benefit your loved one.
Alarm goes off. Maybe you hit the snooze button. Eventually a majority of us wake up, get ready for work, and head into the office. With a few deviations here or there, the rest of the day is probably pretty predictable: You sit down at your desk, open up your email, and begin to work. Wash, rinse, repeat. Day after day, we sit down at our desks for extended periods of time. Does this routine sound familiar? Then sound another alarm because it's cause for concern.
Nine-to-fivers beware! Extended periods of sitting, typical of the average desk job, have long been linked with harmful health outcomes, but sitting has now been linked with a higher risk of developing kidney disease, according to new research.
Even if you don't have a desk job, it doesn't mean you're off the hook. It's not only at work where we sit. Typically people sit much more than they even realize -- on the couch while watching TV or reading, while eating meals, while getting to and from work (whether driving or riding a bus or train) -- to name just a few examples.
Unfortunately, increased sitting time is linked with poorer health outcomes despite the amount of physical activity you engage in. That's not to say that being active doesn't matter. It just means that even in those who are active, the health risk of increased sitting is important and shouldn't be ignored. An otherwise active person who sits for a large portion of his or her day is at higher risk for developing kidney disease than an active person who does not sit for most of his or her day.
Why sitting all the time is bad?
Studies have linked excessive sitting with being overweight and obese, type 2 diabetes, some types of cancer, and premature death. Prolonged sitting is thought to slow the metabolism, which affects the body's ability to regulate blood sugar, blood pressure and break down body fat.
According to David Dunstan with the Baker IDI Heart & Diabetes Institute in Melbourne, Australia, the lack of muscle contraction caused by sitting decreases blood flow through your body, thereby reducing the efficiency of biological processes.
Now that we know how bad and detrimental it is, to be sitting all day, it's obvious we need to get off our seats and start moving. Not just hitting the gym, but something as simple as standing can help.
Instead of standing as a break from sitting, you can sit when you need a break from standing. Eventually your body will adjust and it will feel more natural to stand throughout the day. During presentations and meetings, at the bar during happy hour, while performing chores around the house, and even while playing video games. The possibilities are endless. Whenever there is an opportunity, do your body and long-term health a big favor and stand up.
When you are at work, another thing to do is, walk to the water cooler, with the added bonus of staying hydrated.
Instead of riding the elevator, step it up a notch and take the stairs. Instead of riding the escalator, walk up it if there are no stairs available. Whether running errands around town, headed to a meeting or just moving around the house, incorporate more steps into your day.
Make use of every opportunity you get to move your body. To know about the exercises you could include into your routine, contact your physiotherapist.
Earlier in 19th century, medical science involved curing diseases through drugs and surgical procedures. Over time, people realized that even though their initial problem was cured, they were still facing troubles in the form of other diseases.
Several studies were conducted, and after a detailed research it was concluded that the newborn problems occurred due to the excessive use of prescribed drugs.
This was when physiotherapy, which was earlier considered as 'outside the pale of medical science' gained its recognition. Today, even though science has developed immensely, large sections of the society still prefer consuming medicines over physiotherapy.
Here are some points that explain why prescription drugs are not the best option-
When a disease that involves immense pain attacks our body, we visit the doctor not just to get rid of the pain as soon as possible but to also avoid the disease from recurring.
While prescribed drugs do handle the first condition efficiently, the second part is not given much of importance. For example, if there is a swelling on a joint, an anti-inflammatory pill will effectively reduce the swelling but may not necessarily prevent it from occurring.
The side effects that a prescribed drug can cause are not new to anyone. Often, the drugs prescribed to relieve pain are more harmful than the actual disease. They can lead to increase in heart, gastrointestinal risks, kidney problems and increase in blood pressure.
These side effects are not only applicable to prescribed drugs but also to over-the-counter drugs such as aspirin, Advil and Motrin.
The most common reasons why patients prefer prescribed drugs are the convenience, speed and the relative cost effectiveness.
While some medicines are comparatively cheaper than other form of treatments, what most people fail to understand is that these drugs need to be purchased a number of times to cure diseases temporarily. Thus, patients are expected to conduct consecutive purchases over a period of time. Consequently, the amount spent on other form of treatments and prescribed drugs tend to be on the same level.
This is the case for relatively cheap drugs. Some drugs are expensive by itself and are available only in small quantities. For such drugs, the expense incurred is much higher than any other form of treatments.
Very often, doctors prescribe drugs for a long period of time. With the daily consumption of these drugs, patients get habituated and develop a certain taste for them. This leads to addiction.
Once a patient gets addicted to certain prescribed drugs, they start misusing it through over consumption. This further leads to other serious problems.
What's the best alternative to prescribed drugs?
The answer is physiotherapy. Physiotherapy is a field of science that believes in curing the problem from the root. Thus, when a person opts for physiotherapy, he is not only cured but is also well informed of the underlying source of the pain.
This further helps in improving the posture, motion and functionality of the patient's body drastically.
Today, with the advancement in the field, physiotherapy can treat nearly any disease ranging from cardiopulmonary conditions to neurological problems. To know more about physical therapy and its advantages over prescribed drugs, visit our expert physiotherapists in Edmonton.
A series of muscles and ligaments in your back hold the bones of your spinal column in place. You can strain these muscles by stretching them too far, causing tiny tears in the tissue. The muscles are then weakened, so they may not be able to hold the bones of your spinal column in place correctly. The spine becomes less stable, causing low back pain.
Low back strain can be caused by:
Common symptoms of low back strain include pain and stiffness in the back, along with pain in the buttocks and legs ( often in the back of the thigh). This pain is felt the most when stretching, coughing or sneezing. Since some symptoms of low back strain are similar to those of more serious conditions, it's important to get checked out by a doctor. Any numbness and weakness in your legs, or bowel and bladder problems, can be a sign of nerve damage -- and that needs immediate medical attention.
A simple physical examination is sufficient for diagnosis, but your doctor may recommend MRI or CT scan if needed.
Your physiotherapist will guide you through low back strain treatment programme. This programme will include ice and heat application, massages, light exercises which aim at strengthening and improving flexibility.
Once the back pain is gone, your physiotherapist will want you to start a regular exercise routine. This will get your back muscles stronger. It will help you recover, and reduce your odds of low back strain in the future. Your doctor will probably want you to take up low impact sports, like swimming or using a stationary bike.
Whatever you do, don't rush things. Don't try to return to your previous level of physical activity until:
Recovery time depends on how serious your low back strain is. Mild cases may resolve in a couple of days. It can take many weeks for more serious strains. This condition can be prevented by taking proper care and precautions, such as sleeping on the stomach should be avoided, losing weight (if one is overweight), maintaining a proper posture. For details regarding exercises for low back pain, speak to your physiotherapist.
Rheumatoid arthritis is a chronic, painful, autoimmune disease from an unknown cause characterized by inflammation of the joints, especially the wrists, hands and feet. The structures around the joint can also be affected, like the tendon sheath, the bursa and tendons. This pathology causes pain, stiffness in the morning and after periods of inactivity, joint swelling and weakness. Without treatment RA can lead to irreversible damage, namely deformity and finally provoke considerable physical functional loss or even permanent disability.
It is fairly more common in women than men and can occur at any age but it usually starts with the age of 40 till 60.
There is no known cause of RA. Some suspect that genes play a role, however, many people diagnosed with RA didn't have a family history of RA, nor did they pass it on to their children. It is possible that the joint pain could be from other disorders such as gout, osteoporosis and lupus.
In rheumatoid arthritis, symptoms often develop slowly over a period of weeks or months. Fatigue and stiffness are usually early symptoms. Weight loss and a low-grade fever can also occur. This may be followed by joint pain if it's not present already.
Rheumatoid nodules (bumps) ranging in size from a pea to a mothball develop in nearly one-third of people who have rheumatoid arthritis. Nodules usually form over pressure points in the body such as the elbows, knuckles, spine, and lower leg bones.
No single lab test can diagnose rheumatoid arthritis. Instead, doctors look for symptoms and physical signs, and then rule out other diseases that can cause similar symptoms.
A medical history and physical exam are usually done to help find the cause of joint pain. The pattern and nature of joint symptoms are the most important clues to the diagnosis.
Tests such as, Bone density test, to check for bone loss (osteoporosis), complete blood count, eye exam, imaging tests such as magnetic resonance imaging (MRI) or X-rays, joint fluid analysis, kidney function tests, liver and muscle enzyme tests, tissue type tests, help in diagnosis.
While at present there are no treatments that can fully cure RA, treatments which help reduce pain are given to patients, this includes medicines, exercises, physical therapies, and so on. Once you start the treatment, it goes on for the rest of your life.
Physiotherapy helps in relieving the symptoms and prevent the disease from getting worse. Your physiotherapist will use any of the following treatments, depending on your case:
The course of rheumatoid arthritis is hard to predict. It usually progresses slowly, over months or years. In some people it doesn't get worse, and symptoms stay about the same. But in rare cases, symptoms come on rapidly, within days. Surgical treatment for rheumatoid arthritis is used to relieve severe pain and improve function of severely deformed joints that don't respond to medicine and physical therapy. To know more about Rheumatoid Arthritis and treatment, consult your physiotherapist.
Sever's Disease is common pain in the heel experienced by children and occurs when the growth plate of the heel is injured by excessive forces in early adolescence. It is equally common amongst girls and boys, both in their early puberty.
It usually occurs during the growth spurt of adolescence, the approximately 2-year period in early puberty when kids grow most rapidly. This growth spurt can begin anytime between the ages of 8 to 13 for girls and 10 to 15 for boys.
The child may limp while walking or running. When standing on tip toes, the heel pain may increase. This condition may affect either or both heels.
The doctor will be able to diagnose the disease through history and symptoms. For physical examination he may conduct the 'squeeze test'.
The first thing your physiotherapist will do is aim at reducing the pain and inflammation. This may be done via providing sufficient rest to the foot, applying ice on the affected heel and protecting it from further harm and injury. Kinesio foot taping may help to provide pain relief. Your physiotherapist will guide you and utilise a range of pain relieving techniques including joint mobilisations for stiff ankle or subtalar joints, massage or electrotherapy to assist you during this painful phase.
Next step is to regain the range of motion and improving the foot arch muscle control and gradually move to the rest of your foot and leg.
In order to prevent a recurrence as you return to sport, your physiotherapist will guide you with technique correction and exercises to address these important components of rehabilitation to both prevent a recurrence and improve your sporting performance.
Your physiotherapist will discuss your goals, time frames and training schedules with you to optimise you for a complete return to sport. Also, he will guide you regarding the type of footwear suitable for you so that the pain doesn't recur. If you are experiencing pain in the heels while walking or running, or your child is suffering the symptoms, physiotherapy will help them in healing from Sever's Disease.
Bursae are small, jelly-like sacs that are located throughout the body, including around the shoulder, elbow, hip, knee, and heel. They contain a small amount of fluid, and are positioned between bones and soft tissues, acting as cushions to help reduce friction.
Prepatellar bursitis is an inflammation of the bursa in the front of the kneecap (patella). It occurs when the bursa becomes irritated and produces too much fluid, which causes it to swell and put pressure on the adjacent parts of the knee.
People who work on their knees such as carpenters, athletes who play sports where the chances of falling are high, are more prone to Prepatellar Bursitis.
In case of infection, the knee becomes very tender and warm to touch. You may experience fever and chills. Pus may form on the front of the knee. If the infection is not treated quickly, the abscess may even begin to drain, meaning the pus begins to seep out.
As long as the bursa is inflamed and not infected, non-surgical methods of treatment are effective. For infections, antibiotics are prescribed.
The first and foremost is resting from activities that worsen the symptoms. Application of ice also helps in reducing the inflammation.
If the bursa remains filled with fluid, a needle may be used to drain it out.
To improve and strengthen the muscles flexibility, your physiotherapist will suggest exercises working on the quadricep muscles, hamstrings and calves. These exercises help in improving the range of motion of the knee. Electric stimulation treatments have also been beneficial in healing the bursa sac.
On an average, Prepatellar Bursitis takes about 4 weeks to heal. In case none of the above work, you may have to undergo surgery to regain the movement in the knee and reduce the pain. If you have been experiencing any of the symptoms of Prepatellar Bursitis, consult your physiotherapist today and get yourself treated.
Piriformis Syndrome is pain experienced in the hip, buttock, hamstring and sciatic regions. It is a fairly uncommon neuromuscular disorder. This syndrome happens when the piriformis muscle compresses the sciatic nerve.
The piriformis muscle is a flat, band-like muscle located in the buttocks near the top of the hip joint. This muscle is important in lower body movement since it stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, shift our weight from one foot to another, and maintain balance. The sciatic nerve is a thick and long nerve in the body. It passes alongside or goes through the piriformis muscle, down the back of the leg, and eventually branches off into smaller nerves that end in the feet.
Piriformis syndrome can cause another condition, called sciatica.
The exact causes for this syndrome are unknown. However, suspected causes include:
Symptoms include a dull pain in the buttocks, pain which may extend down the back of the thighs, calf and foot. Also, hip movements can be painful. The pain may be aggravated after prolonged sitting.
There are no definitive tests for piriformis syndrome. Your doctor may ask if there is a history of trauma to the area, or if you engage in repetitive, vigorous activity such as long-distance running, or prolonged sitting. Diagnosis of piriformis syndrome is done by a physical examination using a variety of movements to elicit pain in the piriformis muscle. Typically, any motion of the hip will recreate the pain. The exam will also identify or rule out other possible causes of the sciatica pain, such as testing for local tenderness and muscle strength. Because symptoms can be similar in other conditions, radiologic tests such as MRIs may be required to rule out other causes of sciatic nerve compression, such as a herniated disc.
Piriformis Syndrome is usually treated through physiotherapy.
This is one condition that can be prevented by taking certain measures. Doctors suggest warming up thoroughly before starting any physical exercise help you keep your body healthy and away from any shortcomings, and to gradually increase the intensity. Also, having a good posture while running and exercising helps in preventing this syndrome. To know more on treating Piriformis Syndrome, contact your nearest Physiotherapist.
Mallet Finger is an injury to tendon that straightens the end of a finger or thumb. In this condition the finger bends down beyond normal and cannot be straightened actively. It is also known as 'Baseball finger'.
In Mallet Finger, usually 3 types of injuries occur:
The tendon is damaged, but no fractures are present;
The tendon ruptures with a small fracture caused by the force of the injury.
The tendon ruptures with a large fracture.
This condition can happen to anyone but basketball and baseball players are especially susceptible. In children the injury may involve the cartilage that controls bone growth.
Mallet Finger occurs when the finger gets crushed or a ball suddenly strikes the finger and tears the tendon. While this may happen anytime, it's a common phenomena while playing games like basketball, baseball and volleyball.
Pain, tenderness and swelling on the joint is felt immediately after injury. Followed by an inability to completely straighten the finger but being able to move it with external help. In case of fracture, there may be blood beneath the nail or the nail may get detached.
Usually physical examination and the symptoms are enough to indicate the condition. However, X-ray tests are conducted to find out if there is a fracture. No other tests are generally required.
The most common and usually preferred way to treat Mallet Finger is to wear a splint on the injured finger. The splint has to be worn, for 8 weeks at all times including bathing and sleeping. If the splint is removed for any purpose, the finger should still remain extended till the time the splint is put back on. For 3-4 weeks after the 1st 8 weeks, splint can be worn less frequently, perhaps only at night.
Physiotherapy may be done while the splint is still on. It may include cold therapy, passive and active range of motion exercises and strengthening exercises. Further, home treatments and exercises may be suggested by the physiotherapist once the splint is removed.
For some patients, if the splint is not comfortable, the doctor may insert a temporary pin across the fingertip for 8 weeks.
In case of fracture, surgery may be the only treatment for full recovery of the finger. But majority of mallet finger injuries can be treated without a surgery.
Mallet finger injuries that are not treated typically result in stiffness and deformity of the injured fingertip. In some cases, even after the treatment, it may take several months for the finger to properly regain function. Any redness, swelling and tenderness of the skin over the end of the finger may persist for the first few months after the injury. These symptoms will usually improve eventually. To get yourself treated for Mallet Finger, get in touch with your physiotherapist now.
Unlike Tennis Elbow, which affects the outside of the elbow, Golfer's Elbow affects the inside and forearms. This is a soft tissue injury of the muscles and tendons around the elbow joint. However, this condition is not as common as Tennis Elbow.
While the name maybe Golfer's Elbow, this condition affects anyone who may be excessively using their forearms to flex, grip or swing their wrist or arms. People active in games such as bowling, tennis, baseball, and in some cases, painting, are more prone to this condition. While this condition is not limited to any age group, most of the patients tend to be between the ages of 35 to 50,
CausesIt is an overuse injury. Repetitive actions, such as gripping, flexing, swinging, puts strain on the forearm muscles which overworks the muscles. This causes the tendons to tear, which then leads to pain and inflammation.
SymptomsPain is felt in the bony bump on the inside of the elbow and may radiate to the forearm when gripping something. Some people also experience pain when stretching the muscles.
DiagnosisYour physiotherapist will ask you questions related to your medical history. Following this, he will conduct a physical examination, where he will position your wrist so that it stretches the tendons of the forearm. This should cause slight discomfort, confirming the condition. You will need to get an X-ray done, this will help rule out any other elbow-joint related condition as well as show any calcium deposits in the tears. Further, MRI scan may also be conducted upon the doctor's suggestion.
TreatmentThe key here is letting the collagen heal and prevent it from breaking down further.
The popular method of treating Golfer's elbow is physiotherapy. At first, your therapist will give you tips on how to rest your elbow and how to do your activities without exerting extra strain on your elbow. He may apply tape to take some of the load off the elbow muscles and tendons. You may use an elbow strap that wraps around the upper forearm in a way that relieves the pressure on the tendon attachment. Also, your therapist may apply ice and electrical stimulation to ease pain and improve healing of the collagen. Exercises are used to gradually stretch and strengthen the forearm muscles.
In case of inflammation, your doctor may suggest appropriate medication to reduce the inflammation. A new technique that's gained popularity is the shock wave therapy. It uses a machine to generate shock wave pulses to the sore area. Patients generally receive the treatment once a week for up to three weeks. This therapy aims at easing the pain felt in the forearms.
In rare cases, where the non-surgical treatments do not reduce the pain, surgery may be suggested to help the patient regain the use of their elbow and wrists.
Untreated Golfer's elbow can last for any time from 6 months to 2 years, and there are chances of recurrence. To get more advice and details about physiotherapy treatments for Golfer's Elbow, contact your physiotherapist.
The shoulder blade is made up of three joints: the humerus (upper arm bone), the clavicle (collarbone) and the scapula (shoulder blade). The scapula is an amazing anatomical structure. It is suspended over the ribs between the spine and the arm by only two ligaments. The scapulothoracic joint is located where the shoulder blade glides along the chest wall (thorax).
Snapping Scapula Syndrome is a disorder in which scapulothoracic motion produces a snapping, grinding, thumping or popping sensation. A loud popping or cracking sound is heard when the arm is raised up overhead. The medical term for this sound is crepitus. The sound is made by some soft tissue rubbing between the scapula and the thoracic wall. The person with this problem may or may not experience pain with the movement and the popping sound.
Snapping Scapula Syndrome can occur when the tissues between the scapula and shoulder blade become thick due to inflammation. It can be also caused by problems in the soft tissues or bones of the scapula and chest wall. The inflammation is usually caused by repetitive movements. After years of movement, the repetitive motion eventually causes a wear pattern that results in the Snapping Scapula Syndrome.
A less common cause is the development of a benign tumor called osteochondroma. Scapular or rib fractures, bone spurs, nerve injuries with muscle wasting and weakness or other types of tumors have also been linked with the snapping syndrome.
Grinding, grafting or snapping may be heard or felt along the edge or undersurface of the scapula as it moves along the chest wall. Sometimes the joint pops or thumps during movement. Often, these sensations cause no pain.
Your doctor or physiotherapist will ask you questions about your medical history, to know if you have ever experienced any similar problems in the past. He will try to find out if you've previously injured your scapula, and if any of your activities require repetitive shoulder movements.
To check the alignment of the scapula, your doctor may also establish a physical exam. An X-ray image can show abnormalities in the bone, such as a rib or scapular fracture. If he suspects a bursitis, an MRI test may be used to locate the bursa and see how major the problem is.
For most patients, if their bursa is not damaged, Snapping Scapula Syndrome can be managed nonoperatively via treatment options such as physical therapy, anti-inflammatory medications, and corticosteroid injections.
Physical therapy incorporates goals of rehabilitation on addressing postural issues, improving muscular strength, endurance and balance, and working on core strength. Where there is pain, there can be altered movement. A physiotherapist will aim at reducing or eliminating that pain, in order to help muscles resume normal movement patterns.
If these measures don't achieve the desired results and especially if there are bone spurs or tumors involved, then the patient may have to undergo a surgery. Doctors may recommend surgery only if nonsurgical treatments are futile. If you are looking for professional physiotherapists to help you cure the Snapping Scapula Syndrome, you can contact us and we will ensure that your disorder is rectified.
Lower Crossed Syndrome is also known as Pelvic Crossed Syndrome, Distal Crossed Syndrome or 'Unterkreuz Syndrome'. The lower crossed syndrome (LCS) is the result of muscle strength imbalances in the lower segment. When muscles are constantly shortened or lengthened in relation to each other, such imbalances occur. It's an imbalance of tight and weak structures around the pelvis, hips and lower back. This imbalance can cause pain and dysfunction and an over arching of the lower back.
Lower Crossed Syndrome is a combination of weak glutes, weak abdominals, tight hip flexors, and a tight lower back. This syndrome is found in individuals who sit for prolonged periods, continuously perform tasks for extending periods of time utilizing poor posture, or have been immobilized.
There are several factors involved in the development of lower-crossed syndrome, one of those is thought to be a previous injury to the joints, ligaments or muscles in the low back, pelvis or hip that doesn't resolve completely and leaves certain muscles tight and short. Lower Crossed Syndrome occurs when the gluteals (gluteus maximus, gluteus medius, gluteus minimus) and abdominal muscles become weak or inhibited and the hip flexors (rectus femoris and iliopsoas) and lumbar erector spinae become tight.
Your therapist will be able to diagnose you by listening to your history, looking at your posture and examining you. Your therapist will look at your posture in detail and may line you sideways against a plum line to measure how altered your posture has become. The examination will consist of muscle palpation and stretching to locate the short and tight muscles and muscle testing to determine the weaker muscle groups. Your therapist will also look at the movement of all of the surrounding joints to check for underlying or causative factors.
The treatment of tightness is not in strengthening, which increases tightness and possibly result in more pronounced weakness, but in stretching, oriented toward influencing the noncontractile but retractile connective tissue of the muscle. Your physiotherapists will help you normalize the short and weak muscles by giving you certain exercises with the objective of restoring balance. This may involve purely soft tissue approaches. He will also help normalize your posture and educate you about appropriate body usage.
It is possible to reduce the symptoms of LCS and, over time, resolve the problem completely. By performing various exercises that you physiotherapist prescribes to you, your body will return to normal posture and it will become strong and flexible. If you have been suffering from Lower Crossed Syndrome, you can immediately book an appointment with us and our professionals will help you recover quickly.