Journal of Physiotherapy & Physical Rehabilitation

aldjflaTourette syndrome is a neurodevelopment disorder characterized by motor tics and vocal tics, with possible co-morbidities such as attention-deficit/hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). For mild cases where the symptoms are not affecting quality of life, treatment is not required. But severe cases will require pharmacotherapy and specialized therapies. When treated with antipsychotics the patient may develop unwanted side effects such as weight gain. In addition to pharmacotherapy, it is essential to address the side effects arising from it. Weight gain is a very challenging ill effect and has major complications of obesity, diabetes etc. Side effects such as weight gain will need a holistic approach; if not addressed they can place the individuals at health risks. In the present case report, involvement in exercise programme designed by physiotherapists helped to address weight gain.dflsd

Rehabilitation of facial disfigurement after a surgery or trauma is difficult to address as it involves individuality of the patient. Face being the visual proforma, rehabilitating it is always a challenging task. This is predominantly due to the presence of soft tissue, lack of anatomic undercut and increased muscle activity. The use of Osseo integrated implants provide the most reliable retention, however placing it on a intact facial defect further complicates rehabilitation. This case report is about rehabilitation of lost facial feature after tumour resection surgery.

Background: One of the two most common tendinopathies of the lower limb is Patellar Tendinopathy (PT). An exercise programmer consisting of a unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board has been recommended for the management of PT. In addition, slow progressive eccentric - concentric loading of quadriceps using forward step lunge (FSL) with the anterior knee motion going in front of the toes (FT) is also recommended for the management of PT. The purpose of the present article will be to make a comparison of the effects of an unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board and an exercise programmer consisting of FSL-FT for the treatment of Chronic PT (CPT). Methods/Design: CPT patients will participate in this randomized clinical trial (RCT). Patients will be allocated to two groups randomly. Group A will be treated with unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board and group B will be treated with FSL-FT. All patients will receive 30 treatments totally (5 treatments/week for 6 weeks). Pain (VISA -P), function (VISA-P) and drop - out will be evaluated at the end of treatment, at 3 months follow-up and at 6 months follow up. The independent t test will be used to determine the differences between groups. A paired t test will be used to determine the difference within groups. The level for statistical significance will be 5% level of probability. SPSS 21.00 will be used for the statistical analysis. Discussion: The present RCT will be evaluate the effectiveness of an unilateral squat concentric - eccentric training of the patellar tendon on a 25° decline board and an exercise programmer consisting of FSL-FT for the treatment of CPT.