Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2016
  • Volume: 10
  • Issue: 2

Predictive Criteria for Selection of Patients for Physiotherapy and Rehabilition in Patients with Neuropathy/Neurological Deficits Following Acute/Acute on Chronic Ischemic Episode of the Limbs: Open Labelled Clinical Trial

1Associate Professor, KLEU Institute of Physiotherapy, Belagavi

2Professor, JNMC, Belagavi

Online published on 27 April, 2016.

Abstract

Open Labelled Clinical Trial

To categorize Ischemic neurological damage patients depending upon their clinical presentation to two major categories such as the patients who could be managed with medical treatment and physical therapy management programme and to categorize the patients with certain specific criteria's who could be included in surgical interventions.

Peripheral arterial disease (PAD) is associated with significant morbidity and mortality and is an important marker of subclinical coronary heart disease. In some studies it has been found that surgical intervention alone or physical training alone does not provide good results.

Total 35 patients of both male and females were included in this open labeled clinical trail. Two measuring technique ABI and NCV, one exercise program, unsupervised home exercise program and patients advice was part of procedure. Intervention was given at 1st day, 3rd month and 6th month.

VAS, ABI and mean amplitude of peroneal nerve showed statistical significant difference when analyzed between 1st day to 3rd month, 1st day to 6th month and 3rd month to 6th month with ‛? p ’ value < 0.0001.

Physical therapy in the form of Burger's exercise with life style modification is significant in improving quality of life in the form of reducing severity of claudication pain and improving walking distance, thus minimizing risk of surgical intervention thereby decreasing mortality rate in these patients.

Keywords

Predictive criteria, physiotherapy/rehabilitation, neurological deficits, ischemia, limbs