scholarly journals Diseases Pattern in The Department of Physical Medicine & Rehabilitation in A Tertiary Care Hospital

KYAMC Journal ◽  
2017 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Muhammad Alamgir Mandal ◽  
Mohammad Moniruzzaman ◽  
Khurshid Mahmood ◽  
Md Jahidul Islam ◽  
Kazi Shihab Uddin
Keyword(s):  
Cervical Spondylosis ◽  
Tertiary Care ◽  
Frozen Shoulder ◽  
Medical Rehabilitation ◽  
Care Hospital ◽  
Physical Medicine ◽  
Lumbar Spondylosis ◽  
Physical Medicine And Rehabilitation ◽  
Neck Sprain ◽  
Disease Pattern

Background: The field of Physical Medicine and Rehabilitation focuses on the restoration of health and function and reintegration of the patient into the community, Providing services (outdoor & indoor patients) of physical medicine & rehabilitation (PMR) department was started in 2015. Since establishment, department of Physical Medicine is providing services as outdoor basis regularly.Aim & Objectives: The purpose of the study was to observe the disease pattern and demographic characteristics of patients attending the department of Physical Medicine and Rehabilitation in a tertiary care hospital.Methods: This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Khwaja Yunus Ali Medical College Hospital (KYAMCH), Sirajganj for the period of one year from 1st January, 2016 to 31st December, 2016.Results: Total eighteen hundred sixty five (n = 1865) patients were studied, of which 46.21% were male and 53.78% were female. The mean age was 34.64 ± 5.36 years; maximum patients (25.14%) belong to 31-40 years of age. Maximum patients (78%) were come from out of Sirajgonj District specially North Bengal. Regarding disease pattern, 21.60% were PLID, 10.99% stroke, cervical spondylosis 11.15%, lumbar spondylosis 11.52%, frozen shoulder 10.83%, low back pain 9.49%, osteoarthritis 8.25%, facial palsy 0.43% rheumatoid arthritis 5.47%, seronegetavive Spondyloarthopathy 0.26%, GBS 0.10% acute neck sprain/strain 5.68% and others 4.18%.Conclusion: A large scale multi-centered study should be performed in the country. A uniform data system should be constructed for Medical rehabilitation in Bangladesh. Maximum patients were having PLID, Cervical spondylosis, lumbar spondylosis, Stroke & Frozen shoulder.KYAMC Journal Vol. 8, No.-1, Jul 2017, Page 33-37

scholarly journals Diseases pattern in the department of physical medicine & rehabilitation in a tertiary level hospital

2016 ◽  
Vol 43 (3) ◽  
pp. 130-133
Author(s):  
Md Shahadat Hossain ◽  
Prasanta Kumar Chakraborty ◽  
Sohely Rahman ◽  
Md Jahidul Islam ◽  
Md Ruhul Amin ◽  
...  
Keyword(s):  
Adhesive Capsulitis ◽  
Tertiary Care ◽  
Care Hospital ◽  
Low Back ◽  
Physical Medicine ◽  
College Hospital ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Neck Sprain ◽  
Disease Pattern

This is a retrospective study carried out at the department of Physical Medicine and Rehabilitation in Dhaka Medical College Hospital (DMCH), Dhaka for the period of one year from 1st January, 2012 to 31st December, 2012. The purpose of the study was to observe the disease pattern and demographic characteristics of patients attending the department of Physical Medicine and Rehabilitation in a tertiary care hospital. Total sixteen thousand two hundred ninety seven (n=16297) patients were studied, of which 48% were male and 52% were female. The mean age was 43.64 ± 5.12 years, maximum patients (27.96%) belong to 41-50 years of age. Maximum patients (51%) were come from Dhaka city and most of the studied patients were housewife (36.73%). Largest disease group was non-specific low back 130 pain (16.42%). Regarding disease pattern, 44.07% of patients rheumatological, 17.25% neurological, 25.11% orthopaedic condition. Among leading diseases, 16.77% were non-specific low back pain, 10.13% osteoarthritis of knee joints, 8.15% stroke, 7.56% lumbar spondylosis, 7.05% cervical spondylosis, 6.43% adhesive Capsulitis, 3.84% neck sprain/strain 3.57% Facial palsy, 3.18% fibromyalgia and 3.12% tennis elbow.Bangladesh Med J. 2014 Sep; 43 (3): 130-133

scholarly journals Incidence of Different Variant of Focal Soft Tissue Rheumatism Patients with Their Socio-demographic Profiles at a Tertiary Care Hospital in Dhaka City

2018 ◽  
Vol 16 (1) ◽  
pp. 8-12
Author(s):  
Taslima Hoq Moonmoon ◽  
Jebun Nesa ◽  
Ehsanul Haque Khan ◽  
Jahidul Islam ◽  
Md Ziaul Haque
Keyword(s):  
Soft Tissue ◽  
Tennis Elbow ◽  
Tertiary Care ◽  
Demographic Characteristics ◽  
Care Hospital ◽  
Physical Medicine ◽  
Cross Sectional ◽  
Socioeconomic Condition ◽  
Physical Medicine And Rehabilitation ◽  
Soft Tissue Rheumatism

Background: Focal soft tissue rheumatism occurs in varied incidence with difference socio-demographic group of patients.Objective: The purpose of the present study was to see the incidence of focal soft tissue rheumatism with the socio-demographic characteristics of the patients.Methodology: This descriptive type of cross-sectional study was carried out in the Department of Physical Medicine and Rehabilitation at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from March 2006 to August 2006 for a period of 6(six) months. The patients having focal soft tissue rheumatism were selected from the dept. of Physical medicine and Rehabilitation who were referred from other outpatient department of BSMMU and also from general practitioners outside the hospital. The details of socioeconomic condition and the demographic characteristics were recorded.Result: During the study period a total of 2350 patients were examined. Among them 44 patients presented with different focal soft tissue rheumatism. The incidence of the patients presented with focal soft tissue rheumatism was 1.87%. Among 2350 patients, the incidence of different soft tissue rheumatism cases were Tennis elbow 20(85%), De-Quervain`s disease 12(51%), Trigger fingers 8(34%) and Golfers elbow 4(17%). The most common age group suffering from soft tissue rheumatism was the 31 to 40 years which was 20(46.0%) cases. Housewife was suffering most commonly with focal soft tissue rheumatism which was 14(32.0%) cases.Conclusion: In conclusion focal soft tissue rheumatism occurs most commonly among the young housewife presented with the tennis elbowJournal of Science Foundation 2018;16(1):8-12

scholarly journals Pattern of Musculoskeletal Disorders among Diabetic Patients Attending The Department of Physical Medicine and Rehabilitation in a Tertiary Care Hospital

KYAMC Journal ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 41-43
Author(s):  
Ferdousur Rahman Al Mahmud ◽  
Muhammad Alamgir Mandal ◽  
AKM Masudur Rahman ◽  
Mst Shamina Khatun ◽  
Mohammad Azizur Rahman
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Physical Medicine ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Physical Medicine And Rehabilitation ◽  
Soft Tissue Rheumatism

Background: Disorders of musculo-skeletal (MSK) system are very common scenario watched in diabetic patients and is a major cause of morbidity, mortality and hospitalization. Objective: The present study to see the pattern of MSK disorders among the Bangladeshi diabetic patients. Materials & Methods: This is a cross-sectional study carried out at the department of Physical Medicine and Rehabilitation in Thengamara Mohila Sabuj Sangha (TMSS) Medical College Hospital, Bogura for the period of one year from February 2019 to January 2020. A total of 450 diabetic patients with MSK disorders were included in this study. Results: A total of 450 patients with MSK disorders were studied. Out of them 208 (46%) were males and 242(54%) were females.31.5% were between the age group of 41-50 years and 28.9% was between 51-60years.Majority were housewives (51.2%) followed by cultivator(16.2%).Degenerative joint diseases were more common (31.4%) than inflammatory arthropathies (19.3%).Lumbar and cervical spondylosis constituted about 31.4% of all disorders& 22.7% presented with OA knee whereas 15.6% presented with rheumatoid arthritis. Conclusion: Degenerative disorders of the MSK system are more common than the inflammatory ones amongst the diabetics.Maximum patients were having OA of knee, lumbar spondylosisand soft tissue rheumatism. KYAMC Journal.2021;12(1): 41-43

scholarly journals Rehabilitation Infrastructure and Services in a Tertiary Hospital in Bangladesh

KYAMC Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 62-66
Author(s):  
Md Israt Hasan ◽  
Mohammed Emran ◽  
Md Atiquzzaman ◽  
Md Shahadat Hossain ◽  
Taufiq Morshed ◽  
...  
Keyword(s):  
Physical Therapists ◽  
Focal Point ◽  
Demographic Data ◽  
Frozen Shoulder ◽  
Rehabilitation Medicine ◽  
Tertiary Hospital ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Disease Pattern ◽  
And Function

Background: Rehabilitation Medicine is the focal point on the refurbishment of the health and function, and reintegration of the patient into the community. Since inception, department of Physical Medicine and Rehabilitation (PMR) is dispensing state of the art services despite its fewer resources. Objective: To anticipate a brief recapitulation of the infrastructure of Rehabilitation medicine and its' services as well as demographic data and, disease pattern among the patients dealt by it in a Tertiary Hospital. Materials and Methods: This is a retrospective study executed in the department of PMR of Kurmitola General Hospital, Dhaka from January 2019 to December 2019. Results: Currently 4 Rehabilitation Physicians (Physiatrist) and 3 Physical Therapists, are involved in indoor, outdoor and, specialized PMR services with 4 indoor beds. Total thirty four thousands seven hundred thirty six (n=34,736) patients were studied who received our services, among them 35.62% were male and 64.38% were female. 16% of patients were under 20 years of age, about 61% of patients belong to 2nd, 3rd, 4th, 5th decades and 23% were above 60 years of age. Nonspecific Low Back Pain (NSLBP) were 23.80%, 8.29% Neck pain, cervical spondylosis11.15%, lumbar spondylosis 11.52%, frozen shoulder 9.83%, PLID 7.39%, osteoarthritis 9.15%, facial palsy 0.53%, rheumatoid arthritis 4.47%, seronegative spondyloarthopathy 1.26%, Guillain-Barre` Syndrome (GBS) 0.15%, planter fasciitis 4.68%, 2.10 % postsurgical/post-traumatic stiffness and others were 5.13%. Conclusion: It is time demand to build more infrastructures country wide to improve physical medicine and rehabilitation services for the country people. KYAMC Journal Vol. 11, No.-2, July 2020, Page 62-66

scholarly journals Adhesive Capsulitis of Shoulder (Frozen Shoulder) among the Diabetic Patients with Rheumatic Complaints

2020 ◽  
Vol 32 (1) ◽  
pp. 67-69
Author(s):  
Kazi Abdulah Al Mamun ◽  
Md Nurullah ◽  
Md Anwar Husain ◽  
Farjana Mansur ◽  
Md Shah Alam
Keyword(s):  
Soft Tissue ◽  
Elderly People ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Diabetic Patients ◽  
Age Group ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Soft Tissue Rheumatism ◽  
Medicine Today

Introduction: Adhesive capsulitis of shoulder is the most common soft tissue rheumatism among the diabetes patients with rheumatic complaints but the etiology is still unknown. To detect the incidence of adhesive capsulitis (frozen shoulder) among diabetic patients with rheumatic complaints. Materials and Methods: All patients having diabetes with rheumatic complaints attended in the department of Physical Medicine and Rehabilitation, BIRDEM and BSMMU, Dhaka during the period June 2003 to November 2003 were included in this study. Results: After discarding unsatisfactory samples, 273 samples were assayed for study. Out of 1665 patients 273 (16.40%) had adhesive capsulitis. Out of 273 patients 145 (53.12%) were female and 141 (51.65%) were housewives and of 206 (75.45%) patients was in age group 41-60 years. Conclusion: The incidence of adhesive capsulits of shoulder among diabetic patients female is more than male. It is found that housewives and elderly people are mostly sufferer with this disease. Medicine Today 2020 Vol.32(1): 67-69

scholarly journals Profile of Patients Attending at the Department of Physical Medicine and Rehabilitation in a Specialized Hospital of Bangladesh

2017 ◽  
Vol 46 (1) ◽  
pp. 15-19
Author(s):  
Prasanta Kumar Chakraborty ◽  
Md Shahadat Hossain ◽  
Md Jahidul Islam ◽  
Md Shahadat Hossain ◽  
Monzur Ahmed ◽  
...  
Keyword(s):  
Care Delivery ◽  
Outpatient Rehabilitation ◽  
Physical Medicine ◽  
Health Seeking ◽  
Physical Medicine And Rehabilitation ◽  
Specialized Hospital ◽  
Number Of Patients ◽  
Disease Pattern ◽  
Seeking Behavior ◽  
Tunnel Syndrome

Physician’s documentation has become the critical component in rehabilitation of patients. The scope of Physical Medicine and Rehabilitation (PMR) encompasses more than a single organ system. Attention to the whole person is paramount. The aim of the study was to appraise the disease pattern and demographic information of the patients received outpatient rehabilitation services at the department of PMR, National Institution of Neuroscience and Hospital, Dhaka, Bangladesh. This is a retrospective study carried out for the period of two years July 2013 to June 2015. Total number of patients was 29678, among them 57.02% were male and 42.98% were female. Maximum patients (26.15%) were in age group 41-50 years and in housewife (37.76%) in occupation, where majority (56.33%) of them came from Dhaka city. Regarding disease pattern, 56.32% was neurological, 33.46% was musculoskeletal and 7.25% of patients were suffering from rheumatologic problem. Among leading diseases, largest disease group was stroke (20.02%), 10.48% was non-specific low back pain, 9.92% was Bell’s palsy, 5.35% was lumbar spondylosis, 5.13% was carpal tunnel syndrome, 4.11% was prolapsed lumber inter-vertebral disk (PLID), 3.72% was cerebral palsy. Knowledge about the existing disease pattern and health seeking behavior is essential to provide need based health care delivery to any population.Bangladesh Med J. 2017 Jan; 46 (1): 15-19

scholarly journals Determinants, characteristics and treatment of neck pain in a tertiary care hospital in Kerala

2016 ◽  
Vol 6 (1) ◽  
pp. 150 ◽  
Author(s):  
Liya Roslin Joseph
Keyword(s):  
Neck Pain ◽  
Tertiary Care ◽  
Muscle Relaxants ◽  
Treatment Modalities ◽  
Care Hospital ◽  
Physical Medicine ◽  
Neck Stiffness ◽  
X Ray ◽  
Patient Demographics ◽  
Study Population

Background: This study was undertaken to study the determinants, clinical characteristics and treatment pattern of neck pain in patients attending outpatient department of Physical medicine and Rehabilitation in a tertiary care hospital.Methods: Study comprehended single patient visit. Data regarding patient demographics, characteristics of neck pain and clinical diagnosis, drugs prescribed to each patient were recorded in a pre prepared proforma. Clinician’s opinion about patient’s X-ray of cervical spine and the data regarding alternative treatment modalities were also noted. Data analysis was done with the help of excel 2007 and SPSS 16 statistical software.Results: Among 170 patients included in the study 38.8% of patients were in the age group of 40-49 years with M:F ratio-1:2.9. 98.8% of patients experienced radiation of neck pain to one or both arms. Neck pain also was associated with numbness in arm (82.4%), forearm (61.8%) or hand (59.4%) and neck stiffness (99.4%). Half of the study population were found to have neurological deficit. 98.2% of patients had positive radiological evidence for neck pain. Cervical spondylosis (85.9%) was the most commonly observed cause for neck pain. All patients received pharmacotherapy with NSAIDS and muscle relaxants. Diclofenac was the most commonly prescribed NSAID. 45% of the patients received alternative and complementary treatments for neck pain.Conclusions: NSAIDs and central skeletal muscle relaxants are the commonly prescribed medications and alternative treatments like spinal manipulation and physiotherapy appears to be beneficial in patients with neck pain.

scholarly journals Effect of Rehabilitation Team Meeting on the Patient’s Disability in the Department of Physical Medicine and Rehabilitation (PMR) in a Tertiary Care Hospital in Dhaka

2021 ◽  
Vol 46 (3) ◽  
pp. 228-232
Author(s):  
Farzana Khan Shoma ◽  
Md Taslim Uddin ◽  
Md Ali Emran ◽  
Mohammad Tariqul Islam ◽  
Badrunnesa Ahmed ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Care Hospital ◽  
Physical Medicine ◽  
Rehabilitation Team ◽  
Team Meeting ◽  
Physical Medicine And Rehabilitation ◽  
Cord Injury ◽  
Group A ◽  
Group B ◽  
Medical University

Background: Teamwork is one of the most fundamental factors in rehabilitation medicine. Although isolated physicians and therapists are working with rehabilitation services in Bangladesh, there is limited data for understanding the effects of a team effort. Objective: To evaluate the effect of rehabilitation team meeting on the patients’ disability in the Department of Physical Medicine and Rehabilitation (PMR) in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. Methods: This was a randomized controlled trial conducted in the Department of Physical Medicine and Rehabilitation (PMR) in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from September 2018 to October 2019. Two hundred and thirty nine patients attending the PMR department for comprehensive management of disability (such as disability in mobility, speech, self-care, sphincter control etc.) were purposively selected for the study. Patients were randomly allocated by lottery in two groupsgroup A (received Rehabilitation Team Meeting service) and group B (received conventional Rehabilitation treatment). The meeting comprised physiotherapist, occupational therapist, rehabilitation nurse, speech and language therapists, social worker, nutritionist, psychologists under the team leader guidance by physiatrist. Respondents of both groups were assessed to see the effects of treatment at 6th weeks, 12th weeks and 24th weeks. Among 239 patients, 77 patients in group A and 71 patients in group B had completed 24th week follow up. Outcomes were measured by FIM (Functional independence Measure) scores. Results: The mean age of the patients in group A and B were 42.2 (±17.5) years and 45.7 (±14.6) years respectively. In both groups, majority of the patents were male and came from urban areas. Main cause of disability was stroke while others had traumatic brain injury, spinal cord injury, spinal cord compression, rheumatoid disease and others. At baseline and after 6th week of treatment, there were no significant statistical differences between the two groups (p>0.05) regarding FIM scores. In 12th week, FIM significantly increased in group A (p=0.009) compared to group B which persisted till 24th week (p<0.001). Conclusion: Rehabilitation team meeting significantly reduce disability of the patient. It needs to work continuously to build up the rehabilitation team to improve physical rehabilitation in Bangladesh to ensure total care of the disabled. Bangladesh Med Res Counc Bull 2020; 46(3): 228-232

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