Dr Satyajit Mohanty blogs

Annu Rev Med. 2009;60:55-68. Stroke rehabilitation: strategies to enhance motor recovery. O'Dell MW, Lin CC, Harrison V. Department of Rehabilitation Medicine, New York-Presbyterian Hospital, Weill Cornell Medical Center, New York, New York 10021, USA. mio2005@med.cornell.edu Abstract Recent evidence indicates that the brain can remodel after stroke, primarily through synaptogenesis. Task-specific and repetitive exercise appear to be key factors in promoting synaptogenesis and are central elements in rehabilitation of motor weakness following stroke. Expert medical management ensures a patient is well enough to participate in rehabilitation with minimal distractions due to pain or depression. Contraint-induced motor therapy and body-weight-supported ambulation are forms of exercise that "force use" of an impaired upper extremity. Technologies now in common use include robotics, functional electrical stimulation, and, to a lesser degree, transcranial magnetic stimulation a...

Parts of SC joints: The sternoclavicular articulation is a double arthrodial joint. The joint is made out of following boby articulating parts sternal end of the clavicle, the upper and lateral part of the manubrium sterni, and the cartilage of the first rib. The articular surface of the clavicle is much larger than that of the sternum, and is invested with a layer of cartilage, which is considerably thicker than that on the latter bone. Important parts (ligaments & disc) of this joint are: 1. The Articular Capsule 2. The Anterior Sternoclavicular ligament 3. The Posterior Sternoclavicular ligament 4. The Interclavicular ligament 5. The Costoclavicular ligament And the 6. The Articular Disk According to a retrospective analysis articular disk injuries were seen in 80% of patients. Injuries of the anterior, posterior, interclavicular and costoclavicular ligaments were seen in 73%, 39%, 29% and 14% of patients, respectively (10). Movements possible in this joint- T...