Dr. Anitha

11 TIPS FOR MANAGEMENT OF INCOORDINATION

The management of ataxia differs based upon the causative factors;logistically speaking ataxia can either occur due to cerebellar dysfunction or due to loss of sensory information to the cerebellum. Thus the patient of cerebellar ataxia differs slightly from the ones caused due to sensory impairment.Certain principles need to be applied while treating cases of ataxia which are as follows::

• ·        Intense concentration of the patient.
• ·        Active participation of the patient should be encouraged rather than making the treatment program passive.
• ·        Frequent rest period needs to be given to prevent fatigue.
• ·        The training room should be quite to avoid any distraction that can aggravate ataxia.
• ·        Patient should be always relaxed and should be given a comfortable as well as properly supported position.
• .        Repetition of task or sequence of task is very important for recovery.
• ·        The guidance given by the therapist holds a very important significance in the treatment Certain important goals towards which the physiotherapist can work with thepatient are: 
• ·        Regulate the limb movements accurately during activities.
• .        Develop postural stability and balance.
• ·        Improve the tone of the muscle.
• ·        Functional transfers and gait.

.        While exercising patients within coordination one should always progress from exercises done at a lower centre of gravity to exercises that is done at a higher centre of gravity. This consideration is necessary to prevent any chances of fear or insecurity that may interfere in the rehabilitation program.Various functional activities of the patient can be achieved by giving the following exercises to the patient.

HEAD AND TRUNK CONTROL: 

Patient with poor head control can be treated prone with one or two pillows under the chest of the patient. Prone on elbow is not her position that can be considered to stimulate proper head control in these patients. 

Facilitation of neck extensors and shoulder girdle retractors can be achieved by using technique like brisk stroking, quick stretch or vibration given directly on the muscle bulk. 

Adenoids refer to the mass of lymphatic tissue situated at the intersection of the back of the nose and throat. They are a part of the body's immune system and play a noteworthy part in battling infections in kids. Adenoids fight off the microbes and infection that enter the body through the nose. They typically occur in children of five to seven years of age and from that point, they begin to decrease. They vanish when the child gets older. This is the physiological development and relapse of the adenoids. However, permanent adenoids are an issue in view of a number of annoying symptoms they show in a child. The major among these are breathing through the mouth and wheezing because of nasal blockage.

Homeopathic medicines are a very safe option than surgery in kids with extended adenoids. It has been noted that adenoids, when surgically removed, tend to regrow. Homeopathic medicines focus on strengthening the child’s immune system. The cures are as follows:

1. Baryta Carb: Baryta Carb is one of the top recorded homeopathic medications for swollen adenoids. It is likewise the medicine to endorse where both tonsils and adenoids are broadened. The child feels sensitive to ice in extremes. The tiniest exposure to icy air causes cough. Cough also shows up at the slightest change in climate. Sneezing and thick yellow nasal release may be seen. Pain in the throat increases on gulping.
2. Calcarea Carb: Calcarea Carb is another brilliant homeopathic medicine for amplified adenoids with the tendency to get infected. Calcarea Carb will be recommended where the youngster is exceptionally helpless to cold and falls sick after each such introduction. This weak immune system for diseases brings about broadened adenoids or tonsils.
3. Agraphis Nutans and Merc Sol: Agraphis Nutans and Merc Sol are extremely helpful homeopathic medicines for treating ear grumblings because of expanded adenoids. Agraphis Nutans is the best treatment for deafness because of expanded adenoids. Homeopathic prescription Merc Sol is highly used in case of an ear infection connected with swollen adenoids.
4. Kali Sulphuricum: Kali Sulphuricum is among one of the top recorded homeopathic solutions for adenoids that regrow after surgery. The symptoms controlling utilisation of Kali Sulphuricum are a blocked nose, mouth breathing and wheezing. Yellow coloured nasal release is also common.
5. Ammonium Carb and Sambucus Nigra: Ammonium Carb and Sambucus Nigra are incredibly helpful homeopathic medicines for developed adenoids. A youngster that needs these drugs will have an increased nasal blockage. The nasal hindrance is most set apart around evening time. Breathing through the mouth because of a blocked nose is also very common. Ammonium Carb is likewise used for a seeping nose, particularly in the morning.

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Exercising outdoors is fun and refreshing in its own way. An early morning jog or doing pull ups on the goal post are fun ways of working out. Summers are usually the best time to take your workouts outside, as it decreases stress levels and revitalizes your body. It is also a good method to increase vitamin D levels in the body as the body is exposed to the sun.

In spite of this, there are some disadvantages of taking your workout outside. Let's focus on them:

1.Chances of accidents go up
It is very common to see people jogging on the road with their headphones plugged in. Incidents of joggers being hit by cars are fairly common, due to the fact that they are unable to hear the honking of a car or may change course along the road without realizing a vehicle is nearby.

2.Too much exposure to the sun
Long distance runners are mostly affected as they log plenty of miles. This can lead to ultraviolet ray exposure which increases the risk of skin cancer. It can also lead to sunburns and tanning of the skin. It is also known to suppress immune system and increase the risk of various infectious diseases.

3.Injury problems
Working outdoors increases your chances of injuries. Running on hard surfaces tends to cause damage your calf, hamstrings and thighs. It can put more stress on your knee, calf and cause various problems such as runner's knee and shin splints.

4.Difficult to find Help
If you suffer from a serious injury while exercising outside, then it may be difficult to find help. If you injure a joint and are unable to walk, then it may be a problem in getting you proper treatment. This delay in treatment may cause the injury to aggravate.