Table 2 A flow chart of the rehabilitation process for both case studies (rehabilitation approach)
From: The role of physiotherapy in recovery from generalized tetanus: two case reports
Goals | Treatment administered |
|---|---|
• Relieve pain • Increase range of motion • Stretch tight structures of Uls, LLs, and trunk | • Passive movement to all joints of bilateral ULs and lower limbs (25 reps) • Soft tissue massage using stroking and frictional technique with topical analgesic, passive stretching to all joints of the ULs and LLs • STM to the facial muscles • Gentle neck mobilization • Home exercise programs |
• Strengthen weak muscles of ULs and LLs • Stretch tight structures • Trunk control retraining • Sitting education • Transfer training | • Free active exercises (gravity-free plane) to bilateral hamstrings (× 10 reps × 2 sets) • Bridging exercises (× 10 secs × 10reps × 2 sets) • Rhythmic stabilization in high sitting • Assisted active exercises to all muscle groups of bilateral ULs and LLs in gravity free plane • Trunk rolling exercises, • Assisted curl-up exercises, 10 reps, 2 sets • Bridging exercise • Walking re-education using Zimmer’s frame • Ward exercise programs |
• Retrain balance and walking • Community reintegration | • Walking reeducation • Squatting exercises • One leg stance exercise • Tandem walking |