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Orthopedics and Osteoporosis 2018
N o v e m b e r 2 9 - 3 0 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Page 68
Journal of Clinical & Experimental Orthopaedics
ISSN: 2471-8416
E u r o p e a n C o n f e r e n c e o n
Orthopedics and
Osteoporosis
P
ott’s disease, also known as spinal tuberculosis (TB) which commonly leads to a gradual onset of neurological deficits.
Tuberculosis is on rise in the developing countries as in Papua New Guinea. Kundiawa General Hospital is one of the hospitals
in the country which is currently managing Pott’s disease with specific physiotherapy methods and techniques over the last 20
years. Retrospective analysis of 253 patients documented 158, frommedical admission records, years 1996 to2018. Physiotherapy
intervention was based on: clinical examination, spine X-ray, neuromuscular skeletal assessment (Freckles grading). A total of
253 of Pott’s diseases patients, 158 were documented, out of that figure, 63 patients with neurological deficits and paravertebral
abscess underwent surgery, physiotherapy and anti-tuberculosis treatment and have benefited well. The other 95 patients without
neurological deficits were on pure physiotherapy and anti-tuberculosis and also benefited. Thorough physiotherapy neuromuscular
skeletal assessment contributes the successful management of the spine and limbs using treatment methods of back care, log
rolling techniques, back extension, stimulations exercises and power exercises program of the back and limbs. Patients with
gibbous underwent distraction of bilateral uppers and lower limbs by distracting the spine. Majority of patients benefited well
with early physiotherapy interventions and discharged home with POP corsets. Most of them, 154 (94.2%) have walked and lived
a normal live at home after full physiotherapy rehabilitation program with the awareness and continuity of Community based
rehabilitation program. It has been a successful multi- disciplinary approach of surgical, medical, physiotherapy, nursing and
family was involved.
mmuno162@gmail.comPresentation on role of physiotherapy in
management of Pott’s disease at Kundiawa
Maria Muno
¹SJNM Kundiawa General Hospital, Papua New Guinea
²Divine Word University, Papua New Guinea
J Clin Exp Orthop 2018, Volume: 4
DOI: 10.4172/2471-8416-C1-006