M. S. P. EDITION

Physiotheraputic Management in Thoracic Surgery
by M. Ibrahim & Mahboob ur Rahman

Published in News Bulletin PGMI; 1986 1, 10: 4 - 5 (Please click below link)

/admin/assets/files/Physiotheraputic%20Management%20in%20the%20Thoracic%20Surgery.pdf




ABSTRACT
by Dr. Mahboob ur Rahman
/admin/assets/files/Home%20Economics%20Abstract.docx



Speech by Dr. Mahboob ur Rahman
HOME ECONOMICS AND THE ROLE OF PHYSIOTHERAPY IN ELDERLY AGE
/admin/assets/files/SPEECH.docx


Health Experts stress on Corrective Surgeries
for Polio Patients (article by Daily Tribune)

PESHAWAR: Children suffering from polio develop deformities between age 20 and 25 which leave them permanently disabled, health experts said on Monday, citing lack of awareness and supervision of a physiotherapist as major reasons for the lifetime handicap.

Briefing a World Health Organization (WHO) official, Habib Physiotherapy Complex Chairman Mehboobur Rehman said patients suffering from polio could lead a normal life through physiotherapy and by undergoing a minor surgery. He added if atrophy (the wasting of muscles) and deformity of limbs are prevented through proper exercise at an early age, permanent disability could be avoided.

“The Habib Physiotherapy Complex offers free physiotherapy for such children and the complications may be avoided if they are brought in at an early stage. Our complex coordinates with other organisations like the WHO, and corrective surgeries and artificial supports are provided free of cost,” said Rehman.

Those patients suffering from permanent disabilities since birth require vocational training and self-employment, for which assistance must be sought. The social welfare department plays its part, but lack of awareness among people and coordination among stakeholders is a huge constraint, he added.

On Sunday, the ninth case of polio was reported in Khyber Agency. The virus infected 12-month-old Maryam. In the past seven months, 13 polio cases have been reported from Fata, while five cases have been reported from K-P. Of the 22 cases so far in 2013, 17 have been of children who had not been vaccinated. Around 85% of the cases in the country are said to be because of inaccessibility to volatile areas, bans by Taliban warlords in North and South Waziristan and refusals cases from parents.

Published in The Express Tribune, July 30th, 2013.


Post-polio paralysis facilitation offered
at Habib Physiotherapy Complex
Published by the DAWN

http://dawn.com/news/1030663
PESHAWAR, July 20: The Khyber Pakhtunkhwa government has started offering free rehabilitation services to polio-affected children in the province and Federally Administered Tribal Areas, officials said.

“The government is giving free treatment and rehabilitation services to the polio-affected children to minimise their disabilities,” Dr Mahboobur Rehman, the KP focal person for disabled population, told Dawn.

The patients will undergo free treatment at the Habib Physiotherapy Complex, Hayatabad, which was recently recognised by the Post-Polio International Organisation for rehabilitation of the paralysed children. The complex, which is the first facility in the country to be placed in Post-Polio Health International Directory 2013, will also provide meals to hospitalised patients. Dr Rehman said that Pakistan had recorded 21 polio cases in 2013. Of them, 12 belonged to the Fata and five to KP. All the infected children were destined to remain handicapped for the rest of their lives, but those who would get treatment would be able to walk.

Physiotherapists will also train the parents of infected children in physical therapy who would then be asked to take care of regular exercises of their polio-hit children.

Since its establishment in February 1989, the complex has been supporting polio-affected children in their rehabilitation, he said. — Bureau Report
 
 

 
 
                       
Post-polio paralysis facilitation offered at Habib Physiotherapy Complex Published by Pakistan Observer  on 19th July 2013         
http://pakobserver.net/detailnews.asp?id=213065

Friday, July 19, 2013 - Peshawar—Post-Polio International Organization has acknowledged Habib Physiotherapy Complex for placing it as Post-Polio Health International Directory 2013, the only organization from Pakistan. Since its establishment on February 3, 1989 and later on establishing a comprehensive rehabilitation Complex, Habib Physiotherapy Complex in 1997, we have supported the polio affected children in their rehabilitation, said Dr. Mehboob-ur-Rehman, Chairman of the Habib Physiotherapy Complex here on Thursday.

This organization has treated hundreds of polio-affected children since then by physiotherapy andexercise regime, he added. Besides our research work in Post-Polio Paralysis, we have designed Mahboob Power Evaluation Therapeutic Chart (M.P.E.T.), which has benefited the Post-Polio paralysed children at large; scientifically it has proved its worth. The Health Department Khyber Pakhtunkhwa trying to stamp out polio virus from the province, the environmental samples collected from Larama, one of the high risk union councils of Peshawar has remained negative for third consecutive time.

Union Council Larama is declared as high risk areas by District Polio Control Room (DPCR) based on environmental samples collected from there and to respond to the issue several campaigns have been carried out by District Health Office with support of District Commissioner Office and Expended Programme on Immunization Khyber Pakhtunkhwa. According to official of EPI KP the target population of UC Larama was 10314.—APP


Vol. No. 8 No. 2 (1994)
Researcg Article by Rehman
in PJMI - Lady Reading Hospital, Peshawar
Abstract

http://www.jpmi.org.pk/index.php/jpmi/article/view/466
 
 

Research Article
(News Bulletin, PGMI, 1986; l, 10: 4-5).

Physiotherapeutic Management in Thoracic Surgery
Department of Physiolhtrapy,
Lady Reading Hospital, Peshawar
Page No. 162 and 163

A prospective study was conducted on 49 patients with post polio  paralysis, to observe the preponderance of different group of muscles being invoved. In lower limbs the extensor group of muscles are more prone and comparatively more severely effected. The msucles which are frequently injected are more likely to be paralysed.

 https://docs.google.com/file/d/1jFcOaNTvbnlIJ7os41MO06VZZAYF3VVSIYunf2rNmDDUPX8qoZ9abnTUZRBu/edit?usp=sharing

M. Ibrahim and Mehboob-ur-Rehman, Physiotherapists, Lady­ Reading Hospital, Peshawar state that the aim of physiotherapy is (l) to relieve the spasm of bronchi and bronchioles and thus facilitate normal breathing and easy expectoration, (2) to improve the blood circulation of legs so as to prevent venous thrombosis and (3) to maintain joints `mobility and prevent postural defects.

There are two methods for the Clearance of lung secretions  (a) different drugs taken either orally or by inhalation and (b) physical means such as different type of manual breathing exercises  of Continuous Positive Airways Pressure and Bubble Bottle exercises as low cost physiotherapy.

Continuous Positive Airways Pressure (C.P.A.P.) Breathing Exercises are used for thoracic surgery cases specially in haemothorax or pneumo-haemothorax where good expansion of the lungs is needed 0r in conditions where lungs are not fully expanding: reasons may be psychological or mechanical due to pain. The apparatus is a simple one: oxygen or mixed ait cylinder with n flow meter, an input tube to the mask (which is to be. put on the patient’s mouth), an outgoing tube from the mask to a 4 litre balloon and then a connecting tube to be dipped in a 15 inches water bottle which provides resistance. To start with the treatment, 10-20 L oxygen is required which is noted from the flow meter. The mask is tight enough on the patient’s mouth and the output tube dipped enough in the Water bottle. This treatment is continued for 3-6 minutes, the bubb‘e sounds are listened intermittently during expiration phase and the filling of balloon the same Way. Breathing is also controlled by the patient to some extent voluntarily. Thus oxygen or mixed air is given positively to promote lung expansion. In some conditions Where tracheostomy has been performed, it is easily done by just using a connector to the tracbeostomy tube instead of using a mask. It promotes lung secretions to be expelled which are tben easily taken out by using a suction mâcbine.

C.P.A.P. is indicated :- (l) in chest surgery cases: the aim is to get good expansion of the lungs; in haemothorax or pneumo-haemothorax it is much valuable if chest drain is applied as it helps in drainage as Well as expansion of the lungs; (2) in laparotomy cases, to loosen and expel the secretions when lower part of the legs are mpt fully expending due to pain as the patients prefers to eath short and shallow; (3) in respiratory muscle paralysis and crushed Chest; ) in respiratory distress syndrome; (5) in general rehabilitation of the patient by oviding enough oxygen to the lungs and taking lout. the patient from hypoxia.

C.P.A.P. is contraindicated where lung segments are sutured or the airway ruptured somewhere as C.P.A.P. may re-open the lung sutures; C.P.A.P. is :o contra-indicated in pulmonary oedema. Pure ìoxygen use is to be avoided cause it saturates the breathing centre. Compressed air or nitrous oxide and oxygen combination is to be used.

Bubble Bottle Exercises: (alternate cheapery device), A 2-3 litre bottle taining water and a tube (of the length from the patient to the bottle), which to be inserted in the water bottle, make a simple arrangement called Bubble; one can use infusion set tubes for this purpose. The patient is given one of the tube while the other end is dippedL iáwater. He is asked to take a 1p breath-in through his nose and a long blow-out through his mouth.

Manual Breathing Exercises z Position of thepatient is crook or half lying physiotherapist places his own or the patient’s `hand over the part he wishes expand: on the diaphragm in the costal angle for dz'œpbmgmatic exercises; the upper or lower ribs at the front or sidesì of the body for costal and oral costal exercises; over the apices of the lungs just above the clavicles for oral exercises; and just below the clavicles for pecto-apical exercises. The ent is told to draw in the muscles when breathing-out and push them away breathing-in. These exercises are to be practiced by the patient under the :rrvision of the physiotherapist.

Physiotherapist pays attention not only to the chest and limbs but also in prevention of pressure sores.  Passive movements of all the limbs are led out at least once a day to prevent the development of contractures and also reduce the occurance of deep vein thrombosis.
Post Polio Pralasis
 

Article in the Daily Dawn
12th August, 2011

3rd December
Day for Special People
article by Dr. Mahboob ur Rahman
Chairman H. P. C. & M. S. P.
 published in Daily AAJ
3rd December 2012
 

Polio Victoms Physiotherapy - Child Right Desk
Published by Daily Dawn on April 30, 2012
http://pakistan.childrightsdesk.com/?p=20975

PESHAWAR, April 30: Experts have said children becoming victim of polio could become normal by giving them physical therapy and a regimen of home-based exercises.

We can help children affected with poliomyelitis to live normally if they are given physical therapy regularly, said physiotherapist Mahboob ur Rehman, while speaking at a free polio camp at the Habib Physiotherapy Complex Hayatabad on April 29.

He said the children, who missed certain doses of the oral polio vaccines till age of five, were vulnerable to disability. Mr Mahboob, also the chairman of Mahboob School of Physiotherapy, Gandhara University, urged the parents to bring the affected children for physical therapy to help them walk on their feet.

Parents of the affected children were shown exercises for the children and given dates for follow up visits during the daylong camp.

The oral polio vaccine (OPV), he said was the most effective vaccine that had eradicated polio virus worldwide. Paralysed adults and persons with joint disorders or other physical disabilities were also examined and given medicines.

Published by Daily Dawn on April 30, 2012

Hospitals to have Physiotherapy Department
Article Published in the Daily DAWN on 15-04-2012
http://beta.dawn.com/news/710777/hospital-to-have-physiotherapy-dept

 

PESHAWAR, April 15: The Khyber Pakhtunkhwa government is establishing a physiotherapy department in the district headquarters hospital of Upper Dir to provide services to the people, handicapped by manmade disasters and violence.

“Establishment of the department is part of the government’s plan to start rehabilitation of the handicapped population in the province,” Dr Mehboobur Rehman, provincial coordinator for rehabilitation of physically challenged people, said.

He said that health department had accepted a proposal of Habib Physiotherapy Complex (HPC), Hayatabad regarding setting up physiotherapy department in the district headquarters hospital of Dir Upper to provide the much-needed rehabilitation services to people.

The establishment of the department would be supported by UNHCR, Dr Rehman said. “We are in the process of establishing the department,” he said, adding that the government had chalked out a comprehensive plan to promote physiotherapy in the province.—Bureau Report
http://schoolsforspecialchildreninpakstan.blogspot.com/2012/11/list-of-schools-for-special-children-in_7731.html

 

Bureau Report | 6/25/2013 12:00:00 AM
 

PESHAWAR, June 24: A special education degree programme has been launched at Mahboob School of Physiotherapy here to provide master trainers for the education of special children in order to cope with the challenges posed by the rehabilitation and education of such children. The degree course was started for the first time in Khyber Pakhtunkhwa in line with the federal government`s concept of introducing inclusive education school system to help the handicapped population, a press release said.

Gandhara University will award the Bachelorin Special Education (BSE) degrees to the candidates to be selected on merit, it said. The inclusive education is a concept that special children with physical and mental retardation should begin in formal schools to shape up the attitude of the students regarding these problems.

It said that the formal schools were bound to specify the Inclusive Education Unit where these students might get physiotherapy, psychotherapy and normal education. Such students should be placed in classes of formal schools so as to enable them to have nearly normal, mental and physical growth.

Presently, the facility of special degree education was only available in Karachi.

Published in the DAILY DAWN on 25th June, 2013
http://epaper.dawn.com/~epaper/DetailImage.php?StoryImage=25_06_2013_183_005

 

 

Article in DAILY TIMES; for details, please visit this LINK
http://www.dailytimes.com.pk/default.asp?page=2007%5C12%5C03%5Cstory_3-12-2007_pg7_42#.UZymjFLX9M4.gmail

 

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