Casebook of Orthopedic Rehabilitation


Casebook of Orthopedic Rehabilitation

(Including Virtual Reality With 74 Figures and 1 Table)

ISBN 978-3-540-74426-9 e-ISBN 978-3-540-74427-6

DOI 10.1007/978-3-540-74427-6

Library of Congress Control Number: 2007933703

© 2008 Springer-Verlag Berlin Heidelberg

Dr. David Ip

MBBS (HKU), FRCS (Ed) Orth, FHKCOS, FHKAM (Orthopedic Surg), FIBA (UK), FABI (USA)

Deputy Governor, American Biographical Institute Research Association (USA)

Hon Director General (Asia) of International Biographical Association of Cambridge (UK)

Section I

Case 1 New Dual-energy X-ray Absorptiometry Machines

(iDXA) and Vertebral Fracture Assessment (VFA) . . . . . . . 3

Case 2 Hyper-gravity Stimulation Therapy . . . . . . . . . . . . . . . . . . . . . 11
Case 3 Lady Having Difficulty in Controlling

the Computer Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Case 4 Whiplash-associated Neck Disabilities . . . . . . . . . . . . . . . . . . 21
Case 5 Sizable Cartilage Defect in a Professional Footballer . . . . 31
Case 6 Functional Knee Complaints

in a Child with Cerebral Palsy . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Case 7 Hamstrings Injuries in a Professional Sprinter . . . . . . . . . . 41
Case 8 Was it Simply Tachycardia or Something More Sinister? 49
Case 9 A Lady with Intractable Heel Pain . . . . . . . . . . . . . . . . . . . . . . 53
Case 10 Hip Swelling after Combined TBI and SCI . . . . . . . . . . . . . . 59
Case 11 Consultation for a Third Opinion on Bone Health . . . . . . . 67
Case 12 Was It Really Another Case of “Tennis Elbow”? . . . . . . . . . 71
Case 13 A Patient Requesting an “Oxford Uni” for his knee OA . . 75
Case 14 Bisphosphonates and Peri-prosthetic Osteolysis . . . . . . . . . 79
Case 15 A Young Engineer with Disabling Sciatic Pain . . . . . . . . . . . 85
Case 16 The “Wonder Drug” Glucosamine . . . . . . . . . . . . . . . . . . . . . . 93
Case 17 Hyaluronan for Knee OA, Facts Vs. Myths . . . . . . . . . . . . . . 99
Case 18 High Heels Woes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Case 19 Silent Bone Loss and Vitamin D Insufficiency . . . . . . . . . . . 111
Case 20 A Professor Suffering from OA Knee Pain . . . . . . . . . . . . . . 119
Case 21 New Physical Sign in Carpal Tunnel Syndrome . . . . . . . . . . 129
Case 22 Kinesiophobia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Case 23 Breakthrough Fracture While on Bisphosphonates . . . . . . 139
Case 24 Can Back Pain Be Predicted? . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Case 25 Enthusiasm for “Non-fusion Technology” for Discogenic Back Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

Case 26 Extra Busy Banker Troubled by Subacute Back Pain,

Yet No Time for Physiotherapy . . . . . . . . . . . . . . . . . . . . . . . . . 163

Case 27 Metal-on-Metal Hip Surface Replacement . . . . . . . . . . . . . . 171
Case 28 A Young Lady with AVN after SARS . . . . . . . . . . . . . . . . . . . . 177
Case 29 An Athlete Going for Anterior Cruciate Ligament

Reconstruction with Little Time for Rehabilitation . . . . . . 183

Case 30 The Office Lady with Neck, Shoulder, Arm, and Back Pain 191
Case 31 Bone Health and Space Travel . . . . . . . . . . . . . . . . . . . . . . . . . . 197
Case 32 Crouch Gait . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Case 33 Non-healing Diabetes Mellitus Heel Ulcer . . . . . . . . . . . . . . 209
Case 34 Cervical Disc Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
Case 35 Intractable Lateral Epicondylitis . . . . . . . . . . . . . . . . . . . . . . . . 221
Case 36 Chronic LBP in a Laborer Whose Job

Requires Repeated Lifting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

Case 37 Stiffness after Flexor Tendon Repair . . . . . . . . . . . . . . . . . . . . 237
Case 38 Postpartum Sacroiliac Joint Pain . . . . . . . . . . . . . . . . . . . . . . . 243
Case 39 Use of Smart Materials in Orthopedics . . . . . . . . . . . . . . . . . 249

Section II

General Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Uses of the Computer in Orthopedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
Emerging Importance of Data Storage and Retrieval . . . . . . . . . . . . . . 260
Why Develop Virtual Reality? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
Summarizing the Four Main Advantages of Virtual Reality . . . . . . . . 261
Key Components of a Virtual Reality Platform . . . . . . . . . . . . . . . . . . . . 262
Evolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
Forms of Virtual Reality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
Modifications to Suit Training in Surgery and Rehabilitation:

Concept of Mixed or Augmented Reality . . . . . . . . . . . . . . . . . . . . . . 263


Traksi lumbal murah

TRAKSI Dr MORTHON


traksi lumbal

TRAKSI HANIL
Traksi lumbal cervical

TRAKSI JYZ
microwave diatermi stratek

MWD STRATEK

microwave diatermi hanil

MWD HANIL
alat fisioterapi MWD

MWD Dr MORTHON
MWD Portable Microwave Diatermi

MWD KWBZ
Shortwave diatermi btl

SWD BTL

Short Wave Diatermi swd

SWD LDT

Alat Akupuntur=
ULTRASOUND CHUNGWOO

Alat Akupuntur=
ULTRASOUND STRATEK

ULTRASOUND HANIL


Alat Akupuntur=
ULTRASOUND CSL
Alat Akupuntur=
ULTRASOUND BBH
3.900.000
Korset=
ULTRASOUND WOLES
2.800.000

tens stratek

SUCTION TENS

tens stratek
TENS CHUNGWOO


tens stratek
TENS STRATEK
tens marvell
TENS & ES MARVELL
tens hwato
TENS 10 CHANNEL
2.200.000


tens hwato
TENS HWATO
1.500.000

tens kwd
TENS KWD
680.000
Alat Akupuntur=
TENS OMRON DIGITAL
950.000
Korset=

TENS PORTABLE MAXTENS
650.000
Alat exercise=
INFRARED 6 LAMPU


Alat exercise=
INFRARED 3 LAMPU


Korset=
TDP CQ 99
1.400.000

IR MARVELL 1 LAMPU

Electrical Stimulasi=
INFRARED CORONA


INFRARED PHILIPS
500.000,-


INFRARED OSRAM
450.000,-

Alat Akupuntur=
PARAFIN BATH LOKAL



PARACARE PARAFIN BATH

Nebulizer=
NEBULIZER OMRON
690.000


nebulizer ABN

NEBULIZER ABN
590.000

Alat exercise=
STATIC BYCYCLE KETTLER

Korset=
TENSI OMRON DIGITAL

Korset=
GONIOMETER
50.000

Korset=
KORSET LUMBAL
125.000
Alat Akupuntur=
TRAMPOLIN KETTLER
850.000/950.000
Alat exercise=
BOLA BOBATH UNISTAR

240.000

BOLA BOBATH KETTLER
290.000

SIKAT WILLABERG / SENSORI
50.000