Effect of Mirror Therapy in Postural correction and Pain management in patient with Sacroiliac joint Koch’s: A case study
Keywords:
SI joint Koch’s, Mirror therapy, Postural correction, Pain management, VAS, Modified Barthel indexAbstract
The treatment of the patient with the right Sacroiliac Joint Koch`s. The condition is rare and less documented on the Indian population. The patient had severe pain and postural impairment. It was observed that activities of daily living (ADL) were badly affected. Hence this study is done to assess the effect of mirror therapy in pain management, postural correction, and activities of daily living in the patient with SI joint Koch`s. The patient was diagnosed using MRI, X-ray and hematological assessment. Skin traction and antitubercular treatment along with painkillers were started. The patient is referred to Occupational Therapy Services on 11/10/2017. On clinical evaluation FABER, GEANSLENS and Thomas test found positive. Pain on VAS found 8 i.e. severe pain with Grade 2 of tenderness (tenderness to grimace or flinch to palpation) over right SI joint and posterior aspect of buttock and ADL scoring on Modified Barthel Index is 9 i.e. lowermost indicates disabilities on the first day of assessment. Mirror therapy was started an the patient showed a reduction in lordosis and kyphosis. Pain reduced from 8 to 5 then 3 to 0 i.e.no pain. Modified Barthel Index score of ADL also increased from 9 to 20 at the end of 6th week of treatment. The patient showed a reduction in pain, hyperlordosis, and kyphosis. Improvement is seen in ADL. Henceforth mirror therapy is found effective in pain management, postural correction and helpful in ADL independence. This study will help in the research and treatment of SI Joint Koch`s.
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