Health Condition 1: S069- Unspecified intracranial injury
Conditions
Interventions
Intervention1: Structured physiotherapy Protocol
: Participants in the intervention group will receive a structured physiotherapy rehabilitation protocol initiated within 48 72 hours after craniotomy
Sponsors
Mahatma Gandhi Physiotherapy College
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients between 20-40 years. After 48-72 hours of craniotomy procedure patients will be recruited which may be mechanically ventilated or on oxygen support have undergone tracheostomy. Since craniotomy is a surgical procedure, the patient undergoing decompressive craniotomy for pathologies like cerebral aneurysm, stereotactic aspiration, extended bi-frontal craniotomy, minimal invasive supra-orbital craniotomy, removal of blood clot from blood vessels, drainage of brain abscess, repairing of fractures of the skull, subarachnoid hemorrhage, and subdural hemorrhage will be recruited before the development of any secondary infection. Thorough knowledge about the patient s condition and rehabilitation will be made available to the nearest relatives of patients, and after their approval, recruitment will be preceded. Patients with dura and skin flap repaired post craniotomy will be recruited. GCS more than 9, hemodynamically stable within 72 hours post-op.
Exclusion criteria
Exclusion criteria: Patients will be excluded if there will be the development of any infection post craniotomy procedure, fluctuation in the vital parameters, like heart rate, blood pressure, respiratory rate, oxygen saturation, and pulse rate, of patients, post 12 hours of craniotomy, Abnormalities in intracranial pressure and CSF circulations and presence of secondary infections like ventilator acquired pneumonia (VAP). Pre-existing neurological conditions. Patients with memory problems, dementia, epilepsy, and aphasia. Patients will also abstain from recruitment if consent is denied from family members patients with meningioma, malignant skull-based tumor, acoustic neuroma, tear in Dura-mater, hearing and visual loss, previous history of fatal injuries, agitation and patients with amputations. Retro-sigmoid, trans labyrinthine, and orbital-zygomatic craniotomies will be excluded. Patients with implanted stimulators will also be excluded from the study Severe orthopedic injury such as rib fractures, multiple fractures etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fugl meyer motor assessment FMA Functional Independence Measure FIM Timepoint: Before Intervention At The Completion of 2nd Week At The Completion of 4th Week | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: NIL | — |
Countries
India
Contacts
Public ContactDr Rakesh Kumar Khandelwal PT
Mahatma gandhi physiotherapy college
Outcome results
None listed