Integrative rehabilitation of post Open reduction internal fixation [ORIF] scapular body and Glenoid fracture - A Single Case study

Abstract

Fracture is discontinuation of bone commonly accompanied by soft tissue damage due to external trauma/force. A 40 years old person met with road traffic accident (RTA), a hit and run by bus, hence had fracture scapular body and glenoid left shoulder. Open reduction internal fixation (ORIF) was done with recon plate. Physiotherapy was started two and half months post-operatively considering patient’s other injuries. Patient continued Physiotherapy and came to SGS Hospital five months after operation. Patient’s active range of motion (ROM) of shoulder was restricted to 90^o of flexion and 65^o of abduction. Therefore, considering muscle strength and joint mobility Ayurveda treatments, sthanika abhyanga (SA) with equal quantity of Maha Masha Taila and Prasarinayadi Taila (name of Ayurvedic oils) and shashtika shali pinda sweda (SSPS) processed with Ashwagandha churna (Withania somnifera Dunal.) and Bala churna (Sida cordifolia Linn.) were done for 10 days. Aiming at improvement in muscle strength bruhmana (nourishing) bahyopakramas (external modality of treatments) were selected. ORIF was done; hence only active assisted and active exercises were encouraged. One more week of exercise therapy was continued and there was appreciable improvement in shoulder muscle strength and active ROM. In this paper neoteric integrative approach of Ayurveda and Physiotherapy treatments of one session for ORIF fracture are presented.