A disabling condition causing glenohumeral pain and lack of mobility is the frozen shoulder. Frozen shoulder-related pain and reduced mobility impair the functioning of the patient, making therapeutic intervention possible. Frozen shoulder affects around 2-5 percent of the population, most commonly around fifty years of age. Females are around 58 percent more prone to get affected by this condition. Case Presentation: A 54-year-old woman was diagnosed with right frozen shoulder. She had history of painful joint with limited range of motionof glenohumeral joint for four-months. The range of motion of right shoulder was limited. Apart from medicinal treatment,physiotherapy involving short-wave diathermy, acupuncture and controlled active frozen shoulder management exercises was given. Shortwave diathermy and supervised active exercises increase the frozen shoulder resolution rate.Acupuncture has been shown to be a safe procedure with a positive impact in terms of pain relief and shoulder function recovery.

Injury to nerve is a well known complication of shoulder subluxation. Radial nerve injury is most commonly seen during percutaneous nephrolithotomy in lateral decubitus region. If the posterior aspect of the humerus is positioned incorrectly leads to radial nerve compression. Lateral decubitus position in percutaneous nephrolithotomy is the main position for posterior and lateral approaches. After percutaneous nephrolithotomy in lateral decubitus position reported the case of radial nerve palsy. A man of 26 year old from left (contralateral) percutaneous nephrolithotomy with signs of right radial nerve palsy on postoperative day number one. The body mass index is 28 & underwent laterally attempted percutaneous nephrolithotomy on the left and he was located about 6 h and 30 min in the lateral decubitus position. Orthopedics, physiotherapy and electromyography were done to treat radial nerve palsy in the post-operative period. It demonstrates complication of the radial nerve palsy which may be related with percutaneous nephrolithotomy. Being aware of the complication can be used to stop pressure points at percutaneous nephrolithotomy in the lateral decubitus position.

Introduction: Anxiety disorders impact a large number of population all over the world, prohibiting them from undertaking everyday tasks such as driving, staying in crowded places, or dealing with strangers. The Hamilton anxiety (HAM-A) scale is the first rating Questionnaire for determining the sign anxiety symptoms. HAM-A is a 14 point scale containing a clinician-based questionnaire that has been utilized as a self-scored survey based on both physical and psychological symptoms. The components of questionnaires for analyzing the depressive or anxious symptoms are developed and tested in medical practice with great success. Virtual Reality (VR) is a computer-simulated world that allows the user to feel as they are physically present in it. Oculus rift is a VR ski-masked shaped goggle having a better and deeper understanding of the range and user experiences that will help to guide future efforts.Method: The cross-sectional observational study will be including 70 participants aged 18 to 32 from Ravi Nair College of Physiotherapy, India for the study. With intervention, the duration of analysis of the study will be of 6 months. HAM-A scale is used to evaluate the symptoms of anxiety in people before they show up on the oculus rift.Discussion: The study will evaluate the severity of anxiety before going to VR surrounding. Virtual reality devices are more popular, many studies have been undertaken on the construction and validation of interfaces, but more research is needed on anxiety before entering a virtual reality environment has been limited; specifically, There are only a few techniques that may be used to measure anxiety in a virtual reality surrounding.The Institutional Ethical Clearance reference number for this study is RNPC/IEC/2020-21/0012.

IntroductionThe delivery of medical education has changed alongside the effects of COVID-19. As a result, the undergraduate psychiatry training for medical students at Guy’s King’s and St Thomas’ School of Medicine had to adapt rapidly. This poster portrays the journey in which the teaching sessions were developed and delivered throughout the first academic term of 2020-2021.ObjectivesTo deliver an interactive online teaching day that can provide students with the knowledge and understanding of common psychiatric disorders in the interface of other medical conditions.MethodsA clinical skills teaching day was developed to deliver the sessions via the online video calling platform Zoom. Published articles regarding online medical education as well as guidelines from the Royal College of Psychiatry were used as a resource to develop the structure. Feedback of the teaching day was collected via an anonymous survey.Results78 responses were collected in total from 4 teaching days. Overall satisfaction was high with a score of 86.5/100 in overall satisfaction. Themes for positive feedback included utilising actors in simulation (38% 30/78) and high interactivity within the teaching (31% 24/78). There were a number of students who found the whole day session online tiring (13% 10/78) and others felt the variation of scenarios were too limited (12% 9/78).ConclusionsAs lockdown has forced students to have less patient contact, they have suffered from the lack of learning opportunities. This teaching day showed the importance of organising high fidelity scenarios in order to try and fill the void that has been created due to COVID-19.