Study Design: Retrospective Descriptive Study. Setting: Physical Medicine and Rehabilitation (PMR) Department, Regional Institute of Medical Sciences (RIMS), Imphal, a tertiary care teaching hospital in North East India Study Duration: 1st November 2011 to 31st October 2012. Objective: To study the profile of traumatic spinal cord injury (SCI) patients admitted in PMR Department, RIMS. Materials and Methods: Neurological profile of traumatic SCI patients admitted in PMR Department, RIMS was recorded using a structured proforma and analysed. Demographic profile of the patients, time since injury, functional status and complications were also recorded. Results: Among all 22 patients, 16(72.7%) were tetraplegics with C5 (59.09%) as the most common neurological level involved. Twelve (54.5%) were American Spinal Injury Association (ASIA) grade A. The mean motor and sensory scores were 45±24.97 and 157.50±69.53 respectively. The mean FIM score (at admission) was 71.50±23.40 and FIM (at discharge) was 82.35±20.72. Spasticity was present in 16 cases (72.7%) with gastrosoleus as most common site. There were 14 patients (63.6%) who had urinary tract infection (UTI). Only 5(22.7%) underwent urodynamic study and all had hyperactive detrussor. The most common mode of bladder management was clean intermittent catheterisation (CIC) which was done in 16 patients (72.7%). Pressure sore was seen in 14(63.6%) of patients with sacrum (78.57%) as the most common site. Conclusion: Majority of traumatic SCI inpatients were of ASIA grade A and tetraplegics were commoner. Fall from height was the comonest cause of injury. Spasticity, UTI and pressure sores were common complications. Original Article

Age, age since menopause, BMI, and BMD T-score measurements at LS, FN and TR individually predict fracture risk, but none remain significant when all factors are considered together. Patients with abnormal BMD T-scores in all three sites more often gave histories of fractures. Further studies are warranted.

No abstract

Aim:To evaluate the quality of life in postmenopausal women and its correlation with bone mineral density. Study design: Cross-sectional study. Duration of the study: Study population: Postmenopausal women who attended the department during the study period. Materials and Methods: Quality of life was assessed using WHOQOL-BREF questionnaire, a validated brief version of the WHOQOL-100. Bone mineral density (BMD) in the lumbar spine, femoral neck and trochanter were measured using dual energy x-ray absorptiometry (DEXA) scan -GE Lunar model. Results: A total of 125 patients were studied. The mean t-scores in lumbar spine, femoral neck and trochanter were -2.550 ± 1.209, -1.831 ± 0.921 and -1.621 ± 1.064 respectively. The mean BMD (g/cm2) in lumbar spine, femoral neck and trochanter were 0.867 ± 0.144, 0.789 ± 0.131 and 0.682 ± 0.139 respectively. The mean overall WHOQOL score was 57.68±10.07. There were statistically significant positive association of WHOQOL score with the BMDs in lumbar spine, femoral neck and trochanter (p < 0.05). Multivariate regression showed significant relation of overall WHOQOL score with BMD lumbar spine (b=0.229; R2=0.119), BMD femoral neck (b=0.285; R2=0.129), and BMD trochanter (b=0.245; R2=0.119). Conclusion: BMDs in the lumbar spine, femoral neck and trochanter had a positive correlation with quality of life scores. BMD also had a good predictive value in determining the quality of life in postmenopausal women.

Study design:Cross-sectional study. Aims and objects: To measure the pain and disability in patients suffering from adhesive capsulitis of shoulder and its relation with stages of adhesive capsulitis. Study population: Idiopathic adhesive capsulitis patients attending PMR Department who fulfilled the inclusion criteria. Results: Fifty-six patients suffering idiopathic adhesive capsulitis of the shoulder were included in the study. The mean age of the study population was 56.30±8.17 (range 40-70) years, male comprised 57.1% while female 42.9%. Shoulder ROM showed rotation most restricted followed by abduction, flexion and extension. Mean VAS pain score was highest in stage 1 (80.36±8.42) and lowest in stage 4 (38.33±7.42) and it was found to be statistically significant (p< 0.001). Mean SPADI disability score was highest in stage 3 (68.56±5.79) and lowest in stage 1 (41.14±7.90) and found to be statistically significant (p<0.001). Conclusion: Stages of adhesive capsulitis are found to be closely related to pain and functional disability of the patient. SPADI can be used in recording pain and disability in patients suffering from adhesive capsulitis and can be useful in planning the treatment of such patients in local context. Original Article