Outcome of modified physiotherapy rehabilitation protocol on neuro-deficit foot drop secondary to postoperative stiffness of knee joint

Abstract

Post-operative stiffness of knee joint along with neuro-deficit foot drop damage is a complication following open fracture of lower limb. To prevent damage of soft tissue, flap is needed. Lifting of limb is hampered in foot drop, seen in problems such as stroke. Aim of Modified physiotherapy rehabilitation is to help in early sensory and motor reeducation in foot drop secondary to postoperative stiffness. A 19 Year male was diagnosed as compound grade IIIB fracture of tibia fibula and was operated for interlocked nail with skin graft. After 1 week patient was referred to physiotherapy OPD with complaints of pain, restricted range of motion, stiffness, decreased strength adhesion formation and swelling over right leg. Patient was treated 5 days per week for 8 weeks. Modified physiotherapy rehabilitation was given for 8 weeks which include muscle energy technique, electrical stimulation, Maitland’s mobilization, mulligan’s technique. Physical examination and phase wise exercise is described in case report. So this case report concluded that modified physiotherapy rehabilitation have significantly improve and restore normal range of motion, reduce pain and stiffness, increase strength and functional activities.