Effectiveness of systematic desensitization and goal directed physiotherapy management on anxiety and early mobility in a patient with intertrochanteric fracture of femur

Kratika Dubey, Rakesh Krishna Kovela, Mohammed Irshad Qureshi

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Intertrochanteric fractures are classified as proximal femur extracapsular fractures that occur between the Greater and lesser trochanters. The intertrochanteric portion of femur is situated between the greater and lesser trochanters and is made of dense trabecular bone. The calcar femorale is ck bone vertical wall that stretches to the posterior portion of the femoral neck from the posteromedial part of the femur shaft. This structure is critical because it determines whether or not a fracture is stable. These fractures are commonly the result of a fall in the elderly population at ground level and are graded as either stable or unstable. Usually, these patients show a short and externally rotated lower extremity. Nonoperative therapy is seldom suggested. As the failure rate is strongly associated with the choice of implant and fracture pattern, the method of surgical treatment is based on the fracture pattern and its inherent stability. Physiotherapy Rehabilitation plays a key role in treatment. The present case is of 74 years aged male with intertrochanteric fracture of femur and also suffered with anxiety issues. He was given physiotherapy treatment protocol for a week along with cognitive behavioural therapy. There was improvement in functional activities and transitions without load bearing on affected leg.

Keywords:

Intertrochanteric Fracture, Physiotherapy, Rehabilitation, Anxiety, Cognitive behavioural therapy