Ace Physiotherapy | News & Articles - Physiotherapy in Kuala Lumpur

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Lian Yun-Perng

Lian Yun-Perng

UK Qualified Physiotherapist
Bachelor of Physiotherapy

Keele University, United Kingdom
Diploma in Physiotherapy

AIMST University, Malaysia

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Cervival Spondylosis - Solution and Treatment

Lian Yun-Perng, Physiotherapist

Jul 26, 2019
2 min

Cervival Spondylosis - Solution and Treatment

What is Cervical Spondylosis? (Image credits) Cervical spondylosis is a general term for age-related wear and tear affecting the spinal discs in your neck. As the spinal discs dehydrate and shrink, signs of osteoarthritis develop, including the growth of bone spurs. In simple terms, it is degeneration of the spine. Cervical spondylosis is very common and worsens with age. More than 65 percent of people older than age 60 are affected by cervical spondylosis. Most people experi

274 views

CPR on Mechanical Traction and Exercise for Neck Pain

Lian Yun-Perng, Physiotherapist

May 3, 2016
1 min

CPR on Mechanical Traction and Exercise for Neck Pain

Purpose: To predict neck pain patients that are likely to improve with cervical traction and exercise. Rule: Age > 55 Positive shoulder abduction test Positive upper limb tension test A Symptom peripheralisation with central posterior–anterior motion testing at lower cervical (C4–7) spine Positive neck distraction test Interpretation: Treatment given: 2-3 times a week for 3 weeks Traction Angle of pull: 24 degrees if patient had full Cx flexion; otherwise it was set at 15 deg

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Canadian C-spine Rules

Lian Yun-Perng, Physiotherapist

Apr 19, 2016
1 min

Canadian C-spine Rules

The Canadian C-spine Rule (CCR) was developed to help clinicians determine which trauma patients need c-spine imaging. It is highly sensitive for CSI (cervical spine injury), with the majority of studies finding it catches 99-100% of these types of injuries. CCR would allow healthcare providers to safely decrease the need for imaging among this patient population by over 40%. Subsequent studies have found a sensitivity of 90-100% for CSI with majority finding 99-100% sensitiv

492 views

Treatment suggestions for Low Back Pain

Lian Yun-Perng, Physiotherapist

Apr 7, 2016
2 min

Treatment suggestions for Low Back Pain

These are a few things I would do when my patients visit me with LBP. Pain History Where the pain was, what type of pain it was, any pins and needles (P+N), any numbness (N), intermittent/constant and the VAS. Aggravating factors: Sitting, standing, driving, sports etc Relieving factors: Meds, massage, rest etc 24 hours pattern: Better, same or worse Interpretation: Area = Reinforces my hypothesis of what needs to be treated Dull ache = Muscular related Sharp or shooting = Ne

81 views

Nerve Mobilisation for Numbness

Lian Yun-Perng, Physiotherapist

Nov 29, 2015
1 min

Nerve Mobilisation for Numbness

Nerve Mobilisation I often promote mobility of the nerves when an individual presents with pins and needles, numbness or tightness around a particular joint. There are two ways to mobilise the nerve: Tensioners or Sliders Tensioners Biasing a nerve at its highest tension point and then start mobilisation. For example, to bias the ulnar nerve, you would side bend the neck to the contralateral side, depress the ipsilateral Sh., Sh. ABD to 90degs, full Sh. ER, full Elb Flex wit

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Cervico-thoracic Manipulations

Lian Yun-Perng, Physiotherapist

Oct 29, 2015
1 min

Cervico-thoracic Manipulations

Some cervico-thoracic manipulations I found useful for: 1. Headache 2. Limited Tx Rot. 3. Limited Sh. Movts. 4. 'Stiff' Middle Back Before you start 'cracking' them, please check for Cervical Arterial Dysfunction, 5D's and 3N's (Drop attacks, Dizziness, Diplopia, Dysphagia, Dysarthria, Numbness, Nauseousness and Nystagmus) and rule out all other contraindications! Stay tuned for more! #Cervical #Thoracic #Mobility

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