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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A Case of Regional Interdependence

Lian Yun-Perng, Physiotherapist

Feb 2, 2017
1 min

A Case of Regional Interdependence

What do you see from the clip? This is a post right medial meniscus repair patient of mine. His brief history is he tore his right medial meniscus in Jan 2016 and had his repair in May 2016. I first saw him early November . His physical examination showed: Right knee swelling + Limited right hip IR Limited right knee flexion to 100 deg with pain Rt knee extension strength of 4/5 ODS: DP My programme for him involved primarily balance, coordination, proprioception and strength

69 views

Back to Basics 2 for Lower Back Pain

Lian Yun-Perng, Physiotherapist

Apr 28, 2016
1 min

Back to Basics 2 for Lower Back Pain

I have been seeing a variety of LBP patients for some time now. Most of them would demonstrate a DN/DP when assessed for MSE or MSF. When they show a lack of Lx mobility during the assessment, I would ask them to perform the Mckenzie exs or Repeated Extension in Lying (REIL) for about 10 repetitions. More often than not, their ability to extend or flex their spine would improve by an average of 30%! Here's a video of the exercise: The fact that they could regain mobility with

16 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

Virtual Reality Wobble Board Balance Therapy

Lian Yun-Perng, Physiotherapist

Feb 25, 2016
1 min

Virtual Reality Wobble Board Balance Therapy

I had a thalamic stroke patient that had issues with his sensation, balance and gait. I would normally visit him at his home for physiotherapy, therefore, our physio session can be quite limited in terms of resources. I came up with an idea of making rehabilitation inexpensive and interesting. Having been exposed to the wonders of Nintendo Wii Fit and its balance board during my diploma days, I was inspired to be innovative. I wanted to capture my patient’s attention and to i

27 views

Piriformis Syndrome

Lian Yun-Perng, Physiotherapist

Jan 28, 2016
2 min

Piriformis Syndrome

Personally, this is one of my favourite musculoskeletal condition. It is often overlooked by physicians or any other health care professionals. The pain around the gluteal region is also often misdiagnosed as lower back pain or SIJ dysfunction. Ironic but true, this is one of the easiest musculoskeletal condition to treat. Let me share some points on making a clinical impression for piriformis syndrome before I share my treatment options. 1. Pain in the butt 2. Pain in the bu

411 views

Sciatic Nerve Mobilisation and Lower Back Pain

Lian Yun-Perng, Physiotherapist

Jan 8, 2016
1 min

Sciatic Nerve Mobilisation and Lower Back Pain

Sciatic Nerve Mobilisation One of my favourite intervention for clients with “buttock pain” (Piriformis Syndrome), radiating pain down the leg (Sciatica) and/or “tight” hamstrings. I have used this numerous times and most of my clients feel the difference the next day. The theory is simple: Promoting nerve mobility. However, this improvement must be maintained with some sort of constant input. For example, slump exercise and or self-nerve mobilisation in supine or standing ev

15 views

Yoga, Pilates or Core Stability Exercise

Lian Yun-Perng, Physiotherapist

Dec 17, 2015
2 min

Yoga, Pilates or Core Stability Exercise

or Many people would claim that either one of the mentioned 3 concepts is more superior than the other to improve your core strength. But before I comment further about the claim, let me briefly describe each concept. Yoga- According to the NHS website, Yoga is an ancient form of exercise that focuses on strength, flexibility and breathing to boost physical and mental wellbeing. The main components of yoga are postures (a series of movements designed to increase strength and

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