Physical Medicine

 

Physical Medicine & Rehabilitation

Shaheed Suhrawardy Medical College

Sher-E-Bangla Nagar, Dhaka-1207.

Faculty members Group Photo (Teachers):

PMR-ShSMC Photo

Department Overview

The Department of Physical Medicine and Rehabilitation (PMR) of Shaheed Suhrawardy medical college is one of the most esteemed, comprehensive and interdisciplinary center serving the needs of persons with diseases and disorders of the musculoskeletal and nervous system, and many other conditions that affect function and mobility. Our highly-trained physicians and specialists have innovative technologies and embraced the latest treatment techniques since we first opened our doors. We treat patients of all ages on both an inpatient and outpatient basis—from newborns to geriatrics. We also coordinate care within an interdisciplinary team that includes Physical and occupational therapists, rehabilitation nurses, social workers and speech/language pathologists. We also work closely with numerous other specialists throughout the Shaheed Suhrawardy Medical College, including surgeons, radiologists, pediatricians and primary care physicians. Our department provides teaching for undergraduate and post-graduate education.

Organogram

Designation                                                                                  Number

Professor                                                                                  01

Associate Professor                                                                02

Assistant Professor                                                                 03

Registrar                                                                                   01

Assistant Registrar                                                                  01

Physiotherapist                                                                        01

Nurse                                                                                         01

MLSS                                                                                         02

Staff pattern of the department of

Physical Medicine & Rehabilitation

Since establishment, this department provides indoor and outdoor services regularly from 8 am to 2:30 pm in a comprehensive manner with the following staff-

Name of the post Number Name of the staff
Associate Professor

 

 03 Dr. Md. Shahadat Hossain
Dr. Jebun Nessa
Dr. Md. Ehsanul Haque Khan
Assistant Professor 01 Dr. Hasina Bilkis Banu
Registrar 01 Dr. Md. Mahfuzul Alam
Assistant Registrar 01 Dr. Md. Atikul Aziz
Physiotherapist 07 Mohammad Rubel

Masud Talukder

Mohammad Rafiu ddin Roni

Mohammad Nazmul Islam

Md. Jahirul Islam

Md. Mofazzol Hossain

Md. Hafijur Rahman

 

List of Teaching Stuff

  1. Dr. Md. Shahadat Hossain – Associate Professor and Head of department
  2. Dr. Jebun Nessa – Associate Professor
  3. Dr. Ehsanul Haque Khan – Associate Professor
  4. Dr. Hasina Bilkis Banu – Assistant Professor
  5. Dr. Md. Mahfuzul Alam – Registr

List of Trainee

Name of the post Number Name of the trainee
Registrar/Assistant Registrar/ Medical Officer 02 Dr. Md. Mahfuzul Alam

Dr. Md. Atikul Aziz
Honorary Medical Officer 05 Dr. Naima Akter Dina

Dr. Fatema Newaz

Dr. Jasmine Jashim Uddin

Dr. Nuzhat Nuery

Dr. Kh. Mohammad Ali

 

Daily Activities in the Department

Physical Medicine & Rehabilitation Department, Shaheed Suhrawardy Medical College & Hospital provides services to the patients with musculoskeletal disorders, neurological problems, orthopedic rehabilitation, sports injuries, pediatric functional & developmental disorders and other specialized rehabilitation from the beginning. This Department tries to collaborate with other departments to provide comprehensive treatment facilities for the patients. We have excellent academic environment, well experience faculty members & rehab personnel with modern equipped medical rehabilitation setup. We always try to record all the academic and clinical information of the department. We have excellent multidisciplinary patient care system and structured training facilities for rehab personnel including Physiatrists who spread the subject throughout the society and try their best to make it a unique subspecialty. As a result more people will get access to this specialty as the problems of disability are increasing day by day. Our daily activities are as follows:

  • Outdoor patients are seen by the doctors including specialists regularly except holy day.
  • Regular indoor round for inpatients is held 8.00 am to 9.00 am.
  • Patient getting comprehensive rehabilitation including physiotherapy, occupational therapy, speech therapy, orthotic & prosthetic training etc. from 8.00 am to 2.30 pm.
  • Referred patients from all other departments and special academic cases are seen from 8.00 am to 2.30 pm.
  • From 12:00 pm to 2:30 pm other academic activities such as seminar, journal club and case presentations are going on.
  • Classes with practical demonstration are taken of the students of 4th year MBBS according to their academic calendar as per schedule.
  • Lecture classes for 5th year MBBS students are taken according to their academic calendar.
  • Lectures and clinical classes are taken daily for doctors who are getting post graduate students regularly.
  • Physiotherapists and Occupational therapists are trained up by the department doctors with regular tutorial classes.
  • Two clinics are run by the department regularly:

Rheumatological Rehab & Low Back Pain Clinic – Every Saturday.

Cerebral Palsy & Neuro – Rehab Clinic – Every Wednesday.

  • Patient education leaflets on various common diseases like Low Back Pain, Neck Pain, Rheumatoid Arthritis, Ankylosing Spondylitis, Osteoarthritis, Osteoporosis, Frozen Shoulder etc. with specialized emphasized on rehabilitation & Activities of daily living (ADL) instructions are given the respective patients for their better management.

Outdoor patients profile of Physical Medicine and Rehabilitation Department, ShSMCH in 2015

ent & PhysicaThe total number of outdoor patients attending in the Department of Physical Medicine & Rehabilitation have been increasing day by day. Most of the patients coming to this department from different areas of Dhaka city and also few from other parts of the country. Moreover, referred patients are also seen from departments of ShSMCH especially Medicine, Neurology, Orthopedics, Burn & Plastic Surgery, Paediatrics and Gynae department. In 2015 a total of 28629 new patients were given outdoor services. Subsequently, these patients came and had follow up treatml therapy management.

SL. No. Disease Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Percentage
1 Non-specific LBP 548 526 515 555 510 535 515 528 508 548 520 541 6349 22.17%
2 Osteoarthritis of knee joint 233 240 190 250 255 225 220 195 170 262 190 240 2670 9.32%
3 Adhesive Capsulitis 215 179 185 215 252 168 180 182 170 252 182 180 2360 8.24%
4 Cervical Spondylosis 130 160 152 185 202 203 182 178 164 152 200 203 2111 7.37%
5 Lumber Spondylosis 160 175 155 190 200 130 157 169 95 185 187 191 1994 6.96%
6 Neck sprain/strain 95 108 185 183 195 180 195 185 105 85 80 95 1491 5.21%
7 Tennis Elbow 185 160 150 153 90 100 75 76 80 82 85 90 1326 4.63%
8 Stroke 85 90 50 46 58 70 75 80 59 65 80 75 853 2.98%
9 Facial Palsy 80 70 85 87 100 70 35 70 60 65 66 60 853 2.98%
10 Post traumatic stiffness 85 59 65 52 58 60 68 55 57 48 50 57 714 2.49%
11 Plantar Fasciitis 50 39 35 38 44 45 48 49 52 44 45 34 523 1.83%
12 Bursitis 45 38 39 45 48 49 52 38 39 40 42 43 518 1.81%
13 Rheumatoid Arthritis 35 39 45 44 42 38 39 37 38 32 32 35 456 1.69%
14 Trigger Finger 48 35 39 45 60 35 45 24 25 35 29 35 455 1.59%
15 Carpal tunnel syndrome 35 47 57 55 48 25 70 40 20 15 18 25 455 1.59%
16 Post traumatic fracture 35 40 37 42 53 42 40 39 25 22 30 32 437 1.53%
17 PLID 30 29 35 40 42 35 39 42 40 38 27 30 427 1.49%
18 Psoriatic arthritis 25 30 27 30 35 40 35 39 45 47 25 27 400 1.40%
19 Post burn contracture 35 36 39 25 27 40 27 40 35 36 42 38 385 1.34%
20 Osteoporosis 30 38 35 29 30 31 28 29 25 26 29 32 362 1.26%
21  Ankylosing spondylitis 28 20 26 30 29 30 20 25 26 18 20 29 301 1.05%
22 Reactive arthritis 15 20 25 28 19 25 35 30 15 25 28 29 294 1.03%
23 Spondylolisthesis 18 19 12 20 28 25 24 28 30 18 28 30 280 0.98%
24 Fibromyalgia 30 39 25 15 12 35 24 18 05 25 35 15 278 0.97%
25 Cerebral Palsy 18 30 28 30 20 15 18 25 12 13 15 18 242 0.85%
26 Peripheral neuropathy 12 10 13 14 20 25 28 30 14 15 16 20 217 0.76%
27 De-Quervain’s tenosynovitis 20 18 17 18 14 12 18 20 15 17 15 16 200 0.70%
28 Gout 6 7 15 20 20 15 18 15 16 17 18 19 186 0.65%
29 Bicipital tendonitis 15 20 15 10 12 18 14 13 12 16 10 8 163 0.57%
30 Pelvic inflammatory disease 10 12 4 5 15 18 14 15 7 5 3 8 116 0.41%
31 Tubercular arthritis 12 12 14 8 7 15 4 5 8 12 4 10 111 0.39%
32 Cervical Myelopathy 7 8 15 16 5 7 15 5 3 4 5 8 98 0.34%
33 Torticollis 8 3 10 5 7 10 12 4 8 15 6 7 95 0.33%
34 Traumatic spinal cord injury 4 5 7 3 2 10 5 4 8 5 14 12 79 0.28%
35 Spinal canal stenosis 8 3 4 5 7 3 4 8 12 5 7 7 73 0.25%
36 Achilles tendonitis 7 5 8 4 8 5 7 5 6 4 3 5 67 0.23%
37 Neuralgic amyotrophy 3 2 1 4 5 7 8 10 12 5 4 3 64 0.22%
38 Ulnar nerve palsy 4 3 2 5 7 4 3 2 1 10 12 4 57 0.20%
39 Osteoarthritis of hip joint 4 7 8 2 3 1 8 4 5 3 2 4 54 0.19%
40 Motor Neuron Disease 5 7 4 8 10 2 1 3 2 1 4 5 52 0.18%
41 Guillian barre’ syndrome 5 4 3 7 5 0 3 2 1 8 5 7 50 0.17%
42 Traumatic brain injury(TBI) 2 0 5 8 5 7 3 4 8 3 2 1 48 0.17%
43 Coccidynia 4 7 4 3 3 2 1 4 5 3 4 5 45 0.16%
44 Myofascial pain syndrome 4 3 7 5 4 0 3 2 5 7 0 2 42 0.15%
45 Post encephalitis with sequele 5 7 2 3 4 5 5 2 3 3 2 1 42 0.15%
46 CRPS 2 3 4 5 6 4 1 2 1 3 5 3 39 0.14%
47 Others 2 3 4 2 5 3 3 7 3 4 2 1 39 0.14%
48 Systemic lupus erythematosus 1 3 4 5 4 3 2 1 5 7 2 0 37 0.13%
49 Myopathy 3 2 1 5 7 2 3 1 2 1 4 2 33 0.12%
50 Chondromalacia patellae 4 4 3 2 1 0 5 6 2 3 2 1 33 0.12%
51 Meralgia paresthetica 0 1 2 1 4 5 2 3 4 5 0 2 29 0.10%
52 Transverse Myelitis 0 2 1 3 5 2 3 1 0 0 3 2 22 0.07%
53 Post polio syndrome 0 0 1 0 0 0 0 0 1 1 0 1 4 0.01%
 Grand Total 28629 100%

 

Indoor Patient Profile-2015

There are only 10 non-paying bed (5 for male & 5 for female) for Physical Medicine and Rehabilitation Department in this hospital. Any number of patients may be admitted in paying bed or cabin if available. were admitted for indoor patient’s management in this department. Last year 210 patients were managed. Moreover, referred patients from other departments of ShSMCH for different musculoskeletal and neurological disorders were managed. Inpatients profile are given below-

SL. No. Disease Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Percentage
1 PLID 4 5 3 6 6 2 2 3 4 5 6 4 50 23.81%
2 Rheumatoid arthritis 3 4 5 2 2 6 6 5 5 4 5 3 50 23.81%
3 Stroke 4 1 0 3 4 0 2 4 4 3 2 3 30 14.29%
4 Juvenile idiopathic arthritis 2 3 2 4 0 4 0 3 5 0 4 3 30 14.29%
5 Ankylosing spondylitis 0 2 1 0 2 0 1 1 1 0 0 2 10 4.76%
6 GBS 1 1 0 0 1 1 0 0 2 0 1 1 8 3.81%
7 Pott’s disease 1 0 1 1 0 1 2 1 0 0 1 0 8 3.81%
8 Neck sprain/strain 1 0 1 0 2 0 0 0 1 1 1 0 7

 

 3.33%
9 Cervical Myelopathy 0 0 1 0 1 0 0 1 0 1 0 0 4 1.90%
10 Post burn contracture 0 1 0 1 0 2 0 0 0 0 0 0 4 1.90%
11 Transverse Myelitis 0 1 0 0 0 0 0 0 1 0 0 0 2 0.96%
12 Facial Palsy 0 1 0 0 0 0 0 1 0 0 0 0 2 0.96%
13 Traumatic brain injury(TBI) 0 0 1 0 0 0 0 0 1 0 0 0 2 0.96%
14 Others 0 0 1 0 0 0 0 0 0 1 0 0 2 0.96%
15 Spinal cord injury 0 0 0 0 0 0 1 0 0 0 0 0 1 0.48%
Grand Total 210 100%

 

Indoor Referred patients and other facilities

A good number of referred patients from different departments of ShSMCH especially Medicine, Neurology, Neurosurgery, Orthopedics, Burn & Plastic Surgery, Paediatrics, ICU and Others. They were assessed and managed by Physiatrist and also received physiotherapy, occupational therapy, speech therapy, orthosis etc. according to rehabilitation plan.

Year Referred from other department Physiotherapy Occupational Therapy Speech Therapy Orthosis
2012 456 7822 465 253 255
2013 784 8799 689 487 362
2014 1080 10190 987 788 595
2015 1120 11210 1057 815 670

 

Academic Activities:

a) Undergraduate teaching:

MBBS Students:

Total group placement in Physical Medicine & Rehabilitation Department as a ward duty in 2015-

  1. Batch – ShS 06 & 07
  2. Average tutorial classes -12 (among 15 days placement)
  3. Average attendance – 90%
  4. Average attendance to ward examination – 95%
  5. Percentage of passing – 98%

Physiotherapy (Technologist) students:

(Govt. /Other Private institutions)

  • Lecture /Tutorial classes
  • Physical Therapy Practical Demonstrations
  • Evaluation
  • b) Postgraduate teaching:

FCPS part-II students

  • Lecture classes
  • Case Presentation/Assessment
  • Evaluation
  • Dissertation                                                 
  • c) Seminars in 2015:
  • i) Departmental:
  1. Ankylosing Spondylitis – Management Update
  2. Osteoarthritis of Knee & Hip
  3. Chronic Cancer Pain
  4. Stroke Rehabilitation
  5. Cerebral Palsy
  6. CIMT
  7. Duchene Muscular Dystrophy
  8. Rehabilitation of Knee Arthoplasty
  9. Parkinson’s Disease
  10. Spondyloarthropathy
  11. Motor Neuron Disease
  12. Motor Neuron Disease Rehabilitation
  13. GBS
  14. Cervical Myelopathy
  15. Gout & Psudogout
  16. Peripheral Neuropathy

ii) Central Seminar Presentation:

No Date Topic Presented by
01 03.09.2015 A 60 year old man with chronic low back pain Dr. Md. Mahfuzul Alam
02 15.02.2015 Spondylodiscitis Dr. Md. Mahfuzul Alam

 

iii) CME Presentation

No Topic Presented by
01 Scientific meeting for CME & CPD. Dr. Jebun Nessa
02 Therapies for Active RA after MTX Failure. Dr. Hashina Bilkish Banu
03 Treatment of Trigger finger: randomized clinical trial, comparing the methods of corticosteroid injection, percutaneous release and open surgery. Dr. Hashina Bilkish Banu

 
04 Some ACL tears may not need quick surgery. Dr. Hashina Bilkish Banu

 

  1. iv) Presentation on Different Institution
No Topic Institution Presented by
01 Presentation on Medical Rehabilitation. BSMMU Dr. Md. Shahadat Hossain
01 Approach in Low Back pain. APB Dr. Ehsanul Haque Khan
02 Rehabilitation of Parkinson’s Disease, BAPMRCON. BSMMU Dr. Ehsanul Haque Khan

 

d) Journal club in 2015: Total -12.

e) Grand round: Total-42.

f) List of Research Work:

  1. Efficacy of low level laser therapy in the management of lateral epicondylitis (tennis elbow)- Dr. Md. Shahadat Hossain
  2. Effectiveness of provision of an educational booklet for the management of patients with Chronic Low Back Pain – A randomized clinical trial- Dr. Md. Shahadat Hossain.
  3. Clinical Pattern of Thoracic Spine Pain (TSP)- Dr. Md. Mahfuzul Alam.
  4. Impact of constraint induced movement therapy (CIMT) on upper limb motor function of post stroke survivors- Dr. Naima Akhter Dina.

National activities:

i) World Arthritis Day—October 12, 2015

Slogan: “It’s in your hands, take action.”

ii) World Osteoporosis day- October 20, 2015

Slogan: “Serve Up Bone Strength.”

iii) World Disability Day- December 3, 2015

Theme for 2015:

iv) World Stroke Day- October 29, 2015

Theme for 2015: “I am Woman”

International participation:

  • 2nd International Rehabilitation Forum World Conference, Dhaka. Bangladesh.(2-4 December,2012)
  • International Society of Physical Medicine & Rehabilitation Conference, Germany (June, 2015)
  • Training on Muscular ultrasound in Hongkong-2015.
  • International Conference on Pain Management, India-2015.

Total articles in journal published: 2

  • Effect of SWD in the management of Pelvic Inflammatory Disease; Shoma FK, Mahmood K, Hossain MS.
  • Adverse effects associated with sulphasalazine in chronic plaque type psoriasis; Hossain MS et al.)

Facilities available in the department:

Regarding patients management the following facilities are available in Physical Medicine department:

A) Equipments:

  1. Thermotherapy-
  • Micro Wave Diathermy (MWD)
  • Ultra Sound Therapy (UST)
  • Infra Red Radiation (IRR)
  • Wax Bath
  • Short Wave Diathermy (SWD)
  1. EST
  2. Transcutaneous Electrical Nerve Stimulation (TENS)
  3. Static Bicycle
  4. N-K Tables
  5. Traction
  • Cervical
  • Pelvic
  1. Walking Aids
  • Para Walker
  • Parallel Bar with & without stairs
  • Cane
  • Crutch
  1. IT-Curve Machine
  2. Arm Ergo meter
  3. Wrist Mobilizer
  4. Abduction ladder
  5. Overhead Pulley
  6. CP facilities with toys & instruments.
  7. Occupational therapy

B) Therapeutic Exercise

Different exercises & transfer activities prescribed by the doctors are demonstrated by the physiotherapist to the patients and their care givers/ attendants

Any achievements by doctors of concerned unit:

Three FCPS Part-II students obtained FCPS (Physical Medicine) degree who were trained in this department.

Future plans:

  • Extension of Therapeutic gymnasium in a large unit.
  • Establishment of a therapeutic exercise subway.
  • More availability of therapeutic instruments and more easy access to all.