User: In muscular torticollis the position of head neck except
• Neck Side flection of affected side.
• Side rotation of opposite
• Side rotation of affected side
• Shoulder elevation of affected
Assistant: **Side rotation of affected side** - In muscular torticollis, the head is typically positioned with side flexion toward the affected side and side rotation toward the opposite side. Therefore, "side rotation of affected side" is not a typical position associated with muscular torticollis. Instead, the head rotates away from the affected sternocleidomastoid muscle.
User: The most important method of treatment of torticollis
Passive stretching
Active correction
Home advice and treatment
All of the above
Assistant: **All of the above** - The most important method of treatment for torticollis often includes a combination of passive stretching, active correction, and home advice and treatment. Each of these approaches plays a significant role in managing the condition and promoting healing and improvement in head and neck positioning.
User: In treating gullian baree syndrome ROM exercise done for:
• regain normal tissue length
• Should begin gently in first week
• To maintain normal joint ROM
•  None of the above
In recovery stage of poliomyelitis all of following program is except:
• Muscle reduction
• Complet bed rest and isolation
• Gentle active movement
• Hydrotherapy and mechanical
Assistant: For the first part regarding treating Guillain-Barré Syndrome, the correct options for why ROM exercises are done include:

- **To maintain normal joint ROM** - This is correct as maintaining joint range of motion is crucial in preventing stiffness and joint contractures.
- **Regain normal tissue length** and **Should begin gently in first week** may also apply depending on the specific circumstances of the patient and treatment regimen.

Therefore, the best answer would be **To maintain normal joint ROM** as a primary purpose.

For the second part regarding the recovery stage of poliomyelitis, all of the following programs apply except:

- **Muscle reduction** - This is not usually a part of the recovery program. The focus is generally on rehabilitation and strengthening, not reducing muscle.

So, the answer would be **Muscle reduction** as it does not fit within the recovery program.
User: The main deformity of brachial plexus injury are except  
• Adduction of shoulder
• Supination of forearm
• Medial rotation of shoulder
• Extension of elbow
. In case of full paralysis of brachial plexus injury full ROM should give to except

• External rotation
• Abduction
• Adduction
• Elevation of shoulder
Assistant: For the main deformity of brachial plexus injury, the correct answer for "except" would be:

- **Extension of elbow** - In brachial plexus injuries, the typical deformities include adduction and medial rotation of the shoulder, and sometimes forearm pronation instead of supination, along with elbow extension if there's some retained function. However, full elbow extension is not typically a deformity resulting from brachial plexus injury.

For the second question regarding which motion should not be given full range of motion in case of full paralysis of brachial plexus injury, the answer would be:

- **Adduction** - This motion may not be encouraged as it could further contribute to contracture formation or less optimal positioning in affected individuals. External rotation, abduction, and elevation of the shoulder would generally be permitted to maintain as much function as possible. 

So to summarize:
1. Main deformity exception: **Extension of elbow**
2. Full ROM should not be given: **Adduction**
User: Clinical pictures of high thoracic level of spina bifida
• Signs of upper motor neuron lesion
• Scoliosis is the major problem
• No function voluntary muscle of hip
• All of above
Assistant: For the clinical pictures of high thoracic level spina bifida, the correct choice would be:

**All of the above** - Each statement reflects common issues associated with high thoracic spina bifida:

1. **Signs of upper motor neuron lesion** - This is typical because spina bifida affects the spinal cord and can lead to upper motor neuron symptoms.
2. **Scoliosis is the major problem** - Individuals may develop scoliosis due to abnormal muscle tone and imbalance.
3. **No function voluntary muscle of hip** - This is often true since the innervation to the hip muscles may be affected by the level of the lesion.

Therefore, all these factors combine to create the clinical picture associated with high thoracic level spina bifida.
User: The main deformity of brachial plexus injury are except  
• Adduction of shoulder
• Supination of forearm
• Medial rotation of shoulder
• Extension of elbow
User: The main deformity of brachial plexus injury are except  
• Adduction of shoulder
• Supination of forearm
• Medial rotation of shoulder
• Extension of elbow
Assistant: