Flashcards in Physiotherapy Deck (11):
What is the basis of physiotherapy?
- physical techniques with a direct impact on healing tissues
- excercises that promote proprioceptive learning
Types of physiotherapy?
- pain reliefe, mobility, preventative in atheletes
- affect vasculature and nerves directly, can be used in non-ambulatory patients for acute inflammation, tx ~20mins
- affects vasc and nerves directly
- NOT for acute phase! only once initial swelling decreased
- passive ROM (anagesia? sedation? relax animal, single joint flexed and extended, or whoe group [functional pattern] 15-20x BID-QID
- active assisted ROM (once paient can walk, +- hydrotheray, manually assist limb to ^ ROM, change excercise to encourage)
- taking joint past ROM to oppose shortening of tissues and break down fibrosis and adhesion (15secs then relese)
- prolonged static stretching useing casts, splint or bandage
- ballistic stretching (bouncing, hard to control, painful, risk of injury)
> Electrotherapy, laser and ultrasound
How does massage work?
- ^ ciculation and lymphatic flow
- relaxation and relese of endorphins
- pain relef
- direct activation of neuropeptide release in nervous system
Types of massage?
- compression and wringing (petrissage)
- percussion (specifc attention to spasmic nodules)
Methods of cryotherapy?
- plastic bag with ice
- cryogel packs
- vappour collant
> 20 min tx, monitor for frostbite!!
Use of ultrasound for physiotherapy?
- heating effect of deep tissues
- like a microwave
- direct effect hard to monior
- short tx (~10mins)
- useful for soft tissue shortening, subacute and chornic inflammation and pain
- eg. tendonitis, bursitis, joint contrcture, mm pain and spasm
Use of electrical stimulation for physio?
- NMES = neuromuscular electrostimulation
- current applied to patient depolarises motor nerve -> contrction
- ^ muscle mass, strength and oxidative capacity
- analgesic ?
Laser tx for physio?
- least evidence
- claimed to work on vasodilation, pain and tissue regeneration d/t heating and direct photostimulation
- difficult to monitor how far effect penetrates skin
How is proprioceptive training used for physio?
> key to all physio
- weight shifting
- manual unloading of one limb
- balance boards
- ecercise balls
- gait training
- leash walking - slow
- inclines and declines
- change of surface
- sit to stand
- horizontal bars
- pole weaving
Use of hydrotherapy for physio?
- free swimming/assisted swimming/under water treadmill/walking in water
- do not overexcercise at beginining of tx
- make sure limbs make a proper gait cycle
- minimised impact loads across joints (resistive forces are vicosity, riction and turbulence - spread across a larger area so less detrimental)