Home physiotherapy in Dwarka is characterized as assistance where physiotherapy care is performed at the patient’s home, allowing for a professional assessment of the patient’s reality and difficulties.

From this assessment, a care plan adequate to the reality that the patient lives is elaborated.

The home physiotherapist in Dwarka will develop activities that promote the treatment of disease or trauma sequel in the skeletal system, locomotor system, respiratory system, cardiac system, etc.

The goal is to rehabilitate, re-educate and prevent bone and joint deformities so that the patient can return to their daily activities as soon as possible.

In addition, home physiotherapy in Dwarka helps to promote inclusion, improve the quality of life, preserve or restore the patient’s health.

This health care model has been widely disseminated around the world and its fundamental points are the patient, the family, the home context, the home physiotherapist in Dwarka and the multidisciplinary team.

How it works?

Home physiotherapy in Dwarka is a differentiated service, usually contracted by patients who have difficulty attending a clinic for various reasons, such as transportation, time, physical conditions, comfort, among others.

The physiotherapist in Dwarka will attend, treat and rehabilitate using the patient’s home space, according to their needs and pathological conditions.

Each patient is a unique and unique case, which needs particular care and adjustments.

Before starting the service, so that they can be assigned to the needs and possible home adaptations, it is necessary to carry out a physical therapy assessment that includes:

• General Physical Examination –analyzes the level of consciousness, affective state, cognitive and language disorders
• Inspection – assess the need for a probe, presence of dressings, edema, skin color, muscle tropism, whether there are bone and joint deformities, etc.
• Respiratory Assessment – assess the type of chest, respiratory rate, ventilation, breathing pattern, expansion, auscultation and whether mechanical ventilation is used
• Palpation – encompasses muscle tone, range of motion, muscle strength, pathological reflexes, coordination tests and bed mobility.

After the evaluation, the home physiotherapist in Dwarka must talk to the family members because if changes are needed in the home, they must be carried out for a better use of the therapy.

Home care provided to the family includes:

• General Health Guidelines
• Training in the Use of Orthotics/Prostheses
• Guidance on the Importance of Continuity of Treatment and its Daily Performance

It is important that the physiotherapist also observe the socioeconomic condition of the family, developing specific and individualized assistance within the reality in which the patient lives.

The main objectives of home Physiotherapy in Dwarka

• Reduce or prevent risks and complications arising from pathologies such as diabetes, high blood pressure, etc.
• Clarify the patient and family members about the limitations of the disability and the commitment to treatment, making use of appropriate therapeutic resources for this;
• Provide as much independence and autonomy as possible to the patient.
• Prevent accidents at home;
• Favour the return to activities of daily living;
• It is the role of the physiotherapist during home care visits:
• Participate in the patient admission process;
• Develop, supervise and execute a therapeutic program that should be carried out after the complete evaluation (motor, cardiorespiratory and neurological evaluation), with the objective of restoring, developing and preserving the patient’s physical capacity, promoting maximum functional independence and preventing complications;
• Prescribe orthotics and equipment when needed;
• Empower the caregiver so that he can help the patient to act in the absence of the therapist, to continue the treatment;
• Schedule sessions according to the therapeutic plan;
• Conduct periodic assessments during the treatment, reformulating conduct and procedures when necessary;
• Make the family, the caregiver and the patient aware of the importance of their participation in the rehabilitation process to achieve success in the treatment;
• Guide and identify architectural barriers in the home to promote more adequate functional independence.

Advantages of Home Care for the Patient

1) Patient will not need to travel to the Clinic

The patient is often unable to move to the physiotherapy clinic in Dwarka, either because of mobility difficulties (wheelchair, walker, cane, etc.), because he is bedridden, because he uses mechanical ventilation, because he does not have a vehicle to go to the clinic, among others.

The home physiotherapy in Dwarka allows the patient to be cared for at home, making life easier for the patient and caregivers.

2) Choosing the Best Time for Service

The patient can choose the time when he feels most comfortable to carry out his therapy.

3) It is attended in the comfort of your home

The home is the place where the patient is most comfortable. Carrying out care at home increases the feeling of comfort during therapy, making you want to participate more actively in the rehabilitation process.

4) You are on your family’s side

Being with the family is comforting to the patient, bringing a feeling of security. A patient who feels safe responds better to rehabilitation approaches.

5) Significant Increase in Recovery, by Customizing the Treatment for Each Patient

Home care requires even more personalized care, as care is individualized and provided within the limitations that the patient has at home.

This personalized service helps for a faster and more efficient recovery.

What are the Benefits of this Personalized Service?

Personalized home care allows:

• Individualize the service, reducing the risk of iatrogenic events.
• Develop care actions in the privacy and security that the patient’s home offers.
• Allow the patient and family greater control over the decision-making process.
• Develop a partnership between the health team and the patient in achieving established goals.
• Ensure minimal care and supplies with savings in hotels, reduction of admissions and readmission, availability of hospital beds, resulting in reduced care costs.
• Bedridden patients need special care to prevent disease progression and avoid complications caused by immobility.

People with brain damage can manifest various problems that also have a great functional impact, such as not being able to get up from bed alone, sitting on their own, or standing up.

All these alterations that affect parts of the body, however, have the cause of their dysfunction in the brain, so the professional in charge of treating them, the physiotherapist, must be familiar with this very specific pathology and approach it from neurological physiotherapy.

Neurological physiotherapy is the part of physiotherapy that is aimed at treating alterations due to an affectation of the central or peripheral nervous system.

The Neurological Physiotherapy is a specialty directed to patients with diseases of the nervous system, such as:

• Stroke
• Cerebral Palsy
• Down’s syndrome
• Spinal cord injury
• Multiple sclerosis
• Parkinson’s disease
• Ataxias
• Facial paralysis

It is important that a professional specialized in Neurology is in charge of evaluating and conducting the treatment, given the complexity of this condition. Knowledge of motor, sensory and cognitive function is necessary to formulate a specific treatment plan for the needs and goals that the patient and his family want to achieve.

Neurological physiotherapy makes available to the patient with brain damage, a series of knowledge aimed at improving, among other aspects, the quality and efficiency of movements, postural control, improving gait, stability, reducing spasticity, tremors, fatigue and the search for autonomy, independence in daily life and thus improve the quality of life of both the patient and the family member or caregiver.

After an evaluation aimed at assessing the patient’s preserved abilities and their difficulties, the neurological physiotherapist, together with the patient and / or family, establishes a series of objectives to be achieved with the treatment.

The physiotherapist specialized in neurology searches, investigates, and updates. You must know how and where a movement arises, what systems are activated, what muscles participate … and be able to apply this knowledge to the reality of the patient, to improve their quality of life.

In neurological physiotherapy, one cannot lose sight of the fact that the damage is in the nervous system, and it is on it that we must act. Therefore, clinical practice must be based on current knowledge of neuroplasticity, motor control and motor learning.

This specialty aims to restore functionality through learning to move and re-establish the injured patient’s emotional and physical identity. Neurological physiotherapy can also be called neurofunctional physiotherapy.

Advantages of Neurological Physiotherapy

Neurological physiotherapy is essential in the treatment of people with neurological injuries (from mild to more severe injuries). After all:

• It works with the recovery of the functional capacity of all patients who have some type of brain injury;
• Stimulates motor, physical learning or relearning of the patient’s daily life activity;
• Exercises the patient’s motor and cognitive parts (this includes, for example, memory and concentration exercises);
• Helps the patient to gain muscle strength and joint mobility;
• Improves posture and balance;
• Prevents complications;
• Promotes individual autonomy;
• The treatment has exercises separated by body region and will be related to the daily life of each patient;
• Improves the patient’s quality of life.

The Importance of Neurological Physiotherapy in Brain Injuries

Neurological physiotherapy applies both to patients who have brain injuries at birth (such as cerebral palsy) as well as to people who have acquired a lifelong injury (Alzheimer, Stroke, Head Trauma, Parkinson’s Disease, etc.).

For these patients, it is very important to work on recovery and return to maximum functionality and independence.

The patient assisted by neurological physiotherapy may recover partially or fully their functions, because some pathologies can leave sequelae and, therefore, the physiotherapist will seek the most appropriate alternatives for the patient to achieve the most independent possible way in their daily lives.

What Other Diseases Can Be Treated by Neurological Physiotherapy?

The following situations can be met by this method:

• Down syndrome
• ALS- Amyotrophic Lateral Sclerosis
• Spinal cord injury (due to an accident)
• Multiple sclerosis
• Guillan Barreé syndrome
• Peripheral neuropathy

Throughout their lives, women go through specific phases and moments, determined by hormonal, physical, psychological and social changes.

Such as the beginning and completion of the menstrual cycle and fertility, the discovery and development of sexuality and the body itself, pregnancy and motherhood, maturation and aging.
Therefore, the functioning of the female and male bodies differ physiologically and biologically between them and, for this reason, some care demands in the health area also differ.

Other singularities are pregnancy and childbirth, requirements that nature has made exclusive to women. From these facts emerged the urogynaecology medicine and today, in a broader approach, the Women’s Health Sciences. As physiotherapy is one of the most important therapeutic arms in conservative treatment, the need for an approach in this sense for this new science has given rise to Physiotherapy in Women’s Health.

Although still little known by the majority of the population, and even by a part of health professionals, the intervention of physiotherapy in women’s health has a profound impact on the prevention and rehabilitation of various illnesses that affect them.

The physiotherapist can act in the most diverse phases of their lives. Even improving your quality of life.

• The care provided in this area of ​​physiotherapy can be an asset during pregnancy and postpartum, in situations of urinary incontinence, sexual dysfunctions and post-breast cancer recovery.
• During pregnancy, it helps to reduce musculoskeletal pain resulting from the transformations that occur in the woman’s body; the use of Manual Lymphatic Drainage obtains relief from “swollen” legs.
• In the postpartum period, it relieves musculoskeletal pain resulting from postures maintained during the care provided to the newborn, prevents and treats urinary incontinence and strengthens the abdominal and pelvic floor muscles.
• In post-breast cancer recovery, it improves mobility and the appearance of the scar, improves the functionality of the upper limb on the affected side and reduces the “swelling” of the upper limb when lymph nodes are removed.
• If you have urinary incontinence or other difficulties in the pelvic floor, the proposed exercises can reduce or eliminate these difficulties, providing a better quality of life.

More than a simple conservative treatment, the resources of Physiotherapy in Women’s Health serve as a female ally not only in combating incontinence or sexual dysfunctions, but in preventing a multitude of intimate problems, in preparing for pregnancy and humanized childbirth, ensuring healthy aging, in addition to enabling the increase of sexual performance, which, even in times of suppression, was already considered synonymous with personal satisfaction and gratification.

Stress and the accelerated pace of life, both work and daily, accumulate all kinds of tensions in our body that negatively affect our physical and psychological health.

Musculoskeletal Physiotherapy is the area of ​​intervention aimed at preventing, evaluating, treating and enhancing conditions related to the muscular, skeletal and nervous system. In this clinical area, we develop rehabilitation plans thinking about the needs of each user, taking into account their pathology, limitations, objectives and expectations presented.

In a rehabilitation process all factors count for success. The goal is always to allow the user to have a maximum level of functionality and independence, improving their quality of life in general. The active involvement of the user is essential for the success of the process, both physically, emotionally and socially.

What is musculoskeletal pain?

Musculoskeletal pain affects a significant percentage of users, being a persistent symptom, in some cases disabling and easily persisting over time. This pain can affect structures such as bones, muscles, ligaments, tendons and nerves, and it can be located in a certain body area or even present in several body regions.

Conditions such as low back pain (low back pain), tendonitis, muscle pain (myalgia), fracture, arthrosis and neuritis, generate the most common types of musculoskeletal pain.

What is the purpose of Musculoskeletal Physiotherapy?

The main objective of Musculoskeletal Rehabilitation is to help the patient regain their independence and functionality on a physical, psychological and social level. After a few sessions, the patient will be able to improve or recover their general quality of life, positively affecting their self-esteem and relationships.

What are the main benefits of Musculoskeletal Physiotherapy?

Depending on the type of user, pathology and treatments performed, Musculoskeletal Physiotherapy can include benefits such as:

• Avoid surgery, or when surgery is necessary, perform an adequate pre-operative and, of course, an effective post-operative period;
• Improve movement patterns;
• Decrease/eliminate pain;
• Improve balance, preventing for example falls;
• Recover/prevent traumatic, degenerative and overload injuries.

Through different techniques and taking into account the nutritional, cognitive and functional state, we address different problems of the locomotor system to achieve greater independence and the highest quality of life. One of the advantages of the treatments is to avoid deformities due to poor mobility and maintaining muscle strength in
bedridden people.

Techniques and works of the Musculoskeletal Physiotherapist 

The treatment plan is individualized for each patient.

In the first place, an evaluation of their physical condition and also of their cognitive, nutritional and functional status is carried out to determine if they present alterations in these areas that influence their reason for consultation.
Treatment includes addressing all areas involved in their recovery, either only physical treatment or reinforced with nutritional, cognitive and / or psychological treatment if necessary.

After the personalized evaluation and the definition of objectives, the experts will design the plan that you need and the appropriate techniques to achieve those objectives.

Among the techniques used in this recovery are:

• Manual articular, muscular and neurodynamic techniques
• Therapeutic exercises
• Gait re-education
• Readaptation to effort

Also, different types of exercises for strengthening, flexibility, coordination, balance and stretching.

What can be treated with muscle and skeletal recovery physical therapy?

At (clinic name) we have the best physical recuperators for musculoskeletal patients, and we treat all alterations such as:

• Total or partial prostheses: Knee, hip, etc …
• Recovery from fractures
• Tendinitis and Tendinopathies: epicondylitis, supraspinatus tendinopathy, tennis elbow, etc …
• Osteoarthritis
• Arthritis
• Fibromyalgia
• Surgeries
• Muscle injuries
• Muscle contractures
• Muscle tension
• Headaches and dizziness
• Temporo-mandibular joint (TMJ) dysfunctions
• Hernias and profusions of discs
• Sciatica or pain of neural origin
• Amputations: Transtibial, Transradial, Transfemoral, Transhumeral, Prosthetic Leg, Foot, etc …

All these pathologies can be treated thanks to the muscle physiotherapy techniques applied by our physiotherapists and patients achieve an improvement in their quality of life.

There is a general idea that physiotherapy is something we turn to after an accident. However, in reality physiotherapy is a very versatile service, which you should use on several occasions. And one of those occasions is before having surgery.

Why should you undergo physiotherapy before surgery?

Physiotherapy in the preparation phase for surgery helps to prevent and minimize some of the sequelae associated with the procedure.

Pre-surgical rehabilitation allows to reduce postoperative complications, with a faster return to activities of daily living. Pre-surgical rehabilitation will also allow these activities to be done with greater safety and without much suffering.

The surgery is usually scheduled in advance, so you’ll have enough time to prepare and perform physical therapy. Therefore, the physiotherapy plan for the area/limb to be treated should be carried out before surgery. This plan will help restore joint function and ensure you are strong enough for the surgical procedure.

The physiotherapist will help you with:

• Application of pain control techniques (eg ice to calm inflammation or heat to allow muscle relaxation)
• Maintenance of strength and mobility – to prevent loss of movement after surgery
• Antalgic postures – the physiotherapist will tell you what position to adopt in case of pain, to compensate the affected limb
• Functional recovery activities and exercises – to relieve pain
• Respiratory and bronchial clearance techniques – to prevent respiratory problems from evolving

Post-Surgical Rehabilitation

In the post-surgical period, the physiotherapist is the one who guides the patient about the time to resume routine activities, exercises and also corrects post-surgical postural changes or treats discomfort arising from certain positioning limitations in certain types of surgery, in addition to treating musculoskeletal discomforts with manipulative therapies.

Physiotherapy plays a key role in the postoperative period of surgeries:

• Contributions to the acceleration of the healing process
• Restores movement and strength (with the aim of achieving maximum patient functionality in the shortest possible time)

Physiotherapy is aimed at all types of post-operative recovery:

• Hip and Knee Prostheses
• Fractures from traumatic episodes
• Ligament injuries treated surgically
• Cardiothoracic, abdominal, pulmonary, oncologic surgeries, respiratory problems and musculoskeletal problems (surgeries on the shoulder, wrist, hip, knee, foot and spine, etc.).

Objectives of pre- and post-operative physiotherapy

Physiotherapy aims to fully recover the function of the operated zone/limb, allowing for the patient’s global re-education and the resumption of his level of activity and functionality.

It is necessary to perform strengthening work on the non-operated limbs, so that activities of daily living are carried out with greater safety and there is a faster progression in the physiotherapy treatment plan.

The physiotherapy plan includes:

• Pain and edema control (swelling)
• Gain in joint ranges (great limb movements)
• Overall muscle strength gain
• Flexibility gain
• balance gain
• Relearning the correct gait pattern
• Improved resistance to exertion
• Improved respiratory capacity

The physiotherapist will educate and inform the client on how it will help them to improve and regain their general health. This includes lifestyle changes, such as an indication of the ideal sleeping position or the correct working position (care before and after surgery).

Chiropractic care is a specialty and profession in the health area that focuses on the spine, which is the support center of the entire body. Recognized by the World Health Organization (WHO), the technique can help treat problems related to joints, muscles, bones, tendons, ligaments, in other words, everything related to biomechanical disorders in the human body.

This branch of alternative medicine seeks to treat the above disorders by guiding patients’ habits, reorganizing their posture using specific techniques and exercises, and, mainly, performing precise maneuvers that can restore the joints and put the body back to normal functioning again.

What can be treated with chiropractic care?

Chiropractic care can be used both to treat and to prevent problems related to spinal misalignment, which can be caused by several factors: poor posture, spending too much time sitting or standing, and even stress and anxiety.

Problems such as pain in the sciatica, pelvis, neck, lower back, back, hips, shoulders, arms and anything else connected to the neuro-musculoskeletal system can be treated by a chiropractor.

Neck, lower back and head pain

Neck, lumbar and head pain are responsible for a major drop in the quality of life of affected people. Fortunately, chiropractic care is a good ally in combating this type of discomfort, considerably alleviating it and sometimes even eliminating it completely.

Muscle tensions

The chaotic daily life in which we live is largely responsible for muscle tension, which causes pain and discomfort. Chiropractic care helps to alleviate this type of problem, balancing the body and making the muscles much more relaxed.

Sports injuries or miscellaneous accidents

Athletes or people who have suffered accidents can also benefit from chiropractic care in recovering from various injuries. This practice is completely non-invasive and of very low impact, which helps a lot as a complementary treatment to physiotherapy, for example.

locomotor problems

Do you suffer from mobility problems? Chiropractic care can help too! Once again combined with physiotherapy, this practice is an excellent way to strengthen the spine and nervous system, making them more and more able to perform varied movements and gradually returning the patient’s mobility.

Disc herniation

A herniated disc is considered to be one of the most painful problems of all. Unfortunately, not all cases are surgically indicated or show improvement with conventional treatments. In these situations, investing in chiropractic sessions is a good way to reduce the discomfort caused by this problem.

Breathing problems

It may sound incredible, but many of the common respiratory problems in the population, such as rhinitis and even sinusitis, may have some direct connection to the musculoskeletal system. By working on spinal alignment, the chiropractor can make these symptoms considerably reduced.

Menstrual problems

Many women suffer, every month, with problems related to the menstrual cycle. Be it cramps, muscle pain, headaches or even excessive fatigue, they are practically always making their monthly presence in the life of the female audience. With chiropractic care, this can be reduced considerably.

Fibromyalgia

Fibromyalgia is a problem responsible for intense pain that affects the entire body and unfortunately, it has no cure until today. Therefore, betting on chiropractic care as an ally to reduce these pains and maintain the quality of life of these patients is always a good option.

Deviations in posture

Another very recurrent problem in the daily lives of the current population is the lack of an adequate posture. We constantly position ourselves inappropriately when doing everyday tasks, such as using the computer or using our cell phone. Therefore, chiropractic care can be a good tool for postural re-education and reduction of problems related to this harmful habit.

Who can do chiropractic care?

Kids

Despite being small, children can also suffer from postural deviations and problems that reduce their quality of life. Therefore, chiropractic care can be indicated for the little ones, who benefit as much as adults from the regular practice of chiropractic sessions.

Teenagers

Adolescents are commonly affected by postural problems and, of course, various injuries due to efforts made at school — such as the excessive weight of backpacks, for example. In addition, they suffer a lot from emotional problems, which can also be balanced with the help of this very comprehensive practice.

Adults

Adults are one of the groups that benefit most from chiropractic care. With the daily routine at work, the countless obligations and harmful lifestyle habits, these individuals need chiropractic care to ensure the general balance of the body. In addition, it is from this stage that many diseases manifest and can be treated in sessions.

Seniors

As we have seen, many of the problems often faced by the elderly, such as walking difficulties, joint pain, osteoporosis and more, can be treated or alleviated with regular chiropractic sessions. Strengthening the spine, at this stage of life, is essential!

Pregnant women

Pregnancy is one of the most beautiful phases in a woman’s life, but also one of the most difficult when it comes to bodily changes. After all, generating a life in your womb is not easy. Chiropractic care helps reduce pain normal to this stage and can even help the pregnant woman prepare for childbirth.

Injured

People who have suffered various accidents and who, with them, have suffered muscle, bone or joint injuries, have chiropractic care as a good ally to deal with these problems and recover much faster. It is worth investing in these sessions to enhance the treatment.

Athletes

In addition to treating injuries, chiropractic care can act to prevent new complications, being excellent for athletes who use their body to carry out their activities. After all, prevention is always better than cure, isn’t it?

How does chiropractic care work?

Although each case is unique and requires different treatments, the practical maneuver is present in most of the problems to be solved by professionals in the area. The joint that is compromised is subjected to a maneuver, which is performed by means of quick movements and followed by a snap.

This maneuver will bring movement and mobility back to the joint in question and has the consequences of reducing pain, discomfort and tension. In addition to this type of maneuver and specific exercises performed during the sessions, professionals can provide activities to be done at home, to prevent the problem from returning.

What are the health benefits of chiropractic care?

Here are some of the most striking advantages.

Quick results

One of the main advantages of chiropractic treatment is getting quick therapies. Although many results are obtained in the long term, many effects can already be felt right after the first sessions, making this a good mechanism for people with urgent demands.

Non-invasive and very safe treatment

Another excellent advantage of this practice is the possibility that it can be performed by practically any type of person, without contraindications. Chiropractic care is very safe and not invasive, being performed only with the hands and very few tools. Furthermore, it is painless and produces great instant relaxation.

Pain relief

Pain is part of our daily lives, but it doesn’t have to be that way. It is possible to live comfortably and without suffering from this daily discomfort. Thus, chiropractic care is an important ally in combating pain that undermines, little by little, our quality of life.

Improved mental health

It may not seem like it, but the alignment of the spine and other structures that are part of the human skeleton can beneficially contribute to the balance of mental health. After all, as the saying goes: healthy body, healthy mind. Therefore, chiropractic care can also help to combat illnesses such as anxiety and depression.

Promotion of quality of life

The quality of life is a collection of many factors, including physical and mental health. And, as we can already see, chiropractic care helps to balance all these aspects of an individual’s daily life, being very important for a life full of happiness and quality, without pain or discomfort.

Reduction of joint problems

Joint and tendon problems, such as tendonitis, tend to reduce our daily productivity. Chiropractic care is also known to alleviate this type of situation, allowing us to produce much more, thus improving our academic and professional performance.

Posture improvement

Finally, chiropractic care is an indispensable tool in promoting a proper posture that does not overload our body’s fundamental structures, such as the nerves. With this re-education and the strengthening and alignment of essential spinal points, we can live a much more peaceful and quality life.

Paediatric physical therapy is a specialization of physical therapy that advises, treats, and cares for people from 0 to 18 years of age. It can help in those children who have a delay in their development, or abnormalities in movement or risk of suffering them.

This branch of physiotherapy includes a broad set of techniques that will give important benefits to children with serious health problems and healthy children. It has always been used with children with neurological pathologies: cerebral palsy, neuromuscular diseases (spinal muscular atrophy, Duchenne muscular dystrophy), congenital torticollis, etc. Also, in traumatological and orthopaedic anomalies, in rheumatological processes and respiratory problems (bronchiolitis, cystic fibrosis, asthma …). It will also have great benefits for patients with pathologies of genetic origin, such as Down Syndrome, Rett Syndrome or Wolf Syndrome.

All the treatments within paediatric physiotherapy are aimed at restoring damaged functions as well as guiding the child throughout his motor development, with psychomotor and neuromotor stimulation, in addition to respiratory physiotherapy techniques in paediatrics, stimulation, psychomotor skills, postural treatment and bandages.

Paediatric physiotherapy has a very important role in the prevention of health problems, with special emphasis when it is used at an early age. It can very quickly alleviate problems such as colic or sleep disorders, improving the quality of life of the little ones.

We must remember that within paediatric physiotherapy it is as important to treat as to prevent, in order to avoid more complicated pathologies in the future.

In any physiotherapy treatment with children, it will be very important to have good communication with the patient as well as with his family, in order to improve the treatment as well as to be able to limit it as much as possible to the real needs and motivations of the child.

Respiratory rehabilitation is also included in children affected by diseases (asthma, bronchiolitis, cystic fibrosis, etc.) that reduce their respiratory capacity.

The child physiotherapy also contemplates the treatment of the sequelae of acute diseases (meningitis, respiratory infections, malignancies, heart deformities, etc.) and diseases which originate incorrect positions or fractures.

It is also responsible for maintaining or improving the functionality of the child who suffers from a chronic disease (neuromuscular or metabolic) or correcting alterations in posture and movement caused by a central nervous system injury, cognitive deficit, visual deficit or motor clumsiness.
With regard to motor and developmental problems, the objectives of children’s physiotherapy focus on the following aspects:

• Improvement of motor skills, both basic and specialized.
• Improve balance and coordination, as well as strength and endurance.
• Sensory and cognitive improvement.
• Central nervous system stimulation.
• Facilitate motor development directly related to the child’s age.

In the first years of a child’s life, perceptual, motor, cognitive, linguistic and social skills are developed that will allow them to interact with the world around them. The sooner you undergo child physical therapy, the more you can help correct the problems that condition your development. It must be taken into account that the younger the age of the child, the greater his brain and musculoskeletal plasticity.

The child physiotherapy requires prior assessment of:

• Motor development.
• Spontaneous mobility.
• The force.
• The musculoskeletal state.
• The functional postures.
• The equilibrium.
• Coordination, etc.

This will make it possible to know the psychomotor retardation and the possible deviations in musculoskeletal growth and, from there, plan an individualized program that includes different therapeutic strategies.

After the treatment, it is important to train the parents so that the child continues with the rehabilitation exercises at home and thus avoid having problems again.

Scoliosis is the most common type of spinal deformity in children and adolescents. It is often defined as the lateral tilt of the spine. However, it is a complex and three-dimensional deformity, and its treatment is challenging. Most of the time, the problem appears in the growth spurt and has no apparent cause. In this situation, it is called Adolescent Idiopathic Scoliosis. This condition affects 2-3% of the general population and is more common in girls (7 times more girls than boys).

The condition is progressive and does not have a complete cure, but proper treatment prevents its evolution and improves the individual’s mobility. During therapy, the physiotherapy professional must include reinforcement techniques in order to generate new learning in posture. By joining different practices, it is possible to provide the patient with personalized and more efficient care.

Treatment differs depending on the degree of scoliosis. In general, curvature up to 20 degrees can be contained through physical therapy interventions. Between 20 degrees and 45 degrees, it is necessary to wear a vest and physiotherapy. When the person presents a curvature above 45 degrees – and if the curve has not stabilized yet – the recommendation is for surgical intervention, in addition to physiotherapy sessions for the rehabilitation process.

Understanding the assessment and treatment process

First, the patient will undergo a detailed and specific evaluation.  From X-ray examinations to postural and instrument testing. This first step is critical to understanding the severity of the curvature and which exercises will be most effective in treating scoliosis.

After this analysis, individual treatment is started based on the diagnostics.  Recent studies show that this type of treatment is completely effective in cases of adolescent idiopathic scoliosis with mild or moderate curves.

The third step of the treatment consists of filming the exercise series.  An exclusive protocol for the patient to reproduce, daily at home, for about 30 minutes, the exercises that will be essential for strengthening the spine and reprogramming the brain.

Is it possible to treat scoliosis with exercise?

Yes. Specific Physiotherapeutic Exercises are recommended as the first treatment in light and moderate curves, with or without use of a brace.

What are specific physical therapy exercises for scoliosis?

They are exercises based on the three-dimensional self-correction of the spine. In the conservative treatment of scoliosis with specific exercises, the patient is taught to make corrections and maintain corrected posture in daily activities. Generally, a mirror is used in the learning process, in addition to correct breathing to assist in correction. The repetition of exercises at home is of fundamental importance for automating the corrected posture. Treatment success depends on patient and family education.

When are specific physical therapy exercises indicated for scoliosis?

The main indication of exercises to correct scoliosis are light to moderate curves in growing children and adolescents. Exercises can be part of the brace treatment, depending on the bone growth forecast. If there is no longer growth forecast, the need to wear a vest is eliminated. The monitoring of patients in the growing phase with scoliosis is carried out by an orthopaedist who specializes in spine and by a physiotherapist.

Thus, in the conservative treatment of scoliosis in growing children and adolescents, it is indicated:

• 10 to 25º curves – exercises only, no vest.
• curves from 25 to 45º – exercises associated with vest.

Repeating the exercises at home is essential for successful treatment.

The main objectives of specific exercises for scoliosis are:

• Prevent progression (worsening) of the curve.
• Prevent postural collapse.
• Prevent or treat respiratory dysfunction (shortness of breath).
• Prevent or treat back pain.
• Improve aesthetics and quality of life.

There are scientific studies that report the superiority of specific exercises over other therapies for Adolescent Idiopathic Scoliosis.

Can people with scoliosis play sports?

Yes. The practice of sports activity provides flexibility, strength, balance and coordination, in addition to positively influencing the child’s psychological and social aspects. However, it is important to emphasize that sports activity is not a treatment for scoliosis.

Sports physiotherapy is a branch of sports medicine that treats, recovers and seeks to prevent injuries caused by physical exercise. Professionals specialized in this area aim to provide a return to physical activity in the shortest possible time.

The sports physiotherapist does not only work on the recovery and follow-up of the injured patient. One of its functions in this area is to prepare athletes for competitions, helping to prevent injuries and pain. The prevention work carried out by the sports physiotherapy professional goes beyond, and includes monitoring, in order to avoid the return of dislocations, tendonitis, sprains, ligament injuries and fractures.

The main objectives of Sports Physiotherapy are:

• Injury prevention;
• Optimization of function and contribution to better sports performance for athletes of all ages and different levels.

Injury Prevention

The practice of sports, when done without professional control or guidance, can lead to injuries, turning what should be beneficial into a big problem. In some cases, it can even jeopardize the normal performance of daily activities.
Among the most common injuries, the following stand out:

• Stress fractures;
• Cramps;
• Tendonitis;
• Muscle injuries;
• Plantar fasciitis.

As a result of this scenario, Physiotherapy appears as a great ally, acting in the prevention and rehabilitation of these injuries.

Sports Physiotherapy Intervention

The sports physiotherapist is a specialist who works at various stages of sports activity. Its performance includes:

• Screening, counseling, prevention and treatment of injuries of a traumatological and orthopedic nature;
• Appropriate warm-up, stretching, flexibility, and strengthening exercise programs;
• Fixed assets with therapeutic or preventive purposes;
• Selection of suitable materials for sports, such as choosing shoes;
• Care plans and progressive integration into sports activity.

After Injury Recovery

To safely resume sporting activity, it is not enough to be fully recovered from your injury. It is essential to regain strength, flexibility, mobility, balance, coordination and emotional security for a healthy practice of physical exercise.

Treatments performed by the sports physiotherapy professional

Through an assessment that takes into account the location of the injury, the type of sport played and the patient’s needs, the physiotherapist defines the tools that will be used to treat the injury.

One of the reasons for the increasing importance of Sports Physical Therapy in the current scenario is the variety of treatments that can be applied. Thus, it is possible to identify the best solutions for each patient, ensuring the most efficient treatment for the recovery of an injury or for improving performance.

These are some of the most common and efficient treatments in the work of preventing and treating dislocations, sprains, tendonitis and other injuries:

Manual therapy

One of the most traditional methods of treatment in physical therapy — and it’s no different when we take it into sport — is manual therapy. The objective is to solve a discomfort, strengthen a region, correct postural and biomechanical imbalances, or understand the relationship between an injury and a muscle through specific manual techniques.

Functional Therapy

This method is used to facilitate the patient’s understanding and body awareness, allowing him to better deal with the relationship between mind and body. From low-impact and less intense exercises, it is possible to correct posture problems or assist in the treatment of injuries and/or trauma.

electrotherapy

By applying electrical currents to the body, it is possible to strengthen or relax muscles, reduce edema and even provide an analgesic effect. There are several types of application within this method, each one according to the patient’s situation and objective, but always producing an effect on the region to be treated.

Massage therapy

Improved blood flow, muscle relaxation and even pain relief after physical activity are the main goals of massage therapy within Sports Physiotherapy. This is a type of massage that focuses more than just relaxation, it can prevent injuries and relieve muscle pain.

In addition to these 4 working methods within Sports Physical Therapy, other techniques and practices are very efficient in the search for injury prevention and recovery:

• EMG biofeedback;
• segmental stabilization;
• functional bandages;
• bodybuilding;
• Pilates;
• electromyography;
• kinesiotherapy.

It must be remembered that each of these methods has a specific purpose and use, with different approaches to solving a problem. Therefore, it is important to always take into account the structure available in your work environment and, even more fundamentally, the profile of each of your patients.

The aging is a physiological natural process by which all pass sooner or later, however, there are ways to prevent this natural wear. The moderate physical activity, for example, is one of the best ways to grow old healthily.

In this context, physiotherapy has a lot of work ahead of it in the prevention and treatment of age-related injuries or pathologies. This branch of physiotherapy that is dedicated to patients over 65 years of age is called geriatric.

What is geriatric physiotherapy?

The geriatric physiotherapy is an essential field in treating various diseases of aging, such as pain, loss of balance, articular functionality, elasticity or muscle mass.

The set of geriatric techniques are aimed at both the prevention and treatment of different pathologies resulting from age, which cover a wide range from diseases.

What are the most common pathologies derived from aging?

The most common injuries are:

• Rheumatoid arthritis
• Muscle atrophy and weakness
• Heart and lung disease (COPD)
• Hip fractures (with its corresponding prosthesis)
• Knee fractures
• Alzheimer’s
• Ictus
• Immobility syndrome
• Falls and / or instability
• Loss of balance

When is geriatric physiotherapy applied?

Within this branch of physiotherapy, there are a series of common pathologies that can be treated effectively, delaying their progress.

• Bone diseases, such as osteoporosis or arthritis.
• Kidney diseases, such as urinary and faecal incontinence.
• Age-related injuries, joint replacements or hip fractures are common.
• Coordination and balance disorders.
• Neurological diseases, including Parkinson’s and Alzheimer’s.
• Functional limitations related to mobility.
• Heart and lung diseases.

Applications of geriatric physiotherapy

As far as possible, geriatric physiotherapy is responsible for reducing pain, improving balance, re-educating gait, improving joint sensitivity and functionality, recovering lost movement, strength, elasticity and muscle flexibility. The physiotherapist is in charge of designing a personalized treatment, taking into account the condition and needs of each patient.

What are the principles on which physiotherapy for the elderly is based?

1. In general, disability is considered to be due to a disease process or injury, not old age. Aging does not necessarily mean having pathologies.
2. The effects of biological aging reduce the efficiency of the body’s systems, but throughout life, optimal function is maintained in each individual by continuing to use these systems to their maximum capacity. Hence the importance of preventive physiotherapy.
3. The physiotherapists have a role key to allowing older people use a number of body systems to improve mobility and independence.
4. When neither improving nor maintaining functional mobility is a reasonable goal, physical therapists can help to help older people stay comfortable and pain-free.
5. Prevention of the development of problems in old age through health promotion.

What are the advantages of geriatric physiotherapy?

Geriatric physiotherapy offers a non-pharmacological alternative, which in many cases helps to alleviate the symptoms of multiple pathologies, both acute and chronic, most of them related to the locomotor system, with the aim of improving the quality of life of the elderly.

In addition, physiotherapy for the elderly is not only indicated in people suffering from pathologies, but also as prevention and helps to maintain a good general state of health.

In short, it will help you age in the healthiest way possible and improve your autonomy.

In advanced age, the appearance of neurological problems is common. That is why geriatric physiotherapy is so closely related to neurological physiotherapy.