Physiotherapy

Physiotherapy (or more precisely kinesiotherapy) is a part of rehabilitation that deals with problems of the musculoskeletal system. It includes a diagnostic component, where the functional changes of the musculoskeletal system are assessed, and a therapeutic component, where we try to correct the changes in a targeted way.

The basic aim of physiotherapy is therefore the treatment of functional disorders of the musculoskeletal system, including e.g. joint blockages, muscle spasms and others, using anatomical and physiological knowledge of the musculoskeletal system. Physiotherapists use special manual techniques in diagnosis, treatment and prevention. The study of physiotherapy is now divided into bachelor and master degree programmes and postgraduate programmes, culminating in certification. Approaches in physiotherapy are mainly based on knowledge of neurophysiology, anatomy and physiology. Lectures from all branches of medicine are also incorporated into the curriculum.

Physiotherapy is the most effective way to treat pain, but also to prevent musculoskeletal pain!

Soft techniques

It is a treatment focused on muscle tendons, muscle fascia, tendons, subcutaneous tissue and skin. Soft techniques are used both to release muscle spasms and to eliminate so-called reflex, usually painful changes in the muscles and surrounding structures, as well as to achieve overall relaxation. They are performed without the use of massage emulsions.
After mechanical irritation, nerve endings and receptors (sensors) in the skin, subcutaneous tissue and tendons transmit impulses through a reflex arc to the internal organs in a given segment, thus affecting the impaired functions of these organs by reflex action. The impulses transmitted through the nerve pathways to the brain also have a positive effect on the psyche, which explains the overall calming effect.

Mobilization techniques of the spine and peripheral joints

They are the most important and most used techniques for treating painful myofascial trigger points, which are precisely localized, sensitive spots in contracted skeletal muscles. These sites are characterized by spontaneous pain or pain on movement. In the complex treatment of pain, the use of these techniques is a fundamental choice. Muscle trigger points are characteristic of the so-called myofascial pain syndrome, which may be associated with other neuromuscular disease, mechanical overload or psychological stress. It is the most common painful muscle disease.
Joint mobilisation is the gradual increase of movement in a joint. It is performed by gentle repetitive movements at the limit of possible movement, i.e. just before reaching the pre-tension in the joint. When repeating the movement, we do not return to the central or starting position, but continue to the reached limit of movement. During mobilisation, we feel the movement loosen and the blockage either diminishes or, with a slight blockage, disappears completely.
In mobilisation therapy, the mobility of the peripheral joints and spine is restored to the correct position by means of a technique. It is most commonly used for functional joint blockages that are painful, restrict movement and lead to muscle spasms, etc. The aim of the treatment is to relax the movement segment, restore joint clearance, as well as adjust muscle tension and treat the so-called trigger points.

Manipulation techniques

These are fast-acting techniques, sometimes popularly called "unblocking".
These techniques are close to mobilization techniques, but the therapist overcomes the physiological barrier of the myoskeletal system, therefore they cannot be used in all patients (contraindication is e.g. osteoporosis) and therefore the treatment is performed only by a physician.
They are typically applied to the thoracic or lumbar spine.

Traction (traction techniques)

It is a thrust in the axis of the joint, which is performed repeatedly for a short period of time or continuously for a longer period of time, mainly using the traction of the cervical and lumbar spine.

Therapeutic physical education

- Individual

Therapeutic exercise under the guidance of qualified physiotherapists, during which the patient gradually learns exercises focused on his/her problem area. The intensity of the exercise and its composition is individually corrected and adjusted according to the client's current state of health. Repeated practice of individual exercises leads to their memorization and, during subsequent home exercises, to prolongation of the duration of beneficial effects and improvement or disappearance of the patient's difficulties.

- Group

Similar to individual exercise, it will expand your movement options and improve your client's health and fitness. It is done in small groups with similar health problems or with the same specific focus.

This is an exercise for pain in the cervical, thoracic or lumbar spine, with limited joint mobility.

Our trained physiotherapists also perform exercises according to Ludmila Mojžíšová, which is suitable not only for the treatment of functional sterility in women, but also for lumbar spine pain.

Another group or individual exercise is:

Pilates Medical Exercises

Pilates is a method of physical exercise that was developed and refined in the early 20th century by Joseph Pilates in Germany.
Pilates called his method "controllogy" (from the verb to control and the Greek suffix -logia); he believed that it was possible to use the mind to control (and direct) the muscles. The goal of the Pilates method is to improve control over your body, strengthen it and improve its flexibility.
The Pilates method seeks to achieve controlled movement from a strong centre of the body. Originally conceived as a mat exercise, Pilates also used various exercise machines and equipment to help practitioners "get the method into the body". The aids or tools are always designed for specific exercises.
As far as equipment is concerned in the current Pilates method, small medicine balls, foam rollers, large fitballs, rotating discs and exercise elastic bands are used. We start with mat exercises, but for many of the exercises, minimal or no equipment is sufficient, allowing practitioners to practice these exercises at home without the need for heavy equipment.

Finally, we will mention six principles of the Pilates method. These are the principles to be followed during the exercise: concentration of movement, controlled movement, movement from the centre of the body, fluidity of movement, precision of movement and breathing.

Kinesiotaping

• A method developed in the 1970s by Japanese physician and chiropractor Kenzo Kase.
• Muscle tension is normalized and the function of blood and lymphatic circulation is improved.
• There are fewer injuries and less strain on the muscular and skeletal system.
• Technique useful for athletes, injury healing, regeneration and rehabilitation activities.
• It is advisable to combine this method with other musculoskeletal therapies.

Principles

• By applying elastic bands, the skin ripples and causes increased sustained blood and lymph flow.
• Kinesio tape is made on a cotton base and its elasticity corresponds to the nature of human skin, TEMTEX tapes almost do not cause allergic reactions, so they can be applied for several days.
• Unlike "hard" tapes, which are designed to limit range and mobility, the kinesio tape promotes maximum movement.

Application

• Treatment of ankle distortions, tendon disorders, large joint pain, muscle back pain, large joint blockages, muscle back pain, SI joint blockages.
• In chronic conditions, taping can be repeated.
• It prolongs muscle relaxation, the effect of lymph massages and classical massages.
• Corrective tapes correct faulty posture in children and adults.
• Toning of hypotonic muscle groups.
• Influence of hypertonic muscles, hyperalgesic zones and trigger points.

Contraindications

• Any skin injuries and unhealed "live" scars.
• Skin problems (rashes, eczema, fungus, allergic reaction to the tape).
• Varicose veins and inflammation of the veins.
• Cancer.

Patient preparation

• Clean and degrease the skin (wash, pat dry, wipe with medical alcohol).
• Shave the hairy skin.
• Apply the tape and " heat" with your hand until it is warm or dry with a hair dryer.
• Remove preferably after soaking in warm water.
• Tape database - take a picture of the patient with the tapeworm in case it is necessary to repeat the same tape.

Techniques

• Muscle.
• Ligamentous.
• Lymphatic.
• Fascia.
• Scar correction.