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respiratory physiotherapy

Respiratory Physiotherapy

What is respiratory rehabilitation?

The respiratory rehabilitation program is a multidimensional medical treatment implemented by a multidisciplinary and multidisciplinary team, aimed at patients with symptomatic chronic respiratory pathology. It consists of an individualized strategy for each patient, comprehensive, which aims to decrease dyspnea (shortness of breath) and improve breathing, increase tolerance to effort, social participation and quality of life, associated with a reduction in the costs of care. health and a reduction in the set of factors that contribute to the natural evolution of the disease. It includes assessment, education, nutritional guidance, psychological support, and the exercise program.

It is now recognized that respiratory rehabilitation programs are a component of the non-pharmacological treatment of respiratory pathology in patients who remain symptomatic despite the adequate institution of drug therapy.

The complexity of respiratory diseases, namely chronic obstructive pulmonary disease, is known with regard to its pathophysiology, manifestations in other organs and systems besides the lung and association with other pathologies. Respiratory pathology and its multiple co-morbidities may be responsible for respiratory symptoms such as dyspnoea (shortness of breath), cough and abundant and difficult to eliminate sputum and tiredness in daily activities that contribute to the evolution of the initial disease. The patient gradually loses autonomy and quality of life.

The respiratory rehabilitation program is a treatment through which the different health professionals, in a multidisciplinary team, address the different components of the disease: physical, cognitive, psycho-emotional and social. They work together to teach the disease and the risk factors that can lead to its worsening, educate for the promotion of healthy lifestyle habits, promote the realization of respiratory physiotherapy also known as respiratory kinesiotherapy, the training of physical exercise appropriate to the cardiorespiratory function and other coexisting pathologies, the patient’s health, and physical condition.

The latest international recommendations consider that any patient with the pathology of the respiratory system and who presents with respiratory symptoms can be a candidate for this intervention, namely patients with: chronic obstructive pulmonary disease (COPD), bronchial asthma, bronchiectasis, cystic fibrosis, interstitial lung disease, kyphoscoliosis, post-ARDS status, sequelae of pulmonary tuberculosis, pulmonary hypertension and pre- and postoperative lung cancer, thoracic surgery, and lung transplantation.

Respiratory physiotherapy indications

Respiratory physiotherapy or respiratory kinesiotherapy can be performed in patients with chronic obstructive pulmonary disease, bronchiectasis, cystic fibrosis, bronchiolitis and in the pre- and postoperative period of cardio-thoracic and upper abdominal surgery, among other pathologies.

It can be performed alone or integrated into the respiratory rehabilitation program and brings together a set of techniques selected according to the medical diagnosis, the patient’s clinical condition, and the existing ventilatory limitation, with the aim of improving breathing, promoting the elimination of sputum and decreasing anxiety.

It includes teaching abdominal-diaphragmatic breathing and breathing with semi-closed lips that can help the patient to control and decrease dyspnea and the sensation of panic associated with symptoms, by improving the ventilatory pattern (decrease in respiratory rate and increased tidal volume), preventing the collapse of the airways and synchronizing abdominal breathing and chest breathing.

Teaching techniques to improve bronchial hygiene is essential in patients who have difficulty mobilizing respiratory secretions and eliminating them through coughing.

Respiratory physiotherapy can be performed on adults and children, both children and babies.

Respiratory Physiotherapy

Respiratory physiotherapy techniques

Respiratory physiotherapy or respiratory kinesiotherapy gathers a set of techniques, exercises, and maneuvers that are prescribed according to the diagnosis, condition and clinical evolution of the patient, namely:

Techniques to improve ventilatory mechanics:

These techniques involve the 3 components of breathing: the lung, the rib cage, and the respiratory muscles. They are based on the performance of abdominal-diaphragmatic and costal breathing and aim to improve lung function, muscle function, and chest mobility. They use high respiratory volumes generated by the patient during inspiration or during exhalation, which leads to a desirable increase in respiratory pressures. They also allow to decrease the respiratory rate, increase the tidal volume and improve gas exchange in the lung.

Techniques to facilitate the elimination of respiratory secretions :

  • Postural drainage – uses the force of gravity to facilitate the drainage of secretions into the central pathways and subsequent expulsion through coughing or aspiration;
  • Vibrations – are oscillatory movements applied to the chest wall by the technician’s hand;
  • Positive expiratory pressure – It is a simple technique that the patient can perform alone at home with small portable equipment.

These last 2 methods (vibration and flutter) can produce a high-frequency vibration that helps to release secretions from the bronchial walls.

Improving the effectiveness of cough: includes teaching the patient how to cough and how to improve the ability to produce a cough. Includes assisted cough, self-assisted cough, directed cough, and Huffing;

Relaxation techniques: reduce anxiety caused by the sensation of dyspnea and the energy cost of breathing and lead to an increase in well-being.

Incentive spirometry and expiratory flutter are small, portable equipment, easy to use and transport that allows the patient during training to increase inspiratory or expiratory flow, depending on the equipment used. The repetition of these exercises can improve respiratory pressures and, in the case of expiratory flutter, facilitate the elimination of sputum.

Depending on the model, the equipment may include a valve that prints a resistance with an appropriate threshold to the patient’s inspiratory or expiratory pressure, adjustable according to the intended objective.

Physical activity after a respiratory rehabilitation program

Respiratory rehabilitation alters life habits and risk factors for the evolution of lung disease, in a process that must continue beyond the treatment period. Patients are advised to maintain regular physical activity promoting a healthy lifestyle. It is advisable to continue walking or exercise on a bicycle complemented with the exercises indicated to be performed at home after the respiratory rehabilitation program has ended.

In this way, the patient who finishes the respiratory rehabilitation program and wants to continue to improve his breathing to prolong the benefits of the rehabilitation program must continue to do daily exercises as indicated, as well as all the strategies learned during the treatment period.

 

Femur Fracture

WHAT IS THE FEMUR FRACTURE?

The femur, despite being a strong bone and surrounded by a musculature that protects it, can also fracture if it is subjected to a very high force such as a fall or a blow. The populations in which the incidence is higher are children and the geriatric population.

ANATOMY / BIOMECHANICS

Within the femur fractures, we will make a differentiation that classifies them according to their location and according to their shape.

Location:

  • Trochanteric: the location of the fracture line is located just below the femoral head. Normally there is no vascular compromise, so minor complications appear.
  • Femoral neck: usually have more complication since they occur internally to the capsule and therefore the vascular package is affected. If it is a non-displaced fracture and is sufficiently stable, it can be treated conservatively without surgery.>
  • Femoral head: they have the lowest incidence and are often related to a fracture of the acetabulum (a place where the femur articulates in the hip) as well as traumatic hip dislocation.
  • Diaphyseal: as a general rule, the fixation (and reduction if necessary) will be carried out unless it is a growing child with whom we will treat conservatively so as not to affect bone development.
  • Fractures of the distal third: in spite of being the most infrequent we must also take them into account since they can have serious consequences on the biomechanics of gait because they are closely related to tibia and fibula, in the knee joint (and therefore also with menisci, cartilage, and ligaments).

Shape:

  • Complete/incomplete: the fracture line completely affects the thickness of the bone or only affects one of the faces.
  • Open/closed: depending on whether or not the continuity of the skin tissue is broken.

FEMUR FRACTURE DIAGNOSIS

The most common signs that indicate fracture will be:

  • Local pain
  • Edema
  • Hematoma
  • Deformity (does not always have to appear)
  • Gait disturbance

femur fracture treatment in Dwarka

FEMUR FRACTURE TREATMENT IN DWARKA

We will distinguish the way to approach the fracture according to its location, shape, and type of patient since it will not have the same implications if it is a child in the growth phase (which could be affected if a fixation is placed) than if It is an adult with a fully formed bone structure.

From the point of view of physiotherapy in Dwarka, we must begin with the early active intervention by the patient with active quadriceps contractions and ankle and knee movements (and even hip depending on the location of the fracture) to adapt the muscles to the work and avoid loss of functionality.

Gradually the objectives will be (depending on the location of the fracture) the progressive increase of range of movement in the hip and the recovery of tone and strength especially in the flexor and extensor muscles (quadriceps, hamstrings) through support and different exercises assets.

Once we have achieved these objectives, the last step will be to re-educate the gait and training of proprioception for the normal daily life of the patient.

Perineal Re-Education

WHAT IS PERINEAL RE-EDUCATION?

The rehabilitation perineal is a form of physiotherapy in Dwarka that can greatly help patients struggling with:

  • problems of postpartum urinary incontinence
  • incontinence to the effort (laughing, sneezing, jumping, running, …)
  • pressing desires
  • a bladder descent
  • multiple vaginal pains

These types of problems are much more common than you might think, and physiotherapy in Dwarka can be an effective way to solve them. Indeed, the muscles of the perineum can be worked, like all the other muscles of the body, if they lack strength or if they are too tight.

The muscles of the perineum are involved when we have to hold urine or stool, when we stabilize our body or when we have sex. Treating the perineum can, therefore, have a positive impact on many aspects of daily life.

PERINEAL RE-EDUCATION

IN WHAT CONTEXT ARE THE PERINEAL RE-EDUCATION TREATMENTS PERFORMED?

The perineal re-education treatments are performed in the closed room, in all confidentiality. The physiotherapist in Dwarka knows how to put her patient at ease, respect her rhythm, answer her questions and provide her with all the advice that will help her recover quickly.

Where and who to consult for perineal rehab treatments?

Perineal reeducation is offered in our physiotherapy clinic in Dwarka by the best physiotherapist in Dwarka. It is possible to consult a physiotherapist for problems of incontinence or vaginal pain. Indeed, in addition to practicing physiotherapy, the latter has completed basic & advanced training in urogynecology and perineal pelvic rehabilitation.

Do not hesitate to consult us for any questions related to perineal reeducation.

What are perineal rehab treatments?

During the first perineal rehabilitation session, the physiotherapist in Janakpuri will ask her client specific questions in order to understand the nature of her problem. She will also perform an internal and external exam that will allow her to assess muscle strength, positioning of organs, etc.

Thereafter, perineal rehabilitation treatments may include the teaching of perineal strengthening exercises (using electrical stimulation, biofeedback, and manual palpation) in order to ensure adequate contractions, stretching, massage, or the use of painkiller modalities. These various techniques can greatly improve the condition and in some cases resolve the situation.

Scoliosis

Scoliosis, Symptoms And Scoliosis Treatment in Dwarka, Delhi

Scoliosis is the curvature of the spine, which occurs in the form of “S” or “C”. Early scoliosis treatment in Dwarka is advisable to prevent the further curvature of the spine.

Scoliosis Treatment in Dwarka

Scoliosis can be:

  • Congenital: caused by vertebral abnormalities present at birth
  • Idiopathic: the unknown cause, sub-classified in turn as infantile, juvenile, adolescent or adult according to the start date occurred.
  • Neuronal: having developed as a secondary symptom of another spina bifida disease, cerebral palsy, spinal muscular atrophy or physical trauma.

You can also differentiate between:

  • Structural: The curvature of the spine is permanent. The cause of this problem can be a stroke, a disease or a defect from birth.
  • Non-structural: when the curvature is only temporary and the column has its normal structure. The specialist tries to correct it.

Scoliosis or abnormal curvature of the spine affects approximately 3% of the population. Mild cases may not affect daily life. But severe cases can be painful and limit normal activity.

 Causes of Scoliosis

We can talk about genetic inheritance, neuromuscular problems and unequal length of limbs, congenital spinal deformities (present at birth, whether they are inherited or caused by the environment)

Other causes for scoliosis include cerebral palsy, spina bifida, muscular dystrophy, spinal muscular atrophy, and tumors. The vast majority of cases of scoliosis have no known cause.

Symptom

According to the best physiotherapist in Dwarka, the symptoms vary. We can make a list of possible common patterns in the vast majority of affected patients:

  • Uneven waist
  • Support of the whole body on one side
  • The appearance of the high hip, prominent
  • Head not centered directly on the pelvis
  • Thoracic boxes at different heights
  • Shoulders at different heights, one shoulder blade more prominent than the other
  • Changes in the appearance or texture of the skin lining the spine
  • Costal prominence when crouching

Typically, scoliosis appears at ages ranging from 10 to 12 years of age. Affected children do not usually have pain. Apart from the altered body postures, it is normal that the patient does not show symptoms until he reaches 30 years of age. With this age begin to manifest discomfort in the deviated area, usually produced by staying for a long time sitting or standing.

Due to the permanent deviation of the spine, it begins to wear out (degeneration) so that the discomfort associated with scoliosis increases with time. If it is not treated properly, as the patient’s age progresses, severe symptoms are caused by the permanent shortening of the torso, which can trigger a decrease in the functions of the heart and lungs.

Scoliosis Treatment in Dwarka, Delhi

In cases of idiopathic scoliosis, no treatment is needed, but regular follow-up by a professional physiotherapist in Dwarka.

When the patient is still growing, an orthopedic brace & physiotherapy in Dwarka is recommended. The corset prevents a greater curvature. There are many types and the medical professional, as well as the advice of the orthopaedic in West Delhi, will recommend the one that best suits your needs based on the curvature as well as the location of the same and the growth phase of the patient.

The corsets for the back work best in people over 10 years old and do not work for those with congenital or neuromuscular scoliosis.

How to prevent scoliosis?

Scoliosis usually appears after 10 years of age, even in adolescence, which is when growth is faster. It is very important to keep in mind that once you come of age, it is more complicated to prevent it because your back is formed.

Here are some tips to find out if your child can suffer from scoliosis:

  1. Observe the alignment of the vertebrae: try to make your child when he is naked, bend down and reach with his hands to touch the ground. In that position, the vertebrae are visible under the skin and you can see if they are aligned or form some kind of curve.
  2. Observe the possible dysmetria in the legs or hips: This factor can be the main cause of the deviation of the spine. It is produced to compensate the imbalance and the head can be straight.
  3. Maintain proper postures: That your child has a good body posture when sitting helps to prevent this disease. The practice of sports such as swimming is one of the best remedies for scoliosis.

Practice activities that strengthen the muscles of the back as well as improve posture: swimming, yoga, pilates, … and follow the guidance given for Scoliosis Treatment in Dwarka.

geriatric physiotherapy in Delhi

Geriatric Physiotherapy

The Geriatrics is the medical specialty devoted to the study of prevention, diagnosis, treatment and rehabilitation of diseases in old age or elderly, starting at 60-65 years.

Geriatric Physiotherapy

The geriatric physiotherapy in Dwarka is a particular discipline of physiotherapy in Dwarka, not by the techniques employed but their modes of application and adaptation to the elderly.

The increase of the index of life makes that this type of patients is more and more numerous and in this way the adaptations of the physiotherapy are increasingly important, to facilitate the achievement or the improvement of their functional, psychological and psychomotor aptitudes.

Factors and principles of application:

– Need for early and often preventive treatment:

  • Any motor deficiency, of nervous or joint origin, must receive a re-education treatment.
  • The persistence of physical activity will consist of the best hygiene of life.

– The general principles of rehabilitation in the elderly, whatever the process in question, should be applied as a general measure to then apply the specific techniques corresponding to the process.

  1. Maintain maximum joint mobility.
  2. Maintain or restore independence in activities of daily living (ADL).
  3. Maintain or increase muscle strength.
  4. Achieve a good pattern of walking and balance.
  5. Value position.
  6. History of falls suffered.
  7. Achieve the trust and cooperation of the patient from the beginning.

– Adaptation of the individual psychology of the elderly to assimilate the elements of re-education.

– Use of a maximum of active methods and a minimum of devices and accessories, if not for occupational purposes (ergo therapy).

– Creation of a favorable psychological environment together with the necessary patience on the part of the physiotherapist.

– Enhance the habit of carrying out daily exercises and without fatigue.

– The objectives must often be modest and one of the main goals will be the reacquisition of real independence as complete as possible, considering the residual capacities of the patient.

– Criteria that may determine the degree of autonomy of the elderly person:

  1. Mobility (displacement possibilities).
  2. Functional physical independence.
  3. Occupation (prepare food, perform small cleanings).
  4. Orientation in relation to the environment.
  5. Economic independence.

– The domain of the application of geriatric physiotherapy in Dwarka can be applied to patients of age affected by invalidating diseases that concern the locomotorcardiorespiratory and circulatory system; as well as to patients with psychic or psychological problems.

– The conditions related to the locomotor system are, mainly:

  • Rheumatic degenerative(osteoarthritis, osteoporosis) or inflammatory (arthritis) affections.
  • Hemiplegia.
  • Fractures(humerus neck, hip).

General indications:

– The objectives will aim at the prevention of accelerated or inharmonic aging of too fast degradation of the functional aptitudes, having to act on:

· Respiratory system:

  1. Control exercises and regularization of breathing: Wide and controlled ventilation.
  2. Avoid abdominal restraints that increase pressure, fight against defective positions, obesity and prolonged stay in bed.
  • Locomotor system: The possibilities of locomotion condition the life of relationship and communication of the elderly; many factors influence the locomotion of the elderly:
    a. Joint state
  1. Degree of bone mineralization (Osteoporosis).
  2. Associated neurological damage.
  3. Cardiovascular and pulmonary state.
  4. Sequelae of traumatisms.

* Among the measures that we have to improve the locomotor system are:

  1. General circulatory and/or lymphatic massage(do not return to the patient dependent on this treatment).
  2. Active mobilizations, self-assisted exercises, individual and collective gymnastics.
  3. Functional exercises that insist on lateral and oblique displacements in association with stimulation of visual control (use of objects in movement and of colored and luminous references).
  4. Stimulation of balance: the importance of the oculomotor system and cervical mobility.
  5. Muscular activity, especially static, with resistance equal to 50% of maximum resistance (RM).
  1. Physical means (thermotherapy, hydrotherapy).
  2. Teaching a correct life regime.
  3. Fight against the fear of falling(balance) and learning to “get up off the ground”.
  4. The practice of adapted sport or functional gymnastics that pursues:
  • Simple movements.
  • Diversity of exercises.
  • Functional and utilitarian character.
  • Progressive adaptation to an always tolerable effort.
  • Frequent periods of recovery and relaxation.

Psychological factor:

  1. Help the patient to preserve and even develop a better psychic concept.

Aging and its impact on the locomotor system can cause difficulties during activities of daily life, simple advice and the use of technical aids (cane, crutches, walker) can be secondary to the elderly in their desire for conservation or recovery of autonomy These technical aids can solve numerous problems due to joint mobility deficit, lack of strength and coordination and visual disturbances.

What exercises can be done?

  1. Exercises to control and regulate breathing.
  2. Teach to avoid defective positions, weight gain and staying in bed.
  3. Perform circulatory and/or lymphatic massages.
  4. Develop active mobilizations.
  5. Perform functional exercises related to visual stimulation and focused on lateral and oblique displacements.
  6. Stimulate the balance
  7. Increase muscle activation
  8. Use physical techniques such as hydrotherapy.
  9. Teach healthy habits
  10. Perform exercises for the prevention of falls decreasing fear and learning to “get out”.
  11. Practice adapted sports characterized by:
    • Simple activities
    • Variety.
    • Practicality
    • Progressively adapt the effort.
    • Frequent cycles of recovery and relaxation.

Geriatric Physiotherapy in Dwarka

In Dr. Sarwar Physiotherapy Center in Dwarka, we know how to deal with the treatment of elderly patients and help them to conserve, improve and recover the psychomotor condition. Among the activities that can help reinforce the manual treatment, we have postural controlphysical conditioning.

Hemiplegia

In Dr. Sarwar Physiotherapy Centre in Dwarka, we have great physiotherapists who have worked for years with patients with hemiplegia, confirming a great improvement in their disease.

If you, or an acquaintance or relative, have any hemiplegia, do not hesitate to contact us, and without any commitment on your part, we will inform you of everything we can do so that this person can recover its functionality.

What is hemiplegia?

The hemiplegia is complete or incomplete paralysis of half the body. When it appears acutely and quickly it is called a cerebrovascular accident, and it is usually caused by an embolism or hemorrhage.

Whatever the cause, an area of ​​the brain is without adequate blood supply and what is known as cerebral infarction appears. The effect on the body is paralysis and loss of brain functions on the affected side.

The lesions caused by hemiplegia affect the movement and sensation of part of the face, arm, leg, or both limbs of the middle of the body. Often, other functions such as vision, hearing, speech, and reasoning ability are diminished.

Hemiplegia can affect people of any age, although the most at risk group are people of medium and advanced age, usually men. In addition, another characteristic of this disease is that the lesion on a specific side of the brain produces hemiplegia on the opposite side.

What causes hemiplegia?

The most frequent cause is a stroke, which interrupts the blood supply in a certain area of ​​the brain. By extension, necrosis or brain tissue death occurs.

Sometimes hemiplegia is the first symptom of the presence of a brain tumor. The injury can also be caused by meningitis, severe seizures, or severe head injury.

What symptoms does hemiplegia have?

These patients have an inability or deficit to move the affected side, which causes:

  1. Rigidity.
  2. Difficulty walking, or to do it in a coordinated way.
  3. Balance problems
  4. Impossibility or difficulty to pick up and hold objects, as well as perform precise movements.

Evolution of Hemiplegia

The hemiplegic patient usually goes through three phases:

Acute or stroke phase: this is the most critical phase, just after the stroke. The main objective is the medical stabilization of the person. Today, there are specialized stroke units in many hospitals, which carry out the most immediate treatment.

Occasionally, the stroke does not take place abruptly, but there are some previous signs such as problems of vision, speech, changes in behavior, headaches or dizziness, among others. If these patients attend the hospital early, they can be detected without the most acute phase taking place.

Stabilization phase: in it the patient, who has left the stroke phase, shows signs of confusion and disorientation in spacetime. It is also here where alterations in the language are appreciated, in case there are any, especially if the affectation has been on the left side of the brain.

Recovery phase: in this stage, the patient is evolving towards an improvement.

After the most acute phase, during the phases of stabilization and recovery, hemiplegia passes, in turn, through two phases:

  1. Flaccid phase: in it, the patient cannot move the damaged side, tends not to use it by decreasing the sensitivity and awareness about it. In this first stage, the passive movements of the joints are not limited.
  2. Spastic phase: spasticity gradually appears. This means that muscle tone increases greatly and steadily. This causes a fixed posture, which can cause the joints to become stiffer. Normally, the arm tends to be attached to the body, in internal rotation with flexion of the elbow, wrist, and fingers. In the lower limb, both flexors and extensors are affected, which can make it possible to stand and walk.

The rehabilitation work with physiotherapy in Dwarka should be as early as possible, starting once the patient is in the stabilization phase. The first six months after the damage occurs, the brain has a greater capacity for recovery, but in more advanced stages the patient can also continue to progress in their recovery thanks to plasticity.

In this type of pathologies of neurological origin, it is important, in the first phases, the maintenance of mobility to avoid incorrect postures or deformities. In successive phases of the treatment, our objective will be mainly the improvement of the mobility and the increase of the independence of the patient

What is the physiotherapy treatment of hemiplegia?

The treatment of physiotherapy in hemiplegia is necessary since it is mainly aimed at improving movement and recovering functionality. It is also very important to prevent complications such as pressure ulcers, vascular problems, pneumonia, falls, etc.

This treatment will vary depending on the severity of the patient but, broadly speaking, the objectives of physiotherapy would be:

  1. Decrease pain
  2. Improve general mobility
  3. Reduce spasticity, which is the sustained contraction of the musculature due to the involvement of the nervous system. This causes the patients a lot of rigidity.
  4. Reeducate of the march
  5. Improve balance
  6. Recover functionality in the upper limb, to catch objects, grab them and hold them.
  7. Avoid respiratory and vascular complications

Frequently, these patients have a painful shoulder syndrome, which can be the cause of the pathology itself or, sometimes, due to incorrect mobilizations of the caregiver.
From home physiotherapist in Dwarka, caregivers are taught the appropriate guidelines so that they can help patients to change their position correctly and without hurting themselves.

The rehabilitation measures will depend on the damaged brain area and the functions affected in each case.

sports-physiotherapy

Sports Physiotherapy

Sports physiotherapy is a branch of physiotherapy, which is aimed at all people who practice sports regularly, whether it is a base sport, amateur, health, elite or high performance.

Sports physiotherapy in Dwarka, Delhi consists of doing preventive work and another of recovering injuries.

What is preventive work?
It consists of improving and working the muscular condition of the athlete, avoiding the loads and correcting the bad sports gesture. We will work the muscles with sports massage to tone up as the athlete is at that moment. It is not the same treatment when the athlete is going to do the activity, that when the athlete has finished the sports activity, the maneuvers are completely different, the effects that we seek are also, the two therapies are necessary helps us to optimize the good muscular and structural condition of the athlete.

With good preventive work, we could avoid many injuries.

The benefits we get from preventive work are multiple, mainly we avoid the risk of injury, improve sports performance, the musculature will be at its highest level, it will increase its elasticity, its adaptation to the effort will be better and of course it will improve its mood and psychological as has already been shown in different studies.

Recovery of injuries
It begins with a diagnosis in a medical center that provides traumatology services, from here a multidisciplinary work begins, counting on a traumatologist, nutritionist, physical trainer, sports psychologist, cardiologist, different specialists to optimize the work of the athlete in the activity physical. Through physical agents such as kinesitherapy, electrotherapy, thermotherapy, cryotherapy, hydrotherapy, functional bandages, neuromuscular bandage, dry needling, among others.

Rehabilitation of the injury
There will be a good planning of the training sessions, joint stability exercises, good proprioception work, stretching, strengthening. We also set guidelines for behavior to the athlete, which must continue to facilitate recovery. Our goal is to recover the injury in less time possible with all its functionality. We have to readjust the athlete to training. You cannot start from 0 to 100, the return to the activity will be progressive, first, adapt the athlete to training, then readjust to the effort and finally the sporting gesture.

The athlete must respect the recovery times, must team up with the therapists and collaborate at all times.

What injuries are treated in sports physiotherapy?

There are many injuries that are treated in sports physiotherapy, we list the most common:

  1. Tendinitis/tendinosis (rotator cuff, patellar, Achilles, etc.)
  2. Meniscopathies, chondromalacia patellar …
  3. Ankle sprains, lateral ligaments of the knee, crossed, wrist sprain, among others.
  4. Muscle injuries, fiber breakage, contractures, trigger points, etc.
  5. Osteopathy of the pubis.

Sports physiotherapy is aimed at prevention, if we do good prevention we will not have to rehabilitate any injury since the athlete will be at the maximum of their faculties.

Neurological Physiotherapy

What is neurological physiotherapy?
Neurological physiotherapy is one of the many branches of physiotherapy and its mission is the evaluation and treatment of pathologies that affect the central and/or peripheral nervous system.

The physiotherapist in Dwarka, Janakpuri, Delhi who is specialized in neurological patients will direct their treatment to improve the functions that are altered in the patient: mobility, balance, posture, etc. This will cover the treatment of disabilities related to motor and sensory impairment.

The most important thing is to help the patient to be able to do his best in the realization of his activities of daily life.

There are many pathologies that can be treated with neurological physiotherapy: ACV (cerebrovascular accident) or stroke, multiple sclerosis, Parkinson’s and cerebral palsy, among others.

In all these cases neurological physiotherapy at home in Dwarka is of great importance and it is therefore worth deepening into what and why this rehabilitation is needed. We focus on this case in stroke, although it is applicable to other pathologies.

What is post-stroke rehabilitation?

The neurological rehabilitation by the physiotherapist in Janakpuri, Delhi will consist of the following:

  • Comprehensive evaluation to assess the capabilities of the patient: strength, sensitivity, and coordination, among others. Problems of motor control, sensory disturbances (including pain), memory problems and emotional disturbances must be taken into consideration. Although not all of these points are the competence of the physiotherapist, you have to keep them in mind.
  • Inquire about the biopsychosocial environment of the patient. Everything that surrounds the patient will affect their health status and, consequently, the recovery process.
  • Try to restore lost skills due to brain damage. Examples could be reeducation of walking (teaching how to walk) or teaching how to dress and undress.
  • Teach new ways to perform tasks to compensate for possible deficits after stroke. As an example, we could put having to bathe with the use of only one hand.
  • Promote patient mobility independently.
  • Performing position changes, passive exercises (performed by the physiotherapist), active exercises (performed by the patient) and strengthening exercises will play an important role.
  • Keep in mind that the treatment will be progressive. It will start with simpler tasks and tasks of greater complexity will gradually be done.
  • Be aware that repeated, well-focused and well-guided practice is essential. The treatment directed by the physiotherapist specialized in neurological patients must be well structured.

Can home rehabilitation help patients with brain damage?

Neurological rehabilitation at home is a key element for several reasons.

One of them will be the patient’s greatest comfort, which will positively influence recovery. Another, the importance of having a personalized treatment and as soon as possible after the stroke.

In addition, it is easier for the physiotherapist in Uttam Nagar, Delhi to get an idea of the needs of the patient in terms of activities of daily living at home.

As we have said before, giving the patient the tools necessary to take advantage of his day to day life is fundamental. That is why a study ” in situ ” (in the home) of all the daily tasks of the patient is essential.

Why start rehabilitation as soon as possible?

Starting the Physiotherapy treatment as soon as possible is essential in the neurological recovery of the patient with stroke. According to the best physiotherapist in Dwarka, Delhi, functional recovery is greater in the first month. The sooner you start the treatment, the more chance of having good results.

The idea is to start the treatment once the patient is stable, which in some cases takes no more than 24-48h.
It is interesting to start the treatment in the same hospital. Sometimes hospitals do not have the necessary staff to treat neurological patients the way they need. At this point, the home physiotherapist, whether at home or at the hospital, plays a key role.

Treatment in both areas, hospital, and home is recommended. This is because starting the treatment soon in the hospital is as important as the continuation of it at home.

Experts say that it is possible to achieve improvement even after a stroke. That is the importance of having a regular and prolonged treatment over time.

hijama-therapy

Hijama Therapy


Cupping prevents hair loss and baldness/alopecia?

By performing dry cupping on the scalp, the suction can help open the follicles and promote blood circulation to help maintain the hair. This theory only applies to follicles that are still alive. Wet cupping on the head can also be effective as it will get rid of many harmful toxins and pathogens that build up underneath the scalp. Individuals who wish to perform dry or wet cupping on their head must shave off their hair for easy suction. If you are worried about hair loss then you can try cupping/hijama therapy.

Wet (Hijama) therapy is the most effective treatment available in helping stop hair loss and promoting re-growth. When excess hormone dihydrotestosterone (DHT) is removed from the scalp, the blood is allowed to increase the amount of nutrients and oxygen to the hair follicles and this will prevent any further shrinkage of the hair shaft and allow it to grow stronger and fuller.

If you are worried about hair loss then you can try Hijama therapy. 
Performing dry cupping on the scalp, the suction can help open the follicles and promote blood circulation to help maintain the hair. This theory only applies to follicles that are still alive. Wet cupping on the head can also be effective as it will get rid of many harmful toxins and pathogens that build up underneath the scalp. Obviously, a healthy diet and nutrition are vital for the follicle to stay alive and maintain healthy growth. Also cleaning and washing your hair and scalp is very important, as studies at a microscopic level show us follicles get blocked by oils and dirt that are produced by the body. Individuals who wish to perform dry or wet cupping on their head must shave off their hair for easy suction.

Can hijama therapy for hair loss in Dwarka, Delhi help male pattern baldness? After doing a lot of research, we learned that the most common hair loss is alopecia. Nearly two-thirds of the male suffers from this in the UK. There are no researches or studies that show hijama being effective on slowing down hair loss, however people who were on finasteride they started to see hair loss slowing down, and many started to see new hair growth. The follicles that were dead stayed lifeless, the follicles that grew hair had low DHT. Minoxidil is used to help blood circulate to the follicles and many did see good results. So the two things we have here is a DHT blocker and good blood circulation that keeps the hair follicle open. We believe by performing dry cupping on the scalp, the suction can help open the follicles and promote blood circulation to help maintain the hair. This theory only applies to follicles that are still alive. Wet cupping on the head can also be effective as it will get rid of many harmful toxins and pathogens that build up underneath the scalp. Obviously, a healthy diet and nutrition are vital for the follicle to stay alive and maintain healthy growth. Also cleaning and washing your hair and scalp is very important, as studies at a microscopic level show us follicles get blocked by oils and dirt that are produced by the body.  Individuals who wish to perform dry or wet cupping on their head must shave off their hair for easy suction. If you are worried about hair loss then you can try hijama therapy for hair treatment in Dwarka, Delhi.

Home Physiotherapy

Home Physiotherapy

Availing physiotherapy services at home in Dwarka, Delhi is nowadays becoming a trend due to the hectic schedule of people. It is useful in conditions in which the patient is quite serious or it is not possible for the patient to travel to a physiotherapy clinic in Dwarka, Delhi.

In such situations, the physiotherapist for home visit in Dwarka, Delhi is a great option where doctor visits the home of the patient for the purpose of diagnosis and treatment with necessary equipment. Everything, starting from discussions related to different issues concerning the health of the patient and objectives of treatment to the actual physiotherapy treatment process are all carried out in your home.

There are a number of benefits related to availing physiotherapy at home:

  • Lower Cost- Though some physiotherapists incline to charge more for providing their services at home, it is still cost-effective in comparison to visiting a physiotherapy centre in Dwarka, Delhi. It is mainly because your travel costs are saved. Such costs can be avoided if you contact home physiotherapist in Dwarka, Janakpuri, Delhi.
  • Time-Saving- A lot of time can be saved by going for physiotherapy at home. Also, time plays an important role in treating conditions like acute pain and stress. Thus, treatment at home helps a lot.
  • Supervision- Availing for physiotherapy treatment at home helps the patient and his/her family to keep track of the treatment process and to ensure that the patient is getting proper physiotherapy care or not.
  • The comfort of home- The environment at home is considered to be more comfortable for a patient as compared to the environment of the clinic. Presence of family members during the treatment process helps to boost the morale of the patient and contributes to the speedy recovery of the patient.
  • Personalized treatment- Getting physiotherapy treatment at home means you get to discuss your problem in details with the doctor. You can also coordinate with your physiotherapist in Dwarka, Delhi depending on your current condition.
  • Increased scope of treatment- Opting for physiotherapist at home also tends to increase the scope of the treatment process. Generally, in a clinic, a large number of patients are present and the physiotherapist is not able to devote enough time towards each patient. Thus, opting for physiotherapy care at home helps the physiotherapy doctor in Dwarka, Delhi to give enough attention to an individual patient which in turn helps in better recovery of the patient.

Thus, it is quite evident that physiotherapy has a lot of advantages, especially when it is done at home. It also helps in the treatment of a number of conditions and helps in providing dedicated attention to a particular individual and boost his/her recovery. But the importance of consulting your doctor before availing physiotherapy services at home cannot be stressed enough.