Tag Archives: physiotherapy

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.

 

stroke

Cerebral Vascular Attack – Stroke

Stroke is an infarction of the brain, in which ischemia or hemorrhage leads to interruption of function. It is characterized by a localized neurological deficit (hemiparesis, hemiplegia), suddenly installed. It is little known that it is possible to experience a stroke without the patient knowing it. Stroke can occur during sleep, and a lack of severity and minor symptoms will not interfere with it. At the time of awakening, however, the patient may present a confused state, the inability to express himself correctly, difficulties in using afoot, the feeling of weakness in the arm, double or partial vision.

stroke

The morning symptoms depend largely on the degree of severity and the part of the brain affected by stroke. The symptoms of stroke can occur as a result of interest:

  1. anterior cerebral circulation comprising:
    • the carotid artery and its main branches
    • anterior and middle cerebral arteries
  1. posterior cerebral circulation comprising:
    • vertebrobasilar arteries
    • posterior cerebral arteries

Knowing the symptoms of a stroke (even in the case of a minor stroke) is essential in preventing the spread of brain damage. Specialized medical care is critical, especially when the stroke is caused by a blood clot.

Almost 80% of strokes occur in the carotid distribution territory and consist of decreased muscle strength of one part of the body, affecting the face, arm or leg in any combination. Stroke that occurs in the territory of the posterior circulation (stroke at the base of the brain) is the result of thrombosis and occlusion of small penetrating arterioles that detach directly from the vertebrobasilar arteries. The clinical picture of this stroke is more complex, due to important neurophysiological structures arranged compactly at the base of the brain compared to the cerebral hemispheres.

Types of Strokes

Etiologically, stroke is divided into four broad categories (the first two are more frequent and the others rarer):

  1. cerebral ischemia
  2. intracranial hemorrhages
  3. cerebral vascular malformations
  4. cerebral thrombophlebitis

Treatment

Stroke recovery involves using:

  • compensatory techniques for mobility (physiotherapy, massage)
  • daily activities / ADL (Activities of Daily Living)
  • communication

The recovery of the hospitalized patient is a sample that allows the patient to demonstrate his candidacy for immediate recovery after acute stroke. The limited prognosis of a stroke to recover is conferred by the following elements:

  • severe memory problems
  • inability to understand orders
  • medical/surgical instability
  • Stroke in the background
  • urinary incontinence / fecal matter
  • visual space deficits

Stroke is a common occurrence, and recovery is a complex process. Even if the functional deficiencies appear to be identical the patients react individually. As a result, the recovery program is tailored to the case. More important than the motor deficits are the cognitive aspects, affected by stroke. The recovery of patients after the stroke starts in the acute phase of the care given to them.

The therapeutic intervention performed in a timely manner presents the following advantages:

  • increases the recovery potential
  • prevents problems due to immobilization
back pain treatment

Back Pain: Take Care of Your Back According to the Seasons

For a large part of the population, each season brings its share of tasks to maintain, including, his house and his land.

Even though these physical activities seem commonplace, they can cause various muscle problems and cause back pain that could affect the performance of daily tasks.

Back pain according to the seasons: what are the risks of injury?

According to physiotherapist in Dwarka there are likely, during the year, times when the back is more solicited.

Take, for example, the winter period, when the appearance of patches of ice and snow coincides with an increase in injuries. In the fall, it is rather the collection of leaves that puts the muscles of the back to the test. During the spring and summer, activities associated with yard preparation, such as gardening or do-it-yourself, can involve adverse movements to the spine. 

The most common causes of injury are:

  • inadequate sitting postures;
  • the lifting of objects in full flexion;
  • repetitive efforts;
  • physical efforts poorly executed.

Taking care of your back: simple actions to prevent injuries

As trivial as they may seem, your physical efforts deserve special attention. Remember these tips:

Exercise preparation: simple actions to prevent back injuries

  • Give yourself a long time. Divide the work over a few days or even weeks.
  • Split the effort and diversify your tasks: work in small sections to combine several short works.
  • Take several breaks during and between jobs.
  • Do not overestimate your body. Avoid heavy loads and sudden movements.
  • Use the right tools with sleeves long enough not to work bent.
  • Flex your hips and knees and take supports when necessary.

Physical activity in general and healthy lifestyle habits help a lot to prevent injuries. Physiotherapy can also help prevent them by teaching ergonomic strategies for posture and proper lifting of loads. 

How does the physiotherapist treat back injuries?

Even if you are extremely cautious and work properly, there is always the risk of injury. Thus, the physiotherapist’s main role in the event of a back injury is:

  • to decrease inflammation;
  • to shorten the period of incapacity;
  • improve muscle strength, flexibility, and endurance;
  • reduce the risk of reoffending;
  • perform muscle reprogramming by teaching proper movement patterns and ergonomics.

The physiotherapist in Janakpuri will offer, among other things, a series of dynamic exercises to change the way muscles coordinate in this area of ​​the body. He will accompany the patient in this process while teaching him the importance of his own collaboration to maintain the gains achieved in treatment.

shoulder sports injuries

Most frequent shoulder sports injuries

Understanding by shoulder the set of joints that combine tendons and muscles that give the movement of the arm, we find several injuries among athletes in this area of ​​the body.

All injuries of the shoulder joint complex can be grouped into 4 categories: fracture, osteoarthritis, instability, and inflammation of the tendon. Among these large groups, the most frequent injuries among people who practice sports either amateur or professional are:

  • Shoulder tendinitis. For an involvement of the infraspinatus and supraspinatus tendon, which may be due to overexertion or trauma. The main symptom that appears is a loss of mobility along with acute pain.
  • Swimmer ‘s shoulder. It is due to subacromial impingement syndrome, it is mainly related to the practice of crol. Its causes are due to high training frequencies, poor technique, repetitive movements, among others.
  • Rotator cuff tear. As the name implies, it occurs when a tendon or more of those that form the rotator cuff suffer a rupture, either partial or total. Its symptoms are similar to shoulder tendinopathy, suffering from weakness in the arm, deep pain and hindering tasks that cause movement of the shoulder.
  • Broken collarbone. This injury is usually caused by a fall in sports such as snowboarding, skateboarding, cycling …

In order to treat these injuries, it is important to apply ice to the area, perform a rest period that will be different depending on the person and the type of injury and perform a compression with a bandage. After the rest period, it will be very important to perform light exercise to start returning to the sports routine.

The sports physiotherapist in Dwarka can help in the diagnosis and treatment of these types of injuries and can also reduce the risk of suffering them.

hijama therapy in delhi

Benefits of Cupping (Hijama)

Cupping (Hijama Therapy) is an ancient medical method that has been used for many diseases and is currently used as part of alternative medicine.

Cupping is based on suction by using cups on the positions of pain either using the joints of the output of the rotten blood and so-called wet cupping or without the parchment and so-called Cupping dry.

Benefits of cupping

  • Activate blood circulation and smooth the arteries and veins.
  • Activate hair regrowth.
  • Enclose power paths.
  • Strengthen the body’s immune system.
  • Activation of the organs of the brain, movement, speech, hearing, perception, and memory.
  • Absorption of toxins and the effects of drugs from the body.
  • Treatment of blood pressure.
  • Treat headaches of all kinds.
  • Treatment of depression and stress.
  • Treatment of diabetes, obesity, and thinness.
  • Energizing different body organs.

Conditions of cupping

 

There is a difference in many practices before cupping, and depending on the reason for which cupping was conducted and based on scientific grounds, cupping was divided into the following:

Cupping therapy

  • It is not required that the complainant is fasting but it is advisable to refrain from eating for two to three hours before cupping.
  • Good at any time of the day.

Cupping preventive

  • Be a buffoon fasting.
  • Preferably in the morning to increase the proportion of natural cortisone in the body in the morning.
  • It is preferable not to do ghusl before cupping.
  • It is not recommended to perform cupping on a very cold night.

During the Cupping Process:

  • The protagonist must be calm and relaxed.
  • It is preferable to eat any juice or sugar drink at the end of cupping.
  • The assailant should inform the person who is performing the cupping in case of nausea or dizziness.

Places of Cupping:

There are of course scientific foundations to determine the location of cupping appropriate depending on the circumstances of each case and place of pain, including:

  • Work on power lines in the body.
  • Work on nerve positions for reactions.
  • Works on the lymph nodes.
  • Benefits of cupping for women:
  • Balance the work of hormones in the body.
  • Strengthens your immune system.
  • Described for sciatica and gout.
  • Treats rheumatism and neck and shoulder pain.

Benefits of cupping for men:

  • Increase hair density and strengthen follicles.
  • Eliminate muscle tension by stimulating lactin.
  • Cupping is an effective treatment for smokers; it detoxifies the body.
  • Cupping has a great effect on the sexual ability of the man as it activates blood circulation.

 

muscle pain management

Muscle pain management at home: how physical therapists can help

Pain is a subjective and personal unpleasant experience and lacks a lot of evaluation experts to establish the most effective therapy for the patient. Already the painful sensation of muscle pain is caused by chronic inflammation of the region or acute manifestations resulting from trauma.

Knowing the complexity of this treatment and the possibility of encountering this situation in home environments, physiotherapist doctor in Dwarka must understand the related pathophysiological processes and the most commonly used therapies.

So if you want to know how to manage the pain of muscular origin in homecare regimen, stay here and understand more!

muscle pain management in dwarka

 

Carefully evaluate the patient’s muscle injury

When facing muscle pain, a patient who is in-home care, you must be careful. This is because the diagnostic methods are just the touch and reporting of the affected regions, which in itself is a limitation.

Then it is important to get the information about the onset of symptoms, intensity, degree of discomfort and is related to domestic falls or other incidents.

Analyze the contributing factors of pain sensation

Muscle pain is a manifestation that simultaneously generates feelings of fear, nervousness, lack of patience and others that must be weighed. However, these emotions also mask other important factors.

Therefore, it is advisable that the physiotherapist check for objects that are worsening the pain sensation in the affected area, if the patient’s diet contains a substance with inflammatory and even if caregivers are performing the exercises correctly in patients.

Thus, in addition to the used furniture and accessories (bed, shower chair, crutches, armrests, etc.) it is necessary to observe the clothes that the patient uses, whether he is staying very much in a position, if the accessories used in locomotion or hygiene they are too worn, among other variables.

Propose interventions gradually

The patient who is with muscle pain feels anxious for the elimination of this discomfort and uneasy about the intervention because he fears the worsening of symptoms.

Thus it is interesting to start with gradual techniques relating to muscle relaxation, elimination or reduction of us in the muscles to further establish deeper therapies.

This ensures a therapeutic relationship based on trust, and more adherence to treatment, enabling reduction or elimination of significant reported soreness initially.

However, it is important to educate the patient about the possibility of becoming chronic pain due to established pathophysiological process and in these situations, the physical therapy exercises lessen this problem, but can not eliminate it completely.

Muscle pain is an unpleasant sensation that affects patients after a joint disease or general trauma. The evaluation of this symptom in the home environment should include the main characteristics of the patient, emotionally involved and techniques used. Also, it is crucial that interventions gradually to avoid medical complications.