For mechanical stimulation of the nerves we use active and / or passive positions and movements, specific of the spinal and limb in order to expose the nerve tissue at different mechanical and physiological conditions that reproduce the demands on the nervous system which is exposed to normal locomotor movement.
The effects obtained by themobilization of the nerve tissue specifically targeted to treat disorders mechanosensitivity, have been explained in part by possible changes in the physiology of complex nerve root and stimulation mechanisms of pain modulation at the peripheral level and central.
Pilates Applied to Physiotherapy
The Pilates method was created in the first half of the twentieth century by Dr. Joseph Pilates. His studies were based on experience in the recovery of the First World War patients. Pilates technique is based on the combination of providing stability of different body segments to optimize mobility other, thus allowing greater control of the movement, preventing both spine and limbs injury, and flexibility and alignment contributing to the prevention.
The domain of this technique requires detailed knowledge of human anatomy, especially the muscular and the articular and the functionality of each of them as the Pilates method is an exercise system based on flexibility and toning. The great efficacy demonstrated by the Pilates method for prevention, recovery and rehabilitation of injuries has made physiotherapists interested by this method and is increasingly demanded by society to prevent and recover from injuries.
Massage is a form of manipulation of the surface and deep layers of the muscles using different techniques to improve their functions, aid in healing processes, reduce reflex activity of the muscles, inhibit motor neuron excitability, promote relaxation and welfare.
It relieves stress, relaxes muscles by increasing blood circulation and removing waste products accumulated in the bloodstream. At the level of the circulatory system, it reduces heart rate and lowers blood pressure. The patient experiences a sense of calm and tranquility.
By improving blood circulation, nutrients and oxygen reach more quickly to needy areas decreasing pain. It reduces inflammation and improves wound healing. The specialist hand contact with our body gives us comfort and also regulates and alleviates the psycho- physical stress.
It gives elasticity to the skin becoming smooth and soft. Increases gastric secretions in the digestive system , improving stomach and intestinal problems . Strengthens the immune system , having better blood circulation in the body, it detoxifies and as a result can cope more effectively to diseases.
Sport massage is a manual and physical technique to improve performance and care of the athlete. It is applied in order that reaches a set optimally, preventing and avoiding injuries and accelerating the rehabilitation of them.
This relieving massage is to eliminate contractures we cause with our daily activities, in order to avoid a structural imbalance as where this muscle contracture is located it stops working properly having other muscles to replace its function.
Intratissue Percutaneous Electrolysis
Intratissue Percutaneous Electrolysis ( EPI® ) is a physical therapy technique and minimally invasive medicine created by Dr. Jose Manuel Sanchez Ibanez.
The EPI technique consists of the ultrasound-guided application of a specifically designed and controlled continuous current that causes an electrochemical reaction only in the degenerated area of the treated tissue. The primary objective is to produce a non-thermal electrolytic ablation that induces a highly controlled inflammatory response. The EPI technique activates the cell mechanisms involved in phagocytosis and the repair/regeneration of affected tissue, thus obtaining the best possible results in the treatment of tendon, muscle, ligament and scar injuries.
Osteopathic Manual Therapy
Is a manual technique which aims to restore the lack of mobility of the body and give the balance that the musculoskeletal system needs , maintaining the elasticity of all body tissues, which have been altered by a sedentary lifestyle, bad positions , intense efforts, stress , falls, etc.
It is a very precise technique that requires a deep knowledge of anatomy, physiology and functions of the human body as well as the skill and manual dexterity professional.
It is a very popular technique among therapists, doctors and specialists as an adjunct to treatment of all kinds of physical disorders, or even as a single treatment.
The bases of this technique were sitting in the seventies in Asia , especially in Korea and Japan , based on the thought that the movement and muscle activity are essential to maintain or regain health.
An elastic cotton tape with a hypoallergenic adhesive layer is used in this treatment. The tape is resilient up to 140% and its thickness and weight are comparable to the skin, creating a kind of "second skin".
- Improve muscle function by regulating muscle tone
- Helps joint function by:
- Stimulation of proprioception
- Correction of joint position
- Correction of joint position
- Increases stability
- Unblock blood circulation and lymphatic drainage
- Neuro-reflexion mechanism
Physical principles of ultrasound
The frequencies used in ultrasonic therapy are 1 and 3 Mhz respectively, oscillation frequencies obtained by passing electricity through a natural or artificial crystal with piezoelectric properties. One issue to consider is that the frequency of 1 MHz penetrates more than 3 MHz , as happens with electromagnetic currents application in therapy : most often less penetration , therefore , if we are confronted with pathologies that have altered surface tissues can access them with 3 Mhz , at depths of 3 to 4 cm only we achieve the desired results 1 Mhz .
Effects of the ultrasound on the body
It will depend on the capacity of absorption of the tissue and the pervasiveness of the US to the target site, only has an effect the energy that reaches the target tissue treatment, it seems so obvious but sometimes is not taken into account and the results after treatment are null. It is part of our experience as physiotherapists to receive US fabrics instruction that we could not even dream of achieving with this technique.
Low frequency current
In this group of currents, the frequency will be between 1 Hz and 500 Hz, distinguishing between the following groups of currents:
- Monophasic rectangular pulsatile current
- Monophasic triangular pulsatile current
- Monophasic rectangular pulsatile current or simple neofaradic
- Neofaradic currents as overcurrent
- Trabert current
- Diadinamic or Bernard´s current (DF, MF, CP, CPid, LP, RS)
- TENS currents (Asymmetrical, biphasic pulsatile current; simetrical, biphasic pulsatile current and rectangular, alternate pulsatile current)
Medium frequency current
In this group of currents, the frequency will be between 1,000 and about 10,000 Hz, distinguishing between the following groups of currents:
- Interferential currents with a modulated frequency carrier wave from 2,000 to 10,000 Hz, with the following application methods : bipolar interferential current , four-pole interferential current and current pole interferential with vector.
- Alternate interrupted unmodulated currents on average 2,500 Hz frequency, called Russian stimulation or Kots current.
Surface thermotherapy technique based on heat radiated from infrared emitter lamps that emit a broad electromagnetic spectrum, but most power is focused on type A infrared, that is, near the visible red.
Infrared general characteristic
- Type of heat that can be transmitted without contact.
- It produces a dry heat at the surface ( its depth reaches only between 2 and 10 mm).
- In the electromagnetic spectrum, they are limited by the colour red in the visible area and the microwaves.
- Depending on the wavelength used they can be visible or invisible.
- They are absorbed in superficial tissues.
Sports injuries occur during the practice of a sport or during exercise. Some occurs accidentally, others may be the result of poor training practices or improper use of training equipment. Some people are injured when they are not in good physical condition. In some cases, injuries are due to the lack or shortage of warm-up exercises or stretching before or after exercise.
The most common sports injuries are: