Physiotherapy, the procedure of medical gymnastics

Methodical bases of carrying out of procedures of medical gymnastics

The procedure of medical gymnastics is the main form of exercise with the use of therapeutic and prophylactic purposes.

In this regard, an important factor in the proper methodological procedures of medical gymnastics are the following methodological principles.

1. The nature of the exercises used, physiological load, the dosage, the initial position in the procedure of medical gymnastics must comply with the general condition of the patient, his age and the characteristics of fitness.

2. All procedures, medical gymnastics provides exposure to the whole body.

3. The procedure should be combined general and special effects on the patient's body, so you must include exercise as a restorative procedure and special.

4. In drawing up the procedures of medical gymnastics should respect the principle of gradual and orderly increase and decrease in physical activity, maintaining a physiological load curve.

5. In the selection of exercises should be guided by the principle of alternating muscle groups involved in the work, "dispersing" the burden of the entire skeletal muscle.

6. In the process of therapeutic exercises include breathing exercises as a special with the defeat of the respiratory system, as well as to train a correct breathing and reduce physiological stress.

7. When the procedure of medical gymnastics should pay attention to positive emotions, contributing to the establishment and consolidation of conditional reflex connections.

8. The amount of methodological materials in the procedure of medical gymnastics must comply with the regime of movement of the patient.

Individual and independent method of physical therapy sessions

Individual approach and independent method of physical therapy sessions.

In addition to the group method of procedures adopted in stationary and outpatient conditions, physical therapy technique used by an individual and independent method.

Independent method applies in cases where the patient is difficult to regularly visit the hospital or when he finished hospital treatment and was discharged for follow-up care at home.

In such cases, the patient, doing independent method of therapeutic exercises at home periodically to the doctor for a re-examination and to obtain guidance for further studies.

Vacation procedures in hospitals impractical to build the type of recipes of Physical Culture.

When an independent method should give the patient specific instructions, some exercise and how to perform, how many times a day, and so on. D.

It should also give an indication as to use as much as possible solar and air baths, wiping water, to provide guidance on the regime.

Here is the form of appointments of exercise patients at independent method.

In these appointments the patient are the most necessary simple and accessible exercises: their number should not be more than 5 - 10.

It must be remembered that the independent method requires facilitation the use of physical exercise to meet their patients at home.

This recipe and should respond to requests from patients who want at the end of the treatment course to have precise instructions on the use of a doctor independent method of therapeutic exercises at home.

When issuing a patient ready, print a complex exercise independent method of therapeutic exercises should be noted those that are recommended.

The treatment course, group method

Driving periods of the treatment course.

The use of physiotherapy during the course of treatment is not of a sustainable nature.

Gradually, the patient's general condition is changed, the severity of the process takes place, eliminates or reduces pain symptoms, morphological changes during the process, restore the function of individual systems and their correlations disturbed by disease or injury.

In connection with these changes can be noted, though schematically, certain phasing in the treatment of the patient.

Methods of application of physical therapy is modified in different periods of the treatment course.

Group method of procedure is the most common course of treatment.

The main criterion for appointment to the group lessons is the functional state of the patient and the extent of its adaptation to physical stress.

For group method with the methodological point of view the selection of patients in the group must be made with the orientation of the uniformity of the disease.

Against the background of a homogeneous composition of the group is more convenient to reflect the content of those procedures especially private methods that are characteristic of her when a particular disease state.

Therefore, the name of the group come from nosology forms of diseases, and the principle of the method of acquisition and the carrying out of procedures based on the functional status of patients.

In one group can be assigned to patients with various diseases, if they can be used about the same overall physical activity.

But the group method should not preclude individual monitoring of patients during the procedure.

This is done by small groups of manning and rigor methodological approach to carrying out procedures such as by reducing the Group procedures and its earlier termination in individual patients, and by their removal from the more complex and difficult exercise.

For group method does not exclude the possibility in the diversity of the group split into two sub-groups to use different movements according to their special purpose.

Principles of construction of private physiotherapy techniques

At the heart of building a private physical therapy practices based on the provisions of fundamental importance:

1. A calculation of the pathogenetic and clinical characteristics of the disease, age and fitness of the patient.

The pathogenic nature of the disease reveals those physiological and pathological mechanisms that are involved in disease development.

These data are supplemented by the clinical characteristics of the disease, provide the most reasonably select and apply the physical exercises that involve in response mainly those systems and the physiological mechanisms that are involved in disease development.

In addition to considering the pathogenic and clinical features, should take into account the age of the patient, since the difference in age (the child's body, adult, elderly) affects the reactivity and functional adaptability of the organism to physical stress.

In addition, it is necessary to shade the degree of fitness of the patient, to determine the location, nature, duration and intensity of both work and physical exercise.

The evaluation of the clinical picture of the disease in view of functional disorders, age and fitness of the patient to physical activity, you can build a more adequate individual techniques in accordance with the applicable set of therapies.

2. The principal basis for the correct construction of a private method is the definition of therapeutic objectives for each patient or group of patients to which the same exercise in the procedures of medical gymnastics.

These therapeutic objectives are derived from the clinical evaluation of the patient with all the originality of the disease: development trends and the presence of complications.

In determining the tasks necessary to provide therapeutic as a health-building effects, and restoration of function of the affected systems, as well as to identify the specific value of physical therapy as a method of prophylactic therapy. The latter may affect the timing of the appointment procedure and the use of physical therapy.

3. When building a private physical therapy techniques in their work is the selection (systematization) special exercises that have a direct impact on the functional recovery of disturbed painful process or trauma.

4. Methods of physical therapy treatments is determined as a feature of illness or injury and the nature of the violation or loss of function of the affected system, and the general condition of the body.

In this regard, the construction of a private method requires that special types of exercise rationally combined with restorative exercises, and this provides both general and special training.

Especially private method provides alternate use of gymnastic and breathing exercises, the use of an appropriate rate of motion, a gradual increase in their amplitude, the complexity of coordination and distribution of the load consistently on different muscle groups.

This ensures strict consistency in the operation of an active involvement in various physiological mechanisms that regulate the arterial and venous circulation, training of auxiliary factors of blood circulation and strengthen the heart muscle.

In the ENT clinic in lesions VIII pair of cranial nerves (Meniere's disease, and others.) The use of physical therapy in the predominant number of cases gives a good result.

Here, the therapeutic effect is achieved using no exercise at all, but a combination of health effects of the method of physical therapy with special training vestibular apparatus.