Archive for September, 2017

Physiotherapy and Gait Analysis

Travelling short or medium distances for us is easily accomplished by walking, which is convenient and easy but needs our muscles and joints to be in good condition and to be pain free. Having enough muscle power and sufficient joint range of movement in the legs is necessary for efficient walking. As walking progresses one leg gives the body support while the other swings through to be placed forward and in its turn to take weight. The swing and stance phases are the easiest way of understanding where either leg is at a particular point.

Achieving all the phases of gait so that you get back onto the same foot you started on is referred to as the gait cycle. The duration of both feet remaining on the ground at the same time is about 10 percent and one leg is standing on the ground for about 40 percent of the time. The rest consists of the swing part of the cycle as the non-weightbearing leg is taken through to a position where it can again bear weight. As our walking speeds increase the duration of the gait cycle phases  reduces until there is no double support phase where both feet are weight bearing at the same time, a condition known as running.

The leg joints follow a specific and repeatable series of actions during the swing and stance phases with stance made up of five sections in the order of initial contact, loading response, mid stance, terminal stance and preswing. Heel strike is the common name given to initial contact but some people do not heel strike at all or transfer weight to the heel later in the phase. Heel strike allows the leg which is about to weight bear to take the weight but not compromise speed, stability or shock protection.

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Be the first to comment - What do you think?  Posted by admin - September 30, 2017 at 4:32 pm

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Rehabilitation of a Colles Fracture – Physiotherapy

Colles’ fractures, named after Abraham Colles who first described in 1814 the common fracture of the last inch of the radius and ulna near the wrist, is a very common consequence of a fall on the outstretched hand (FOOSH). Typical treatment is immobilisation in a plaster of Paris or similar material for five to six weeks to allow bony union, followed by a rehabilitation period of a month or more, a short period of which might involve a wrist brace for comfort during activity. Due to the functional importance of the hand, the period of immobilisation is kept to a minimum to prevent dysfunction of the hand and wrist.

Physiotherapy examination starts once the hand has been released from the Plaster of Paris, manually feeling the fracture site which should not be more than minimally uncomfortable, signifying the fracture is well on the way to healing. Hand colour should be normal, the hand should not be swollen much nor have severe muscle wasting. Wrist movements are often restricted in one or two planes but all the movements should not normally be reduced or not significantly. Pain may be present but again should not be severe or occur on all hand movements. Read more…

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Teeth Grinding Causes and Treatment

Teeth grinding, or bruxism, occurs when a person unknowingly grinds or clenches their teeth. Mild cases may not present any symptoms, but more severe cases can lead to damaged teeth, facial pain, disorders of the jaw, TMJ and other issues.

Teeth grinding causes may be physical or psychological. Doctors suspect that stress is particularly to blame because it disrupts a person’s sleep. People may subconsciously grind their teeth in an effort to vent anger, anxiety and stress. Dislocated jaw joints or misaligned teeth are physical issues that can cause excessive grinding. Vitamin deficiencies can also lead to bruxism. Low levels of calcium in the body can cause involuntary movements and muscle contractions. A deficiency of magnesium can also cause muscle spasms leading to clenching and grinding. Read more…

Be the first to comment - What do you think?  Posted by admin - September 29, 2017 at 4:29 pm

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The Importance Of Early Physiotherapy In Down Syndrome Cases

There is a great need for immediate intervention for children with Down syndrome.  Physiotherapy does not fix the problem; development will still be slowed.  However, it can address problems that are unique to Down syndrome children.  

Early Down syndrome physiotherapy focuses on four problems that are common for these children.  One is called hypotonia.  This means that the child’s muscles lack tone.  That is why, when you lay a Down syndrome child in his crib, he will flop out like a rag doll.  Hypotonia needs to be treated because it affects the ability of the child to learn motor skills or to support himself correctly.  

Another problem that can be helped by Down syndrome physiotherapy is laxity of the ligaments.  The ligaments are so loose that they do not support the bones adequately.  In infancy, it can be seen in the way they lie down with their legs splayed apart.  In later years, their ankles and other joints will be loose enough to cause support problems.  

Down syndrome physiotherapy is essential in helping these children overcome muscular weakness.  If they are not exercised to correct the problem, they will develop behaviors that will make up for their lack of strength.  Some of these behaviors may be harmful.  For example, they may lock their knees to make up for having weak legs.  

One problem these children face is in their body shape.  Their arms and legs are generally shorter compared to their trunks than in most people.  This leads to all kinds of problems sitting and climbing.  Just reaching the table to eat can be a chore.  Down syndrome physiotherapy can help with this problem.  

In early intervention Down syndrome physiotherapy, the emphasis is on overcoming weakness and learning gross motor skills.  Rolling over, sitting, crawling, and walking will all happen eventually, anyway.  However, with Down syndrome physiotherapy, they can take place with solid physical foundations.  

There is a concern with Down syndrome physiotherapy of parents notifying the doctors of problems that might require the help of a physiotherapist.  A parent may be at a loss as to what is to be considered worthy of attention.  After all, they already know that their child is not like other children who do not have Down syndrome.  

If parents see a Down syndrome child having trouble holding up her neck, it is essential to call it to the attention of the doctor so that physiotherapy can be ordered to strengthen neck muscles.  This is one example of many where a physiotherapist might help.  

Once Down syndrome physiotherapy is started, it is best to keep up a life-long program to maintain health.  Prevention of age-related problems with bones, ligaments, and muscles is becoming increasingly important.  This is because people with Down syndrome are living to older ages.  In fact there are more Down syndrome people over the age of 60 than ever before.  Physiotherapy can help them live quality lives.  

Down syndrome physiotherapy is often ignored until much damage has been done.  The children are left with weaknesses, odd behaviors, and disfigurements that need not have happened.  If Down syndrome physiotherapy is started early enough, the child will have a much healthier life.  

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Ways to Strengthen Your Knees

The muscles that surround the knee being the quadriceps in front of the leg, the hamstrings in the back of the thigh and calf muscles all are involved in having a strong and functional knee. if one of these groups are not doing their job it can lead to muscle imbalance and associated knee pain or fatigue.

In this article I will mention just a several of the exercises that an older adult can do that will assist in strengthening their knees. Strong muscles act as a supportive brace for your knee. If that support has been weakened either through a previous injury or lack of physical activity the knees will either buckle upon standing or cause some discomfort when walking. If your orthopedist has ruled out a knee injury or severe osteoarthritis then muscle weakness could be the main issue. Read more…

Be the first to comment - What do you think?  Posted by admin - September 28, 2017 at 4:30 pm


Rotator Cuff Anatomy

There are a number of different rotator cuff injuries that you can suffer, running from tendonitis to a full rotator cuff tear but the one thing that they have in common is that exercise will feature somewhere in the recovery programme. But what are the best shoulder exercises for a rotator cuff injury and when should you start exercising again.

The important thing to remember with a rotator cuff injury is that if you exercise too soon or at the wrong time you will almost invariably make it worse, so always err on the side of caution; if in doubt don’t exercise. To understand why I say this you first need to understand the different injuries and problems that can beset your rotator cuff. Read more…

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What Is Physiotherapy and Is It Something You Should Consider for Your Pain?

Whether due to trauma or repetitive motion, which over time can cause injury, the result is the same: pain and limited range of physical movement in that region of your body. The method you use for treatment is the focus of this article. We are human beings who dislike any deterioration in our health and most of us will look for the easiest and quickest means of relieving the discomfort.

Against our better judgment, rather than seek the advice of a doctor, we open a bottle of something – generally speaking something that is available over the counter, in hopes of feeling normal and pain-free. While this is not the worst thing you can do, after all, many over the counter drugs contain an anti-inflammatory, which will assist in reducing the throbbing and swelling, depending upon the severity, you may need something more to encourage healthy tissue and/or muscle. If you are noticing that things are not improving, it is time to see what sort of rehabilitation physiotherapists can offer you. The last thing you want is something that is relatively simple to treat with physiotherapy becoming such a nuisance that you find yourself in constant pain or in need of surgery. Read more…

Be the first to comment - What do you think?  Posted by admin - September 27, 2017 at 4:30 pm

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Hamstring Muscle Injuries: Prevention and Care

The hamstring muscles are a group of three muscles located on the back of the thigh. The names of the three muscles are: Semitendinosis, Semimembrinosis, and Biceps Femoris. Most often hamstring injuries will occur in athletes, but they can occur as well in individuals who don’t engage in athletic activities. Sports that require running in any form will have more injuries of this nature than other types of sports.

The majority of the injuries are of excessive stretching of these muscles beyond their normal range of motion (ROM), due to moving the muscle too fast. This type of injury causes strains or sprains resulting in micro tears. The tears can affect a few to several fibers. These tears, if not excessive can go undetected at the time of the injury. If the tear is more extensive, with the tearing only of more than a few muscle fibers, there will be pain. Should the tear be even more severe, it may indicate a ruptured muscle. Read more…

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Tennis Elbow Aircast Attributes

The tennis elbow aircast is an innovative way of relieving elbow pains. This kind of strap or armband comes in two conventional colors, the black and the beige. The elbow aircast strap/brace/armband is also known as Pneumatic Armband.

An elbow aircast can help relieve tennis elbow pains to refrain from sudden suspension of your physical activities. This painful condition is a common injury resulting from a degenerative process as a result of aging or repetitive use. It is not just an inflammation of tendons and muscles that greatly affect the outer part of the elbow. Its common name, tendon elbow, was adopted from the famous sports’ name “tennis” since most tennis players are the once who tend to get it. Read more…

Be the first to comment - What do you think?  Posted by admin - September 26, 2017 at 4:27 pm

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How To Set Tennis Elbow Swelling Apart From Other Injuries

Tennis elbow swelling is a thwarting problem that can make your elbow hard to control. There could be various reasons why you are experiencing elbow swelling and inflammation. It could either be a simple accident or a serious injury. If the swelling elbow pain makes you suffer for quite some time now, you need help to figure out exactly what are the causes and the exact condition of your injury. First, you should figure out the precise location of the swelling. Is the swelling or pain dominant on the inside part of your elbow or on the outside part? Please observe if the area is red in color and tender when touched.

Also, try to take note if you’re experiencing pain during mild actions such as twisting a doorknob and the like. If you are experiencing elbow pain swelling on the back of your elbow, you might be suffering from bursitis. If the swelling is on the inside part of your elbow, you might be suffering from golfer’s elbow. The third cause of your elbow swelling may be a tennis elbow. Though it rarely occurs, elbow swelling can be a result of this injury, scientifically known as lateral epicondylitis. Tennis elbow is an inflammation of several structures of the elbow which includes the muscles, the tendons, as well as the epicondyle. Read more…

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