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PHYSIOTHERAPY PROTOCOL: NON OPERATIONAL SHOULDER PAIN

A.Galindo J.Guijarro MªJ. Vidal Physiotherapists General Goals To create a broad protocol covering the different pathologies included in the diagnosis of shoulder pain, that may be applied by the majority of physiotherapists To promote a healthy posture to prevent further recurrences Encourage phyical exercise at the end of RHB as a health education measure, taking into account the different social spheres. Specific Goals Improve the functionality and quality of life of patients by returning them to work and / or sport Reduc ...
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ABDOMINAL TRAINING FOR LUMBAR STABILIZATION

David Alonso Calderón Chartered Physiotherapist, Zaragoza (Spain) The lack of stability or "instability" of the lumbar spine must be differentiated from hypermobility. In both the range of motion is greater than normal. However, instability is present when excessive movement is accompanied by a lack of "protective" muscle control (Maitly 1986). The two situations are often the cause of many lumbar pains. Spine stability is determined by three different systems: the passive, relating to noncontractile tissue; the active, to contractile tissue (muscles); a ...
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HYPOTHESIS: RISK ASSESSMENT OF LUMBAR DISC HERNIATION: RATIO BETWEEN BODY WEIGHT AND LINE OF GRAVITY INTERVERTEBRAL DISK DISTANCE

Juan José Gascó Esparza Physiotherapy Graduate in E.U. de Physiotherapy (Valencia) INTRODUCTION It has been shown that a hernia does not occur unless the disc is previously degenerated. [1, 2] Disciplines like ergonomy and postural hygene have aimed to minimize external risk factors like heavy lifting, sitting and sleeping posture, etc. However, it does not seem sufficient to reduce the prevalence of lumbar disc herniation, either because they are not sufficiently effective or because the patient doesn’t practice them unless he or she has symptoms. Recent st ...
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Temporomandibular Joint Disorder

Leidy Johanna Valencia Alzate Fourth year Physiotherapy Student Universidad Santiago de Cali -Columbia ABSTRACT The temporomandibular joint enables the functional movements of the mouth necessary for feeding and speech. When a dysfunction in this joint occurs, the mobility of the mouth is limited and therefore the functionality of the affected person. The most common alterations are temporomandibular joint syndrome, fractures, luxations / subluxations, bruxism and arthritis, which typically produce pain, swelling, limitation of joint mobility and muscle imbalance. ...
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AN UNFINISHED PUZZLE: THE PHANTOM LIMB

Manuel Flores Lara Physiotherapist (EUCS, Granada) INTRODUCTION To carry out this article, I compared the human body with a puzzle. A person suffering an amputation loses part of his body, which would in some way be equivalent to a piece of the puzzle. Although the amputee patient believes he is complete and is not aware of his deficit, since he still feels as if the limb were present, this is the phantom limb sensation. DEFINITION Phantom limb sydrome is the perception of sensations, normally including pain, in an amputated limb. Patients with this condition experien ...
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MUSCLE CHAIN STRETCHING PROGRAMS FOR THE PREVENTION OF POSTURAL INJURIES IN BANDERILLEROS*

Rocío Alarcón Pato Virginia Algaba Martín Physiotherapists (Seville University) *Short stabbing skewers used in bullfighting. The goal of this research paper is to demonstrate that the completion of stretching programs of the muscle chains that are most programmed in the posture adopted to insert the banderillas, specifically the “inside” style, can improve the performance of this technique and prevent possible injuries, especially to the lower back. We have focused this research project on the field of bullfighting, specifically the students of the ...
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CARPAL TUNNEL SYNDROME

Diego Pinto Second Year Physical Therapy Student. University of El Salvador. 5 year degree program PATHOLOGY Carpal Tunnel Syndrome is the name given to the compression of the median nerve in its passage through the carpal tunnel. The latter may be compared to an oval osteofibrous slide that has a dorsolateral wall made of the carpal bones and an anterior wall formed by the strong anterior annular ligament of the carpus. The flexor muscles of the fingers and median nerve pass through there. Due to the inextensibility of the tunnel the median nerve is easily compressed by ...
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The joint therapeutic effects of hydrotherapy and physiotherapy in Lumbar

Enrique Barroca, Kinesiologist PhysiatristMiguel Leccese, KinesiologistThe herniated disc is one of the various spinal pathologies. Among the various spinal pathologies , a herniated disk is one of them. It may involve unique characteristics when it causes irritation due to compression of nerve roots at different levels. The most common injury in the lumbar spine occurs in nerve root L4 L5. Treatment is conservative, not surgical, in a high percentage of cases. The most common are physiotherapy, medication, epidural infiltrations and alternative therapies such as acupuncture and hydrotherapy.W ...
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Muscle Chains

Manuel Padrino Martínez Physiotherapy student Venezuela INTRODUCTION Muscle chains represent circuits of fixed direction and planes through which the organizing forces of the body spread. For an intimate understanding of human beings, first it is necessary to have a good understanding of the physiological organization of the body. This way one can better follow the intelligent installation of the adaptive, compensatory and pathological schema. The body obeys three laws: Balance Economy Comfort (absence of pain). In the physiological scheme, balan ...
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An update in physiotherapeutic diagnosis and re-education of injured elbow ligaments

Enric Sirvent Ribalda Anthropologist, Physiotherapist, University Diploma in Nursing Tenured lecturer at EUF Gimbernat, affiliate of the Universidad Autónoma de Barcelona Coordinator of the University Department of Research and Physiotherapy Jordi Huguet Boqueras Traumatologist, Unit of the Study of the Shoulder and Elbow, Sabadell Hospital. Associate Professor at EUF Gimbernat, affiliate of the Universidad Autónoma de Barcelona Vicenç Punsola Izard Physiotherapist, Centre de la Mà (Barcelona). Associate Professor, EUF Gimbernat, affiliate of the Univer ...
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PHYSIOTHERAPY IN CERVICALGIA

Ana María Gómez Vizcaíno Chartered Physiotherapist (Murcia) INTRODUCTION After five years working in the rehabilitation department of Cartagena’s Perpetuo Socorro Hospital and bearing in mind that 40% of treated patients suffered this pathology, below I will outline a protocol created on the basis of the different experiences shared with them in a period of 6 to 8 weeks. The cervical column is undoubtedly the most complex articular system in the human body. It has 37 different joints whose function is to support the head, as well as to ensure a large number ...
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ANTERIOR KNEE PAIN SYNDROME (A.K.P.S)

Valeriano Martínez González Physiotherapy Graduate of the Universidad Alfonso X el Sabio Physiotherapist at Clínica Universal y Nuevo Parque (Madrid) Physiotherapist at Centro Medico Averroes (Majadahonda) INTRODUCTION The phrase “Different causes, same symptoms” perfectly sums up the disparity of criteria we are faced with when treating the so-called Anterior Knee Pain Syndrome. For years, the femoro-patellar joint was the forgotten ragbag of the knee for traumatologists and physiotherapists alike. Today its pathology and treatment have greatly ...
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LOWER BACK PAIN IN PREGNANT WOMEN

A. R. Fernández Mora L. Guirado Martínez N. Remiro Herranz Chartered Physiotherapists. Madrid Pregnancy is a state in which women undergo a multitude of changes. These affect numerous structures, both physical and psychological. In this article, we wish to center our attention on the physical changes and specifically on its negative effect, which causes lower back pain in pregnant women and that we will treat on a physiotherapeutic level. The changes that we refer to are: On a muscular level Abdominal muscle relaxation allows the proper growth of the womb ...
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COMPARISON OF ANALGESIC EFFECTIVENESS IN SHOULDER TENDINOSIS BETWEEN PATIENTS TREATED AT HOME AND IN THE S.E.R.C.

Claudia E. Pacheco Soto Physiotherapist. Mexico INTRODUCTION Shoulder tendinosis causes pain, functional limitation and often disability in sufferers. Among the treatment alternatives are drugs, inmobilization, infiltration, surgery and rehabilitation. Rehabilitation departments are frequently saturated and patients are sent home to follow a program instructed by trained personnel. Shoulder tendinosis is a problem that commonly effects the economically active, mainly males in their thirties and forties. It causes significant economic losses because of the days of di ...
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Assessment and rehabilitation of the knee

Ibrahim Hijazi Prieto Chartered Physiotherapist EXAMINATION AND ASSESSMENT: Atrophy of the quadriceps, (measuring with a tape measure) 12cm above the top edge of the patella, to see the diameter of the thigh and compare it with the healthy side. Degrees of flexor to be taken into account. BIOMECHANICAL ASSESSMENT OF THE KNEE: 1) 3D measurement of joint movement and analysis of movement. Flexion and extension of the knee without support and under load (monopodal support), active and passive. - Theanalysis of movement in 3D (photogr ...
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PHYSIOKINESIC TREATMENT OF FLAT FEET

Pamela Rojas Vargas 1. Concept: The most accurate definition of flatfoot tells us that: flat foot is a condition where there is a lowering or disappearance of the internal plantar arch. Flat foot almost always occurs with another disorder, such as calcaneus pronation, which forms a valgus flat foot.[1] 2. Treatment In the treatment of a flexible flat foot, physiotherapy is a tool that can improve alterations present in children with this condition. Kinesiotherapy is part of this tool, which works with exercises to strengthen the child’s foot. 2.1. Kinesio ...
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CARPAL TUNNEL SYNDROME

Antonio Montoro Gil Physiotherapy Graduate 1.- CONCEPT. INTRODUCTION The carpal tunnel is a narrow tunnel in the wrist composed of ligaments and bones. The median nerve, which carries impulses from the brain to the hand, passes through the carpal tunnel alongside the tendons that allow the hand to close. When they tense, the tendons swell inside the tunnel and compress the median nerve. Apart from repetitive movements, other conditions may lead to the compression of the median nerve: arthritis, diabetes, liquid retention, gout and malaligned fractures, chemical imbalances, ...
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TIBIAL PLATEAU FRACTURES

David Martinez Physiotherapy Student University of Castilla La Mancha INTRODUCTION This paper, as a general aim, attempts to give the reader an up close insight into the correct function of the knee, and specifically, that of the area where the plateaus are found, through an anatomical study, as well as giving special attention to this injury and to its most effective rehabilitation techniques. Tibial plateau fractures constitute a fairly common traumatic injury, fundamentally being caused by traffic accidents.  The increase in RTAs produces a greater number of c ...
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Spinal chord pathology

Francisco E. Pajares Mellado Chartered Physiotherapist of the Autonomous Community of Madrid (Associate nº 1672) Spinal Cord Pathologist The motive of this text is none other than to manifest the worry that many fellow back pathologists, myself included, have, regarding how incredibly misinformed the public is about an issue as common as back pain. On a daily basis I receive many patients who are unaware of the importance and consequences that back pain will have in their lives.  Everyone thinks: “My back hurts.  I have to go and get a massage to get rid o ...
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Contributions of diacutaneous fibrolysis in treating chronic ankle sprains

Nicolas Ramirez-Escudero Ugalde Chartered Physiotherapist of the Official College of Physiotherapists of the Basque Country, Spain (Associate nº 1095) Physiotherapist at Arasalud Ltd. Physiotherapy and Osteopathy Consultancy INTRODUCTION The foot is the joint that bears the greatest load per unit of the area in our whole body, being able to lift up to five times our body weight during normal walking. [2] It is a structure which must combine a certain degree of flexibility, for the proper absorption of forces coming from the ground, whilst at the same time behaving with ...
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An example of a case: subcapital fracture in humerus

Author: Beatriz Bonet Beltrán. Physiotherapist Index: CLINICAL DIAGNOSIS PHYSIOTHERAPY HEALTH HISTORY FUNCTIONAL DIAGNOSIS TREATMENT OBJECTIVES TREATMENT DATA RETRIEVAL PREVENTION RULES BIBLIOGRAPHY CLINICAL DIAGNOSIS: Medical Diagnosis: Subcapital fracture with tearing out of non-displacement troquiter of left humerus. There is no nervous injury. There was no surgical intervention, because a conservative treatment with immobilization during 3 weeks was chosen. To understand these type of fractures and its medical treatment, you should ...
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Anatomy, biomechanics and sacroiliacus joint treatment

Autor: Guillermo Renzo Véliz Paredes Licenciado en Terapia Física y Rehabilitación, egresado de la Universidad Nacional Mayor de San Marcos de Lima Perú, actualmente laboro en CRYMEF (Centro de Medicina Física y Reeducación Neuromuscular), centro privado especializado en tratamientos fisioterápicos en patologías de columna, lesiones deportivas, traumatológicas, pre y post quirúrgicas, reumatológicos y con aplicación de Terapia Manual (Concepto Cyriax, Kaltenborn, McKenzie, Janda, etc ...
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Scientific bases in accelerated physiotherapy in the reconstruction of LCA with plastia H-T-H. Section IV

AUTHOR: José Manuel Sánchez PhDs FC Barcelona High Performance Senior Teacher Phone: 656935516 e-mail : chema632@hotmail.com • TENSION FORCES IN BIPEDESTATION POSITION -Noyes : places tensions of LCA of 445 N for ordinary activities of every day life. Fig.3 -Lomi,1987 :demonstrates that rotating laxity riduces in a high percentage when muscles are contracted during walk, which is at 90º of flexion. He also demonstrates that the ischio contraction produces a strong reduction of laxity in a 76%. The contraction of quadriceps reduces laxity up to a 23%. ...
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Scientific bases in accelerated physiotherapy in the reconstruction of LCA with plastia H-T-H. Section III

AUTHOR: José Manuel Sánchez PhDs FC Barcelona High Performance Senior Teacher Phone: 656935516 e-mail : chema632@hotmail.com • MUSCLE REINFORCEMENT : Mechanisms of Muscle Atrophy: The muscle inmobilization produces a 30-47% atrophy. The installation is very quick and increases with time exponentially (Booth,1987). -Lindhoe,1984 : he demonstrates that there is a 14 to 17% fibre lost after 72 hours of immobilization in men. This amiotrophy comes together with a reduction of muscle force and fatigue, this is a selective reduction of type I fibres. ...
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Scientific bases in accelerated physiotherapy in the reconstruction of LCA with plastia H-T-H. Section II

AUTHOR: José Manuel Sánchez PhDs FC Barcelona High Performance Senior Teacher Phone: 656935516 e-mail : chema632@hotmail.com • REGARDING MOBILITY: Consequences of Immobilisation: 1 ) ON THE CARTILAGE: -Experimentally, joint immobilisation produces different modifications on the cartilage: 1) Cartilage softening (chondromalacia) 2) Joint space reduction. 3) Irregularities on the joint surface. -There will also exist a reduction in glicosaminoglicanes (up to a 48%, mostly on the articular surface) Kiviranta,1987. -Troyer,1975 : has demonstra ...
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Scientific bases in accelerated physiotherapy in the reconstruction of LCA with plastia H-T-H. Section I

AUTHOR: José Manuel Sánchez PhDs FC Barcelona High Performance Senior Teacher Phone: 656935516 e-mail : chema632@hotmail.com • INTRODUCTION We will study the scientific bases of functional re-education applied to LCA reconstruction with autological plasty. Surgeons always remind us that physiotherapy has an equivalent role to the surgical act, in the finnal functional result. An incorrectly driven physiotherapy is half-way responsible for the bad results achieved. There may be complications as the following: 1) Residual laxity 2) Cartilague des ...
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Scientific bases in accelerated physiotherapy in the reconstruction of LCA with H-T-H. Section V

Author: Jose Manuel Sánchez PhD student in Sports Physiotherapy Clínica de Fisioterapia Deportiva de Alto Rendimiento Barcelona Barcelona High Efficiency Physiotherapy Sports Clinic (Spain) . • PROTOCOL OF ACCELERATED PHYSIOTHERAPY: Aim of physiotherapy: - Immediate support. - Early mobilisation, to recover the extension. - English walking stick until the 3rd week. - Start jogging at 2nd month - Start sport activity at 4th month. This schedule should be addapted according to the resistance and to the following control analysis. Import ...
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Physiotherapeutical treatment for the disinsertion of the epicondyle muscle

Authors: F.T. Kharina Ucar Noguera F.T. Lourdes M. Lira Diaz Supervisors: F.T. Brenda Tábata F.T. Jesús Guiñan Caracas, October 2001 INTRODUCTION The hand is a polymorph, polyvalent and sensitive organ which since the beginning of mankind allowed the human being to elegantly transform into reality what its mind had conceived: a large number of things that range from the simplest and most ordinary to the incredibly complex and precise. It is important to recognize that the hand does not function independently. It is the end and the reason of be ...
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