Tuesday, January 29, 2008

Some Physiotherapy Asthma Management Techniques May Be Questionable

Physiotherapy Asthma management is a concern for about 15 million people in America. There are many different medications and other treatments used successfully for asthma management. However, some methods used are not quite proven to work.

Some physiotherapy clinics claim that massage can be used for asthma management. They state that it works to relieve the symptoms of wheezing and breathlessness. They use massage on patients young and old. However, there is no substantial proof that massage does any more good for asthma management than to relieve stress.

One alternative physiotherapy method that has been used for asthma management is acupuncture. There is some indication that this technique can actually have some benefit in relieving symptoms of asthma.

Acupuncture does seem to help the immune system fight off illnesses. This is important in helping asthma management. Illnesses such as colds or flu will exacerbate the asthma condition. If acupuncture can reduce this, it is a great help. Yet, acupuncture is still only recommended to be used along with other treatments. It is not to be used alone.

Some acupuncturists use other methods for asthma management. They might burn herbs over acupuncture points. They might give patients a certain kind of massage, or teach them breathing exercises. There is no known validity in these treatments.

Chiropractors rely on spinal manipulation for asthma management. The reviews of this theory are mixed. One study compared a sham, or fake, type of spinal manipulation that was done on one group of asthma patients. The other group got the real manipulations. There was little, if any, difference between the two groups. This would suggest that chiropractic adjustments are not effective for asthma management.

However, another study was done. Eighty-one children were followed through asthma management at a chiropractic clinic over a period of time. Overall, there were 45% fewer asthma attacks among these children after treatment. 30% were able to significantly reduce their asthma medications. Thus, the jury is still out on the effect of chiropractic medicine on asthma management.

There is a physiotherapy specialty certification for those who wish to work with asthma management. Physiotherapists may take a test to become certified as Certified Asthma Educators, and they help people to deal with their condition. What is more, Medicare and Medicaid pay for their services.

There is also some evidence that asthma management for those who have to be admitted to the hospital should involve physiotherapy. There was a study of respiratory patients who were given range of motion exercises while in the hospital. The average stay was three days less than those without the exercises.

One challenge of traditional physiotherapy for asthma management is that dehydration happens easily. Asthmatics get dehydrated more easily, and it affects them in a worse way. It can even bring on an asthma attack. Any exercise plan must take this into account.

There are ways for physiotherapy to be used for asthma management. Certainly, there are other methods, and research may prove these methods have value. In the meantime, some methods are better saved for alternative methods to be used in addition to medications and proven physiotherapy treatments.

What Physiotherapy Has to Do with Cardiac Surgery

One may feel fatigued and sore after cardiac surgery; it is only natural. On the other hand, it seems altogether strange to think of embarking on a course of physiotherapy afterwards instead of just resting. Yet, that is just what is recommended.

Types of cardiac surgery include bypass surgeries, angioplasty, stents, heart valve replacements, and even heart transplants. Patients having all of these surgeries can benefit from physiotherapy. Patients who have other cardiac problems can use the help too; they include victims of heart attacks, heart failure, peripheral artery disease, chest pain, and cardiomyopathy.

Physiotherapy will usually begin within a couple of weeks of cardiac surgery, if not sooner. The first step is for nurses or doctors to administer a stress test to determine how much exercise one can handle. This involves walking on a treadmill or riding on a stationary bike while having one's vital signs monitored.

When the data is gathered and analyzed, a program of physical therapy will be put into place. For safety's sake, it is often the routine to bring cardiac surgery patients into the hospital or an outpatient clinic for their exercise at first.

Under the watchful eyes of nurses and physiotherapy personnel, cardiac surgery patients will be looked after as they perform their exercises. This way the professionals will be alerted if the cardiac surgery patient is having troublesome symptoms. The exercises done are cardiovascular exercises like walking on a treadmill or riding a stationary bike.

After the initial period of the monitored physiotherapy has passed, cardiac surgery patients will be sent to do their exercising at home. Before they go, though, they will have been taught warm-up and stretching exercises, and when to stop. Generally, they should exercise three to five times a week unless they are having problems.

Swimming is another form of exercise that is especially good for cardiac surgery patients. It is a cardiovascular exercise that is not hard on the joints, so it will often be kept up longer. The only thing to remember is that all wounds must be completely healed first.

Physiotherapy for cardiac surgery patients is often not carried out by physiotherapy staff. Nurses in hospitals and clinics who are trained to deal with these areas of rehabilitation for cardiac surgery will do the work. However, physiotherapists sometimes help, and the principles are the same.

The physiotherapist will instruct the patient about what activities are acceptable in the weeks and months after surgery. During the first six weeks, there will only be a few activities allowed, such as light housekeeping or going to movies, for example. From then until the third month, more activities will be added. You may be able to return to work, at least part-time, you may be able to drive. After this time, your physiotherapist will work with you to ease you back into all your old activities.

If a patient has cardiac surgery and then does nothing to regain strength, that patient will soon weaken. Physiotherapy offers a means to stay in shape, or get into shape. It lends more purpose to the cardiac surgery by making the patient much healthier than before the surgery ever took place.

Monday, January 28, 2008

What Is Chronic Airways Disease and How Can Physiotherapy Help?

Chronic airways disease is actually a group of diseases. These diseases are also called chronic obstructive pulmonary disease (COPD). Chronic airways disease can cause a major change in the quality of a patient's life. However, physiotherapy can help.

Diseases included in chronic airways disease are chronic bronchitis and emphysema, for example. Many other diseases that restrict or limit breathing are included. It is most often caused by cigarette smoking, but also can be caused by inhaling other irritants such as those in the workplace. Chronic airways disease is more common among the elderly.

Along with having shortness of breath, the patient is likely to wheeze and cough frequently. He will produce sputum in copious amounts, and sometimes that will be streaked with blood. The lips and fingers can take on a bluish tint because he is not getting enough oxygen, and heart trouble may follow for the same reason.

Physiotherapy can help with chronic airways disease in many ways. One is in breathing retraining. This is just what it sounds like. A physiotherapist works with the patient to teach him ways to breathe that will draw the most air while eliminating the most wheezing. This can be a great help for those with chronic airways disease.

Another method used by physiotherapists for those with chronic airways disease is called clapping and postural drainage. The postural drainage part is done by positioning the body so that the affected lung is above the trachea.

Many people do this at home by lying on a bed and bending the top half of the body over it. The physiotherapist teaches one how to do this so that the lung will drain. Before long, the patient with chronic airways disease will be doing this procedure on his own.

The other part of the help for chronic airways disease patients is called clapping. This is done by cupping the hand and clapping the back to loosen secretions in the chest. It is also called chest percussion. The physiotherapist will do this procedure, and will teach it to a family member or caregiver.

People with chronic airways disease often have a problem with weakening legs. This is because, as they have trouble breathing, they avoid walking or doing physical exercise of any sort. The goal of physiotherapy in this case is to strengthen the legs through treadmill-walking or stationary-cycling. This can only be done, however, if the patient is well enough to start out.

Conditioning the arms of chronic airways disease patients is just as important. Most daily jobs rely heavily on the arms to do the work. Exercises which focus on the arms not only strengthen the muscles of the arms. They also help the patient start breathing better.

Chronic airways disease is a condition that can benefit from physiotherapy. The physiotherapist treating the patient must have specialized knowledge for this type of treatment. Simple methods can be overlooked as modern treatments come to the forefront. Yet, physiotherapy personnel who know this technique can make a big difference in patients' lives.

Why Down Syndrome Physiotherapy Should Be Started Early

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.

Saturday, January 26, 2008

Types of Physiotherapy That Help Lower Back Pain

Lower back pain plagues Americans to the extent that 80% will suffer from it at some time in their lives. It is one of the most common reasons people visit the doctor. For many, the problem is more than a passing incident; they need physiotherapy.

Physiotherapy of different types can be used to treat lower back pain. Acupuncture is fast becoming an important method for the relief of such pain. The doctor has the patient lie face-down and inserts the acupuncture needles across the back. The doctor then finishes the procedure for lower back pain. Pain relief after a series of treatments usually lasts months.

Massage is also used for lower back pain. The massage used must be done by someone well-versed in the treatment of lower back pain. A massage done by an untrained person may do more harm than good.

These methods are called passive therapies, or modalities. They are done to the patient and not by the patient. There are other modalities that are commonly used. Heat and ice packs are a well-known form of passive physiotherapy. They can be used separately, or they can be used alternately by a person who is suffering from acute lower back pain.

A transcutaneous electrical nerve stimulator (TENS) can be used as another modality for lower back pain. The patient will feel the sensation of the stimulator instead of his pain. If the TENS unit seems to work well for him, he will be sent home with one to use at his convenience.

Ultrasound is especially useful as a passive therapy for anyone with acute lower back pain. It delivers heat deep into the muscles of the lower back. This not only relieves pain. It can also speed healing.

Back exercises may be assigned by a physiotherapist. These exercises will help with lower back pain if one does them correctly and faithfully. The only exception is if the back is in an acute condition requiring emergency care or surgery.

The exercises that will help with lower back pain the most will be assigned and supervised by a physiotherapist. They may be done at home, but it will be necessary to follow instructions and check in frequently.

These exercises include ones for lower back pain that stretch or extend the back and ones that strengthen it. One is an exercise where one lies prone and moves as if swimming. This protects the back while giving the surrounding muscles a workout.

Lower back pain exercises called flexion exercises strengthen the midsection to provide support for the back. If the lower back pain is reduced when one sits, these exercises are important. One is a knee-to-chest exercise.

Aerobic exercise such as walking is excellent for reducing and preventing lower back pain as well. Massage and acupuncture can be counted on to relieve pain for most patients. Exercises can make the back stronger to both relieve and prevent lower back pain. Any physiotherapy that can help relieve lower back pain will help millions of people.

The Types of Neurological Conditions and Physiotherapy Used

Neurological conditions may be very severe. They can be life-threatening at times, and they can certainly affect the quality of the patient's life. There are many neurological conditions and physiotherapy can help many of them.

Alzheimer's disease takes away the declining years of many older people. It is surprising to note that it can occur in people 40 years old or younger. ALS or Lou Gehrig's disease is a disease that robs the brain and spinal cord of the ability to move. Both of these are neurological diseases that can be helped by physiotherapy.

MS, another of the neurological conditions that affects the brain and spinal cord, can lead to a long, slow decline. Parkinson's disease is another of the neurological conditions of the brain. This one can cause shaking and loss of coordination, and problems moving and walking. Physiotherapy offers some relief to these patients.

Guillain Barre Syndrome is one of the types of neurological conditions that affect the brain and spinal cord too. It is a case of the person's own immune system attacking outside these areas. It can be severe enough to require emergency hospitalization. Physiotherapy offers help with regaining strength and adapting to life with the disease.

Neurological conditions that are autoimmune diseases are difficult to treat. Myasthenia Gravis is one such illness. It causes muscular weakness because of a lack of communication between nerves and muscles. Like other neurological conditions, it can be very debilitating.

A great amount of physiotherapy is needed to help Myasthenia Gravis patients to live with their neurological conditions. This includes strength training, training in the use of supportive devices, and help with common tasks. One problem physiotherapists face when working with MG patients is that too much exercise will make their condition worse and not better.

Many of the patients with neurological conditions cannot carry on daily functions such as caring for themselves and their homes. It is not uncommon for these people to be unable to work. They may even have trouble walking or getting up and down stairs at all.

Difficulty swallowing or breathing; dizziness, poor balance and falls, and a total lack of endurance plague many of these patients who have neurological conditions. Medications or surgeries can help with some of their problems, but many problems are ones they will have to abide. Physiotherapy can offer solutions that other branches of medicine cannot.

Exercises, as in most physiotherapy, include strengthening and stretching exercises. In whatever way is possible, patients with neurological conditions need to get aerobic exercise. Physiotherapists may be able to make a plan so that this is possible.

Part of this plan for patients with neurological conditions would include balance training and coordination training. With these two skills in place, the patient will have a more advanced ability to do aerobic and other exercises. Aquatic exercise is also used.

Patients with neurological conditions must live with many problems of lack of movement and function. Physiotherapy can help them to overcome some of these problems. It can make their lives easier and more pleasant, besides.

Using Physiotherapy to Deal with Occupational Injury

There is less occupational injury going on in the last few years than before. This is partly because of the influence of physiotherapy on the workplace. Physiotherapy principles are being used to design better work places and work habits. They are also important in dealing with the occupational injury that does happen.

Occupational injury problems include back and neck problems, carpal tunnel syndrome, shoulder and knee dislocations, tennis elbow, and leg and ankle strains. Physiotherapy can be used to treat any of these conditions.

Back and neck problems are major examples of occupational injury. They happen because of improper lifting, lifting while turning, repetitive turning, or sitting improperly. Workman's comp will probably take care of treatment if the occupational injury is more than a slight one.

Carpal tunnel syndrome is often seen in offices. However, it may also occur in other jobs, such as on assembly lines. Tennis elbow can be an occupational injury as well, occurring any time one repetitively twists one's wrists. This movement is often done in packing plants, for example, as workers twist products into containers.

Patients who have an occupational injury are often put on light duty. Some are even laid off. Physiotherapists can step in and help the patients recover their strength and health. Physiotherapy techniques may include exercises, massage, and ultrasound.

A physiotherapist will certainly give instructions about how to do home treatment. When the occupational injury is sufficiently healed, the patient will be given the go-ahead to return to work. If the patient was on light duty, he will be told when to go back to regular duty. If he was off work, he will be told when he can go onto light duty, and then the full daily routine.

Physiotherapy ideas can also be used to construct a better work environment. The work station in an office can be set up to accommodate the proper positioning of the body. This will ward off occupational injury caused by repetitive movements, like carpal tunnel syndrome.

Occupational injury caused by awkward movements in the workplace can also be eliminated if the work environment is set up in an ergonomic fashion. Physiotherapists have much knowledge about the way the workplace should be constructed.

Physiotherapists know what equipment is best used to avoid occupational injury. Ergonomic keyboards are recommended and correct mouse placement is crucial. The physiotherapist will suggest that you use a touch pad instead of a mouse if at all possible.

Physiotherapists can be very helpful in preventing occupational injury in any other type of workplace. They may be called in to consult with employers and ergonomics specialists about what changes need to be made to make the work environment acceptable for their patients.

Work environments are safer than they once were. Ergonomics principles are used and in many cases are required by law to be used if requested by workers. Workers who are injured have good physiotherapy available to them. However, until there is no occupational injury, physiotherapy will continue to have value in the workplace.