What Is Orthopaedic Physiotherapy?

Rehabilitation physiotherapy, also known as rehabilitation physical therapy, is a comprehensive treatment room that integrates exercise therapy, occupational therapy, speech therapy, physical therapy, acupuncture, canning, and massage. There are consultation rooms, traction rooms, physical treatment rooms, acupuncture rooms, rehabilitation training halls, osteoporosis diagnosis and treatment rooms, traditional Chinese medicine fumigation treatment rooms, pain treatment rooms, etc. Carry out traction treatment of cervical spondylosis and lumbar spondylosis, three-dimensional treatment, acupuncture, high and low frequency electrotherapy magnetic therapy, wax therapy, Chinese medicine fumigation, cryotherapy, massage, treatment of peripheral nerve injury scar adhesion, analgesic treatment, gout treatment, bone Looseness, stroke, hemiplegia, facial paralysis, various peripheral nerve injuries, headaches, trigeminal neuralgia, pillow fall, cervical spondylosis, lumbar spondylosis, periarthritis, tennis elbow, sciatica and other treatments.

Rehabilitation physiotherapy, also known as rehabilitation physical therapy, is a comprehensive treatment room that integrates exercise therapy, occupational therapy, speech therapy, physical therapy, acupuncture, canning, and massage. There are consultation rooms, traction rooms, physical treatment rooms, acupuncture rooms, rehabilitation training halls, osteoporosis diagnosis and treatment rooms, traditional Chinese medicine fumigation treatment rooms, pain treatment rooms, etc. Carry out traction treatment of cervical spondylosis and lumbar spondylosis, three-dimensional treatment, acupuncture, high and low frequency electrotherapy magnetic therapy, wax therapy, Chinese medicine fumigation, cryotherapy, massage, treatment of peripheral nerve injury scar adhesion, analgesic treatment, gout treatment, bone Looseness, stroke, hemiplegia, facial paralysis, various peripheral nerve injuries, headaches, trigeminal neuralgia, pillow fall, cervical spondylosis, lumbar spondylosis, periarthritis, tennis elbow, sciatica and other treatments.

Chinese name

Rehabilitation physiotherapy

Also known as

Rehabilitation physiotherapy

Nature

A special treatment for improvement and recovery

Attributes

Sports medicine

Definition of rehabilitation physiotherapy

Rehabilitation center's exercise therapy is a special therapy that plays a role in preventing, improving and restoring patients' dysfunction and dysfunction through passive exercise therapy, active exercise therapy and resistance and exercise therapy. The main treatment targets are patients with central paralysis caused by cerebrovascular disease, orthopedic diseases, joint contractures, joint ankylosis, soft tissue damage, patients with periarthritis, cervical and lumbar spondylosis. The manual treatment is accompanied by auxiliary equipment such as: standing bed, shoulder rotation training device, lower limb power cart, weight loss gait training device, ankle joint training device, etc. to accelerate the recovery of limb function and reduce Degree of disability.

Rehabilitation center's occupational therapy: It is based on the patient's dysfunction, and selects some activities from daily activities, leisure activities, work or labor to train patients to restore their independent living ability. treatment method. It is mainly used for daily life ability training, joint activity training, finger fine movement training, muscle strengthening training, endurance training and cognitive function training. Equipped with equipment such as: finger strength training table, upper limb power car, wrist rotation trainer, work training device, cognitive graphics plug-in, etc., to help patients perform upper limb, hand, eye municipality ability training, fine movement training of fingers, To achieve self-care and improve the quality of life.

The physical therapy method carried out by the rehabilitation center is a method of applying light, electricity, sound, magnetism, heat, cold, and mechanical physical factors to treat diseases and restore functions. It has been widely used in clinical practice, and has good anti-inflammatory, swelling, analgesic, antispasmodic, and adrenal nerve regeneration functions.

History of rehabilitation physiotherapy

Traditional rehabilitation therapy

Chinese traditional rehabilitation therapy has a long history. As far as more than 2,000 years ago, the Internal Classic has recorded rehabilitation therapy for paralysis, numbness, and contractures of muscles and joints. Since then, China's traditional rehabilitation technology has continued to develop and innovate. Up to modern times, it has been widely used in China's rehabilitation practice and has achieved remarkable results, and has been valued by medical circles at home and abroad. Traditional Chinese rehabilitation techniques include TCM massage, TCM acupuncture, cupping with traditional Chinese medicine, meridian scraping, a small needle knife, orthopedics.

Rehabilitation, physiotherapy, rehabilitation

Sports medicine is a fast-growing, challenging, multi-disciplinary clinical specialty. Sports medicine, on the one hand, studies the impact of physical exercise on human health, and on the other hand, uses modern medical methods and theories to study and treat injuries and diseases caused by sports to achieve maximum recovery of exercise capacity and protect human health.

The rapid development of international sports medicine has completely changed people's controversy over whether sports medicine is necessary, and also changed the view that sports medicine only serves young people and athletes; the development of sports medicine is not only for sports. Provide healthy development (such as minimally invasive treatment of sports trauma, early recovery and return to the sports field as soon as possible, monitoring and control of drug abuse, etc.), and at the same time provide more public trauma treatment methods and perspectives, and provide more active health Ideas and knowledge. Consistent with modern society's emphasis on health, sports can promote health and prevent and treat diseases. With the development of China s economy and the implementation of the Olympic glory plan and the National Fitness Program, sports medicine in China is also making great strides. Sports medicine has been established in large and medium-sized cities, coastal cities, famous universities and hospitals. profession.

The development of sports medicine has attracted many outstanding talents in the field of medicine, and is rapidly expanding its subject areas to orthopedics, rehabilitation medicine, cardiovascular, endocrinology, neurology, pharmacy, nutrition, mechanics, physiology, psychology, genetics and other disciplines Learn and penetrate. Due to the special nature of sports injuries and the urgent requirements of sports people for early rehabilitation and return to sports, minimally invasive surgery has become an important tool for sports injury treatment. A typical example is that arthroscopy minimally invasive technology has become an important method for sports trauma treatment, and has continuously created new, better curative surgical methods and more active and effective rehabilitation measures. As a result, a new interdisciplinary discipline-orthopaedic sports medicine and sports rehabilitation was derived. Orthopaedic sports medicine, also known as orthopaedic sports injury or sports traumatology, is an important branch of modern orthopaedics, and it has developed rapidly after hand surgery, joint replacement surgery, and spinal surgery. The specialists full of opportunities and challenges have made a series of advances in arthroscopic minimally invasive surgery, tendon and skeletal muscle injury treatment, postoperative rehabilitation, and non-surgical treatment. The results are exciting and the concepts are updated.

The American Orthopaedic Society for Sports Medicine (AOSSM) is the earliest (1972) established professional orthopedic sports medicine authority in the world, with many world-renowned experts in orthopedics. Marcus J. Stewart, Founding Chairman of AOSSM, stated, "We're not just physicians and surgeons. We're Fellows with all the athletes of the world. ) ". Orthopaedic sports medicine mainly treats sports-related bones and joints, muscles, tendons, ligaments, cartilage, synovium and other traumas. These are also common injuries of ordinary people, such as knee, shoulder, ankle, elbow, hip, wrist and other joint sports Injuries and joint instability, including meniscus injury, cruciate ligament injury, tendon injury and tendinopathy, skeletal muscle injury, lateral collateral ligament injury, patellofemoral joint injury and instability, cartilage and osteochondral injury, synovial lesions, rotator cuff Injuries, shoulder instability, glenoid labrum injury, acromion impact, repeated ankle sprain, etc .; according to sports, it can be divided into football ankle, tennis elbow, riding hip, jumping knee, volleyball shoulder, fencing wrist, weightlifting elbow , Tennis legs ... wait. The purpose of the treatment of sports trauma is to minimize trauma, achieve maximum functional recovery and return to exercise as early as possible.

A qualified orthopaedic sports medicine doctor needs to have a solid clinical orthopedic foundation, as well as sports medicine, rehabilitation medicine and biomechanics knowledge. The first choice is to restore the injured's athletic ability as soon as possible, and to make a correct judgment on the prognosis of trauma, and Make a reasonable choice between surgery and non-surgery; a qualified orthopaedic sports trauma doctor must first be an excellent arthroscopy minimally invasive surgery expert, and also a master of tendon and skeletal muscle injury treatment. The laws of sports medicine, proficient in selecting and formulating sports rehabilitation procedures, good at discovering clinical problems and conducting research on bone and joint sports injuries. In the United States and Australia, an orthopaedic sports trauma doctor must have completed 5-7 years of orthopaedic surgeon training and then 1-2 years of orthopaedic sports medicine fallow training in order to qualify as an orthopaedic sports medicine arthroscope doctor. For those doctors who only have arthroscopic reconstruction techniques, they are called "scope surgeon-endoscope surgeons" abroad, not specialists in orthopaedic sports medicine.

Physical factors of rehabilitation physiotherapy

The physical factor rehabilitation center is the first physical silver rehabilitation physiotherapy base in Central China. What is a physical factor? What is physical factor rehabilitation physiotherapy? ^[1]

In some rehabilitation medical institutions, although many staff members are very familiar with the treatment methods such as manual techniques and nerve stimulation technology, they do not know how to use physical factors such as electricity, light, sound, and magnetism in the rehabilitation practice (physical therapy). Just as we need to constantly increase new knowledge and new concepts in rehabilitation medicine, those who have just been engaged in rehabilitation medicine should also increase their knowledge of physical factors such as electricity, light, sound, and magnetism. Because electrical, optical, acoustic, magnetic and other treatments are not optional, they have the status that other rehabilitation treatments cannot replace. For example, ultrashort wave has a significant effect in treating acute inflammation. In our daily rehabilitation work, we can not only encounter diseases such as lung infections and urinary system infections, but also other soft tissue infections and other complications. The effect obtained by ultrashort wave treatment is unmatched by drug treatment; for example, in the treatment In the case of infectious diseases such as atypical pneumonia, ultrashort wave treatment has also achieved significant results.

In the past, some people often think that physical factor therapy such as electricity, light, sound, and magnetism is not very useful in the rehabilitation of paralyzed patients, and practice has proven the rehabilitation value of physical factor therapy. For example, electrical stimulation treatment can significantly improve the limbs of patients with stroke. Function, improve their ability to take care of themselves and reduce disability.

Many patients in need of rehabilitation benefit from the treatment of physical factors such as electricity, light, sound, and magnetism. For example, after a period of weight-bearing training in an elderly patient with hemiplegia, his knee suffered degenerative arthritis, joint pain and effusion, As a result, normal rehabilitation training cannot continue, and the patient's psychological burden is very serious at this time. After giving him a 1-week ultrashort wave treatment, the pain quickly disappeared, the floating pupa test turned negative, and the patient could continue rehabilitation training. In the practice of rehabilitation medicine, not only patients with knee joint pain will be encountered, but patients with other degenerative diseases can also be seen economically, such as cervical spondylosis, periarthritis, and calcaneus spurs, which directly affect the patient's rehabilitation efficacy and are important the reason. If the rehabilitation medical staff can pay attention to the important role of some conventional physical factor therapy at the same time, they will become passive and take the initiative to further improve the rehabilitation effect of patients.

At the same time, some complications of patients during the rehabilitation process are also indications for physical factor treatment, such as pressure ulcers. Although rehabilitation training can avoid the emergence of pressure ulcers, we have found in practice that many patients are experiencing After pressure ulcers come to a rehabilitation doctor for treatment, especially those with severe neurological deficits and longer paralysis. If we know more about physical factor therapy, we can help patients to a great extent. For example, if the affected area is irradiated with ultraviolet rays in the early stage, the pressure ulcer will heal in a short time. Treatment can also improve the blood circulation and nutritional metabolism of local tissues, thereby preventing the occurrence of pressure ulcers. For example, many patients with hemiplegia have diabetes, and these patients are very prone to bacterial infections, especially fungal infections. Once this condition occurs It is generally difficult to control the progress of the disease, but if the patient is given ultra-erythema ultraviolet irradiation at this time, the disease will generally be controlled quickly within 2-3 days, and the patient will resume rehabilitation training as soon as possible.

In addition to the above-mentioned therapeutic effects of physical factor therapy on dysfunction and complications, its remarkable efficacy in trauma and rehabilitation of orthopedic diseases is often overlooked. In the foreign literature on physical factor therapy (physical therapy), there are many reports about the treatment of soft tissue damage with ultrasound, which is similar to the domestic situation. For example, Du Baozheng and others reported that ultrasound and intermediate frequency electrical synchronization treatment of hematoma mechanization, soft tissue damage, synovium Inflammation, bursitis, periarthritis, arthritis, neuritis, neuralgia and other common diseases have significant effects. The total effective rate of the combined treatment is 98.8%, the total effective rate is 83.4%, and the basic healing rate is 42.6. %.

It can be seen that the role of physical factors such as electricity, light, sound, and magnetism in rehabilitation medicine is undoubted, but unfortunately, in practice, there is often a tendency to pay attention to one aspect and ignore the other. There are many reasons for this. One important reason is that the training on traditional physical factor therapy has not been carried out enough, which has led many people who have not been in the past to know this.