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Post Breast Cancer Surgery Complications Can be Affected by Phisiotherapy

Friday, February 19th, 2010

Superior physical therapy, including massage and shoulder exercises could help prevent and reduce one of the most common complications of surgery for breast cancer, according to a study published on bmj.com today hui.

Secondary lymphedema is an important chronic complication after surgery for breast cancer or radiotherapy. It is caused by damage to the lymphatic system during treatment, leading to fluid retention and swelling of the arm. Subsequent to 71% of women in the 12 months after surgery and can also cause disfigurement, anxiety, depression and emotional distress.

Currently, women with breast cancer have a 77% probability of surviving at least 10 years, effectively preventing and treating complications that can impair the functioning and affect quality of life after treatment are important .

Thus, a research team set out to Madrid to study the effectiveness of early physical therapy to reduce the risk of secondary lymphedema after surgery for breast cancer.

They identified 120 women who had undergone breast cancer surgery involves removal of lymph nodes between May 2005 and June 2007.

Sixty patients were assigned to the strategy of education and early physiotherapy (intervention group) and 60 to the strategy of education only (control group). Both programs have lasted three weeks and patients were followed for four weeks after surgery, and again at three, six and 12 months after surgery.

Physical therapy including manual lymphatic drainage, massage scar tissue and shoulder exercises by a physiotherapist. The strategy includes educational materials about the lymphatic system and advice on how to avoid injury and prevent infection.

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The Ingredients Of The Diet Pills

Friday, February 19th, 2010

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Physiotherapy For Postoperative Section Of The Flexor Tendons Of The Hand (Method Duran)

Thursday, April 2nd, 2009

Introduction

Traumatic injuries of the flexor tendons of the hand are very common and can leave serious consequences ranging from a simple reduction of force, until a major limitation of flexion, limiting the overall role of the hand.

In this article we will focus on the case of a patient who attended the Emergency Unit of the European Hospital Georges Pompidou (Paris). In this hospital there is a service that specializes in hand surgery, the rehabilitation is conducted according to specific protocols.

The patient of 44 years goes by a domestic accident (breakage of a plate). Presents a deep cut on the palm side of the Zone II of the left index finger. In his case presents no complete vascular injury but a common functional impotence of the Deep Flexor (FCP) and Common Flexor Surface (FCS) and a radial edge of the anesthesia of the finger.
Realizándosele surgery is a suture in the tendon, an anastomosis of the radial collateral artery and a suture of the radial collateral nerve.

The post is smooth and the patient started physical therapy the day after your operation.

Basic Concepts

Then, for a proper understanding, we proceed to explain some basic concepts

2.1) topographical areas

In 1961, the Truth and Michot propose a classification that includes seven anatomical areas to divide the hand. The International Federation of Hand Surgery amends in 1980. Currently comprises 5 zones and 3 fingers for the thumb.

In this case only develop different parts of the fingers except the thumb, as the case of our patient.

Zone 1: Insertion of the distal flexor surface and covers the insertion of the deep flexor of the base of the third phalanx.

Zone 2: Called “No Man’s Land”: It goes from the distal palmar crease to the middle of the second phalanx.
This area is interesting from the anatomical point of view because at this level the deep flexor appears “punch” to the superficial flexor.

Zone 3: Occupies since leaving the carpal tunnel until the digital channel. This area is conducive to good recovery.

Zone 4: Carpal Canal Zone. Corresponds to the carpal tunnel area covered by the annular ligament anterior carpal pulley makes avoiding the phenomenon of string arc during flexion of the wrist. The median nerve is the most vulnerable surface of the channel.

Zone 5: Since the union of the musculo-tendinous flexor to enter the carpal tunnel. In this area, the tendons are surrounded by a paratendón which allows movement of large amplitude. It is a very favorable area for recovery if there is a nerve-associated vascular injury. (more…)

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Influence Of Physiotherapy In The Treatment Of Evolution And Resolution Of The Pathology Whiplash

Thursday, April 2nd, 2009

Objectives: The primary objective of this observational study is to evaluate the improvement of patients with whiplash treated with specific physical techniques and the time they need to improve the physical state in which they live.

Material and Methods: A sample of 12 patients between men and women aged between 21 and 61 years subdivided into two groups according to sex to which they belong. Data were collected from each patient at the beginning and end of study time. Data processing was performed using the Statistical Program CaEst 1.2, and found the statistics: mean, standard deviation, variance, test of goodness of chi-square test signs of S and the linear regression.

Results: At the end of the study which lasted six weeks, the results were that 12 patients of the sample containing the twelve raised their health in some or all aspects, both physical and psychological. The improvement in the group of men is 100% as the 5 men included in the sample had improved. The improvement of women is also a 100% because the sample of 7 women returned improvement.

Conclusion: The use of physical therapy (thermotherapy, therapeutic exercise and manual-cinesiterapia) in patients with whiplash had a clear positive influence on this condition, improving the symptoms with which we are presented with the study patients.

Keywords: whiplash physiotherapy, thermotherapy, manual therapy. (No abstract in English) (more…)

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What is Physiotherapy?

Thursday, April 2nd, 2009

Physiotherapy is based on physical processes scientists use in the treatment of patients with a disability, illness, or injury to achieve and maintain functional rehabilitation and to prevent a malfunction or deformity. The treatments are designed to minimize residual physical disability, to hasten convalescence, and to contribute to the comfort and welfare of the patient.

Physical therapy is prescribed in patients with orthopedic, neurologic, vascular and respiratory, which may be congenital, acquired disability by disease or trauma, or hereditary dysfunctions. Physiotherapists work in hospitals, rehabilitation centers, clinics, and centers for disabled children and in local, state and private. In addition to direct care to patients, physiotherapists are involved in other areas such as consultation, supervision, teaching, administration and research.

Types of PhysiotherapyTreatment
Among the diagnostic tests used by physiotherapists include manual muscle, electric, and the sensory perception, and measurement of the arc of movement of joints. Evidence of functional activity are important in determining patients’ ability to perform activities that require self-care. When treating a patient, the physiotherapist must use one or more of the following procedures: heat treatments consisting of the use of water at different temperatures, liquid paraffin, infrared lamps and ultraviolet rays, ultrasounds that produce heat in the interior organism, and diathermy (application of electric current to generate heat in the tissues).

One of the most important tasks of the physiotherapist is conducting various therapeutic exercises whose purpose is to increase strength and endurance, improve coordination and mobility necessary for everyday life, and increase and maintain mobility of the arc. Ambulation is accomplished with the aid of canes, crutches, walkers, orthoses, and artificial limbs. Physical therapists also use massage, bandaging, dressing function, and placement and removal of splints and plaster. Also, teach patients and their families the techniques of the exercises and the use of prosthesis such as artificial limbs and orthoses.

History of Physiotherapy
Most agents used in modern physiotherapy and were used in antiquity. The early writings of Greece and Rome refer to the beneficial effects of the sun and water, and exercise as both a massage were used by ancient Chinese, Persians, Egyptians and Greeks.

In our time the field of physiotherapy comes into England in the late nineteenth century. Shortly after the U.S. orthopedic surgeons began to train young women graduates in physical education to care for patients and medical consultations in hospitals. In 1916, when a severe polio epidemic struck New York and New England, women treated thousands of patients.

After World War II, physiotherapy is widely used in patient care. Among the reasons for the large increase in the demand for physiotherapy services were the excellent results obtained in the treatment of war wounded during World War II and the Korean and Vietnam wars, industrial accidents, the increase in chronic disabilities consequence of the increasing number of elderly in the population and the rapid development of hospital programs and medical care.

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