Fibromyalgia is a group of symptoms and musculoskeletal disorders little understood, which is primarily characterized by extreme fatigue, persistent pain and stiffness of muscles and tendons, headaches and problems with thinking and memory. It is a non-contagious disorder present in approximately 3 to 6 percent of young women, usually between 20 and 50 years of age.

Has historically been considered a musculoskeletal and neuropsychiatric disorder, but evidence from research in the last three decades have revealed alterations in the central nervous system affecting brain regions that might be linked to clinical symptoms. Although there is still no universally accepted cure for fibromyalgia, there are treatments that have proven effective in reducing symptoms. Physiotherapy is one of them.

The treatment is carried out at times of exacerbation of the disease. The techniques used include massage therapy (superficial and slow), thermotherapy (solar and infrared lamps) and hydrotherapy (hot showers pressure on the painful area). The cold can also be very effective in some patients.

Currently fibromyalgia suffer between 400,000 and 1,200,000 of Spanish, and most poorly understood and even feel marginalized, so that understanding and empathy are the treatments that work best to improve the quality of life of people with this type of disease.

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Another reason why there are more injuries is overtraining (above the capacity of the subject) or not carrying out the necessary break-out sessions (after a hard day of weight training is advisable to rest for one or two days before making another like it).

To avoid injury, one of the best methods is to perform a good stretch . Although often not given the importance they really have, are very effective in preventing injuries. We always perform stretches as complete as possible, involving the maximum number of muscle groups.

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Call for the pathological origin of this symptom to develop a treatment plan and determine a prognosis. The neck includes the area between the base of the skull and chest cavity. The cervical spine supports the breast of the head, allowing movement and protects the spinal cord. The knowledge of anatomy allows us to recognize their role in different pathologies. There is little literature regarding neck pain compared to that found on pain in the bottom of the column. Neck pain is a lesser extent associated with problems of absenteeism on pain of the lower back.

The patient with acute neck pain should be performed a detailed clinical history to guide us towards the diagnosis. The difference between the pain of traumatic and nontraumatic causes. In patients who suffered a cervical spine injury should be immobilized immediately.

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Physical therapy is aimed at strengthening the muscles around the joint with use of assistive devices, it provides patients with their mobility promotes stability and reduces the load on joints.

It is also used for its beneficial effect of routine aerobic exercise and aquatic therapy to improve function and pain. The strengthening of the quadriceps in the elderly may delay the loss of muscle mass decrease pain, improve motion, strength of the knee joint trauma and decrease Many patients become more confident in ambulation after performing a prescribed physical therapy program.

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The reps, Mattress

The main purpose of the mattress is to help position the body during rest and sleep, so as to provide as much relaxation as possible.

The ideal position of rest for a joint is one in which smaller forces are acting on them and welcome the joint surfaces, ie it should decrease the weight of the segment, the force of gravity and muscle contraction. The ideal mattress from the viewpoint of orthopedics, it would
anyone who can give more rest to a greater number of joints.
body, in the largest possible way

When the mattress has a very high density, body weight is distributed mainly in the bones, causing pain and discomfort in these areas, with consequent muscle contraction.

If the mattress has low density, deform and does not provide sufficient stability for the body at rest, overloading the joint stabilizers, such as ligaments
and muscles

In order to avoid disruption of skeletal muscle of the spine, you need a proper adjustment of body position, and not just the mattress

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Back pain

Back pain can be caused by simple movements, but more often is that back disorders are the accumulation of months or years of poor posture, poor body activities carried out, stress, poor posture at work and lack of exercise .
In adulthood, almost all have experienced some form of back pain, is a potential problem for most people at some point in their lives

Since humans have adopted the upright position suffered from lumbago. Failure to walk on four limbs, therefore, of having to hold the entire weight of the body with the lower back region predisposes us, and if this natural fact join the growing stress of daily living, poor posture, lack of regular exercise and overeating.

We must pay more attention to preventive treatment of back injuries, instead of making so many treatments after lesions have appeared.
Back problems can be prevented, most of the time. The key lies in education must understand the problem, namely how to prevent and that we know what to do if they occur.

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Impairments, Disabilities and Handicaps

We understand deficiency as a disease state that is externalized by a clinical manifestation, which can locate and explore through a physical examination.

A disability is due to a deficiency, which produces a total or partial reduction of the capacity to carry out normal activity or within limits considered normal. Disability allows us to evaluate loss of activity.

The disability is the result of disability that limits or prevents the fulfillment of a role considered normal, taking on the characteristics and context of the individual. Similar difficulties may be more or less relevant depending on the socioeconomic context.

For example, Parkinson disease, such as pathology, causes a
Deficiency stiffness of muscle tone, the disability would be difficulty walking difficulty in self care, the disabled would be given by social disadvantage and disruption of daily activities to a greater or lesser degree depending on socio-cultural context.

One of the locomotor system symptoms and signs present themselves to establish the deficiency causing eating dressing disability and / or walk while his disability to be given by the loss of independence and mobility that may impair their social integration.

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Juvenile chronic arthritis

The rehabilitative treatment plays a key role in children with juvenile chronic arthritis. This treatment is adapted to the intensity of the disease and the level of child development. The treatment will be planned and evaluated by a team of different disciplines in an integrated manner, valuing the whole child.

The objectives to be Through a rehabilitation treatment will control the pain and swelling, disminiur bone loss and joint damage. Increase or maintain the boundaries of maintaining joint mobility and resistance force the size of the musculature around the joint and whole body in general. Will increase aerobic capacity, we will prevent postural problems. We aim to restore and maintain mobility and gait patient autonomy by facilitating normal growth and development.

In the rehabilitation treatment of patients with juvenile chronic arthritis can use different therapeutic measures such as postural therapy and exercise through play and sports activities. Exercise is an essential part of treatment and help us to maintain joint mobility.
The application of heat or heat therapy used in conjunction with exercise and postural therapy. It must strive to achieve independent walking without aid.
The therapy should be guided by medical specialists in rehabilitation

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Physiotherapy in older adults with osteoarthritis

The change of habits to lose weight and prevent injury during exercise, education, joint protection of the patient relaxation techniques, counseling and use of appropriate footwear are all forms of prevention and treatment of osteoarthritis of the elderly.

Physical therapy is aimed at strengthening the muscles around the joint with use of assistive devices, it provides patients with their mobility promotes stability and reduces the load on joints.

It is also used for its beneficial effect of routine aerobic exercise and aquatic therapy to improve function and pain. The strengthening of the quadriceps in the elderly may delay the loss of muscle mass decrease pain, improve motion, strength of the knee joint and reduce the trauma Many patients become more confident in ambulation after performing a prescribed physical therapy program.

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Hydrotherapy

Hydrotherapy is the use of water as a therapeutic agent, in its different states and at different temperatures. It is a valuable tool in the treatment of pathological conditions such as trauma, rheumatism, digestive disorders, respiratory or neurological.

Hydrotherapy can be applied through:

Bathrooms: may be total or partial and different temperatures depending on the type of application you want to.

· Bathrooms simple: is made in tank or bath to relax the patient. Can be cold or hot.

· Bathrooms partial: those who apply on a particular body part.

· Bathrooms Steam: steam is projected on the area to be treated, and then cover with a towel.

· Bathrooms contrast, alternating the application of water at different temperatures.

Swirl · Bathrooms: its effectiveness lies in pressure exerted by water in the affected area.

· Bathrooms masters: it combines water and electricity.

Whirlpool spa, is a sulfur bath activating blood circulation.

Showers: the effect of the shower is caused by water pressure. Applications vary depending on the pressure and the type of issue.

Jets: apply high pressure water through a single hole, allowing to concentrate the therapeutic effect on a particular point. The jets are applied at different temperatures and pressures.

Additives: it complements the action of water adding substances to it.

Washed: the use of wet wipes on the skin.

Compress: wrap it comes to which herbs are added.

Ablutions, water is poured directly on the body.

Some forms of hydrotherapy application of most popular and well known are:

The hydro-spa: This treatment is done in a special tub that has more than 100 jets and mini-jets of thermal water and air are applied simultaneously in different parts of the body. Allow the person to fully relax, reduce rheumatic pain, stimulates blood and lymphatic system and alleviates muscle fatigue.

Sulfur baths, are performed in a jacuzzi with thermal water of sulfur, with temperatures ranging between 34 and 40 degrees Celsius. Stimulate blood circulation, relieve muscle and bone pains, reduce stress, is relaxing and prevent skin conditions.

Steam: clearing the airway, relieve sinusitis, clean impurities from the skin and eliminate uric acid and body toxins.

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