Miofeedback technique is a powerful tool in physiotherapy. In everyday life we are constantly guided by feedback or information that modulates our business. The importance of this tool is that it allows us to break the Barrea considered autonomic biological functions with the control of voluntary activity.

Definitions
* Feedback
* Biofeedback – concerning the biological activity – BFB -
* Miofeedback – detects muscle electroactivity

Miofeedback Process
Three electrodes are applied (one makes of indifferent and the other two asset (the remaining two waves captures a positive charge and the other negative charge waves with reference wing neutral or indifferent).

The equipment is extremely sensitive, that detects microvolt levels on the skin from the depolarization of muscle fibers. The miofeedback not represent the muscle activity as an electromyograph, but integrates the signal in half of all muscle activity.

Biofeedback Systems
- For sensory perception (sight, touch, proprioception, balance, etc.).
By mechanical pressure (sphincter pressure).
- Moisture (sweat, urine).
By brain activity.
By temperature.
- Blood pressure.
- For myoelectric activity (miofeedback).
- Strain (elongation and bending).
- For heart rate.
- For respiratory rate.

What is Physiotherapy?
Physiotherapy is a discipline of Health that offers an alternative non-pharmacological treatment, in many cases, helps to alleviate the symptoms of many ailments, both acute and chronic.

Physiotherapy is often associated with physical therapists or massage, but its array of therapeutic techniques is much wider.

Who is the therapist?
The Physiotherapist is a health professional university. Their powers are set out in the Law on Management of Health Professions. The qualification is ostentatious of Diploma in Physiotherapy (3 years). Under the new rules, fitness to the European, will be the bachelor’s degree in Physiotherapy (four years).

As a professional in their training college is guaranteed by an official title, with the assurance of content and hours of mandatory practice that entails (some 2300 hours of training at present is about 4000 become the new bachelor’s degree in Physical Therapy) .

Following his studies, his training is enriched with continuous training in innovative techniques and methods provided under the guarantee that gives you belong to the scientific community.

The therapist can offer multiple solutions to health problems, while ensuring security, reliability and efficiency.

And what is often forgotten: Physiotherapy is not just a means to restore or heal. It is also particularly true for once-recognized risk or vulnerability to be proactive. Extend back to disorder of body function that must be made irreversible, the physiotherapy management processes set in motion.

Consequently, the three areas of physical therapy are in the

• Prevention: (prevention) prevention of the emergence of diseases (so-called primary or Erstprävention) or the prevention of recurrence of a similar disease (so-called second or secondary prevention).
• Therapy (treatment) early and long-term treatment of acute and chronic illnesses, support to other treatment measures for acute illnesses. Improve the quality of life in older age.
• Rehabilitation: Measures to restore capabilities that enable it to participate in spite of physical impairments in daily life. Reduce or offset of loss of function, quality of life etc.

Why is physical therapy important?
Physiotherapy is important in terms of orthopedic for two main reasons
· First, the type of orthopedic patients have a deficiency that requires treatment. For example, patients with carpal Tunel syndrome (tunnel syndrome at the wrist bone) has a particular weakness in the muscles of his arms and takes target practice to restore fugsinya. Or at the knee joint as an example has chondromalacia imbalance in the muscles around the knee joint. A physiotherapist can teach patients with specific exercises for these muscles in order to improve function and reduce the problem.
· Second, physiotherapy knowledgeable about operating procedures, purpose of the exercise, muscle and bone anatomy, and can adjust the conditions to improve motion and function of the patient. After learning the operating procedures such as hip replacement, it is very important to know the treatment given to patients according to operating procedures. Several limitations affect the operation of motion and joint motion area, for that someone who knows more about the issues surrounding the operation procedures required to restore motion and function of the patient so that the goal is reached separate dapt

Many orthopedic problems can be handled without interfering hands of a physiotherapist. Often a simple exercise or penguluran can help patients to improve his condition. However, too many complications of orthopedic conditions that require special training with physiotherapy to treat patients.

Is the most important thing to do physiotherapy
Physiotherapy has a lot of rehabilitation equipment, some special skills that are owned by a physiotherapist:
Streetching If patients have joint stiffness, normal activities such as opening a bottle or up the stairs sometimes disrupted. With proper , limitations of this function can be overcome. If there is injury or surgery, scar tissue and soft tissue contraction is the result and penguluran important to do.
o Strengthening / strengthening
strengthening exercises done to help patients improve the functioning of the muscle. The ultimate goal is to increase strength, endurance and keep improving joint range of motion. The most common type of strengthening exercises are:
o Closed Chain
Dilakuka closed chain exercises with your feet locked to the ground. For example is the leg Squat. The purpose of this exercise for balance and muscle strength. By doing this legsquat weak muscles of quadriceps and hamstring his opponent, the two contracts so that both strength and muscle balance is achieved. Open chain exercises like leg extensions and balance the muscle strength is not reached.
o proprioceptive
Propiosepsi is a sense to know where the parts of the body. This may be difficult when you konsepe decree anything holding it until you lose the thing, because so much propiosepsi work without your knowing it. When you lose propiosepsi, as for example the joint after ankle sprain / ligament injury, patients often complain of instability sensation in the joint. Exercise your body directs propiosepsi to control the position of the injured joint.
• Ice and Heat Therapy
Cold and hot intended to warm and cool the muscles, as the record of this modality can increase blood flow and can reduce swelling. This is probably the most important aspect in the therapeutic process
• Ultrasound
Ultrasound uses high frequency sound waves (not within the range we can hear) to stimulate the deep tissues within the body. By passing an ultrasound probe over the body, deep tissues are stimulated by the vibration of the sound wave. This leads to warming and increased blood flow to these tissues.
• Electrical Stimulation
Electrical stimulation therapy is using electricity. By installing the electric current in the relevant area / experiencing pain, the nerves that deliver pain changed. Patients often feel the pain is reduced after treatment.
• Aquatic Therapy
Aquatic therapy or treatment with water is the best way to restore back movement and maintain the strength and the exercise is performed dikolam pool. This exercise became very famous later this year because many patients are difficult to be able to exercise when done in water. The power to help the body to float and the water also gives prisoners gentle / slowly increasing strength and stamina.
• Biofeedback
Biofeedback is to use various tools to enhance one or a weak muscle group.

Patients who had a stroke often experience long-term difficulties in walking and everyday activities, like getting up from a chair and climbing stairs. Patients often fall, and this is one of a stroke are potentially serious problems. Patients with worsening mobility or have fallen often referred to physiotherapy by family doctors and other institutions, such as social institutions. However, the benefits of community physiotherapy for patients with long-term mobility problems pascastroke unclear. After research conducted by Green et al., Found that regular community physiotherapy for patients with mobility difficulties a year after the onset of stroke is less effective.

The researchers filter the 359 patients aged over 50 years. Assessment was made at 3, 6, and 9 months in 170 patients who qualify for the given intervention or no intervention. The primary criterion is measured based on the mobility Rivermead mobility index. Secondary measures of road speed, the frequency of falls, daily activity (Barthel index score), social activity (Frenchay activities index), the scale of the hospital anxiety and depression, and emotional stress nurses (28 general health questionnaire).

From the research found that there were changes in the Rivermead mobility index score significantly between the intervention group with controls at 3 months (p = 0.018), but only with the value of 1 point (95%, interval konfidens 0.1), with interpolation values 0 , 55 (0,08-1,04). Road speed of 2.6 m / min (0,30-4,95) higher in the intervention group at 3 months. Both these improvements have not settled on the observation that 6 and 9 months. Intervention has no impact on daily activities, social activities, depression, and frequency of patient falls, or the emotional stress nurses.

Maybe you have often heard the word  Physiotherapy , but it’s not a lot, too  who knows what the hell that can be done on patients in the physiotherapy. Some say that if you’ve been to physiotherapy once wrote, we can addiction to be treated again .. and again, well … like a drug . When most people come to doctors because they feel sick, funny … there are patients who come to physiotherapy were not for that, because in addition to reducing the patient’s pain complaints, no physical therapy equipment that also can be used for relaxation such as to eliminate feeling stiff and tense the muscles of our body.

In addition, for the little brothers who should not take too many drugs when coughing or runny nose, physiotherapy can also help cure coughs and colds more quickly and effectively as drugs given directly inserted into the respiratory tract, so that more  smaller than drugs that must be taken.

Physiotherapy can also be applied to women who have a complaint in the lower abdomen area due to inflammation of the womb or for married women who do not have children, where the therapist works to open the cervix so that drugs can be given to doctors uterus properly.

If you have a complaint-you around the ears, like a buzzing sound, hearing becomes less good, until there is pain in the ear, in addition to taking drugs from doctors, therapists also can help reduce these complaints.

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.