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Physical therapy

Plentitude of individual's life reflects biosocial functions, the entirety of which describes person's functional activity in everyday life, professional activities and keeping a relationship with society. During the reabilitation plentitude of individual's life and biosocial functions are related to the state of health because person's active participation in life depends exactly on it.

It is known to a lot of people that physical therapy is a treatment that includes physical and corporal factors seeking to restore, correct and adapt functions of motion that were infringed by an illness or trauma. Only few understand and value the importance of physical therapy. Before the beginning of physical therapy treatment course comprehensive examination and evaluation is performed. We take into account patient's health history, evaluate functions (active and pasive movements, movements between articular surfaces, movements of resistance, passive soft tissues' movements), perform the necessary tests.

According to WHO, number of patients with chronic non-infectious diseases, į.e. obesity, gout, diabetes, is growing, therefore it is very important not only to improve nutrition, but also lead an active lifestyle.

Obesity

Obesity - a syndrome caused by overeating or neuroendocrine system dysfunction. The main symptoms of obesity: rapid fatigue, excessive body weight, BMI> 30, shortness of breath during exercise. Usually obesity is influenced by the genetic causes, physiological factors (CNS hypothalamus, pituitary disorders), lifestyle (overeating, physical inactivity) and psychological or ideopathic reasons.

Main physical therapy aims and tasks: an increase of metabolism by doing yoga exercises, improvement of blood flow and breathing, regulation of digestive tract work by doing certain breathing and dynamic exercises, abdominal exercises, also an increase of physical load adaptation and an overall efficiency.

Benefit of physical therapy, duration and format of exercises:
• Physical therapy takes 45-60min.
• Physical therapy exercises are designed individualy for every patient.
• Exercises for big muscle groups are applied. High-amplitude movements are done.
• General training exercises are changed to deep breathing exercises.
• Exercises are done by using balls, sticks and weights.
• Abdominal exercises.
• Physical load is being increased in doses.

By dosing physical load properly and doing exercises regulary metabolism is controled, also neural and homoral effects are activated, tissues' nutrition, heart and blood vessels' system work improves, endurance exercises helps for organism to use more carbohydrates and fats and thankfully to positive emotional effect work of endocrine glands improves.

For obesity treatment only a long-term physical therapy is applied. Quick weight loss is not successful because of psychological and physiological reasons as the weight returns to the primary position.

Diabetes

Having diabetes insulin deficiency comes out in all cases. Usually elder people have diabetes, they often are obese, eat a lot even at night, have numbness in the feet, suffer from sweat in facial, neck and decolte areas and etc.

Main aims and tasks of physical therapy are the normalization of the central nervous system, improvement of the blood flow and breathing systems, improvement of gastrointestinal functioning, and adaptation of physical load, retardment of complications' development and organism strengthening.

Benefit of physical therapy, exercise duration and nature:
• Physiotherapy in a case of mild diabetes: exercises are applied to all muscle groups, movements of full motion amplitude are also applied, pace of exercises is slow or medium. Physiotherapic progression – more complicated exercises of coordination, exercises using various tools. Duration – 30-40min.
• Physiotherapy in a case of medium diabetes: medium intensity physical exercises, breathing and relaxation exercises. Duration – 15-20min. Exercises are applied to all muscle groups. Movements of full motion amplitude.  Pace is slow or medium.
• Physiotherapy in a case of severe diabetes: exercises are given depending on a patient's health condition, adaptation for a physical load and prevention of complications is done. In a primary stage exercises are applied for a small and medium muscle groups, exercises for major muscle groups begin only gradually and by dosing accurately. Organism's reaction to this physical load is watched all the time.

Physiotherapy is applied depending to such complications as atherosclerosis, hypertension, arthritis, eye and foot injuries.

Podagra

Having podagra uric acid accumulates in blood, as well as uric asic salts in tissues, joints, kidneys. Men over their 35 and women over their 55 have this disease more often than younger ones. There may be a case of primary podagra (heridity and poor nutrition) and a case of secondary podagra (complication of other diseases: medication promoting urine, diuretics, antibiotics). The main risk factors are high body mass, high blood pressure, alcohol consumption.

Main tasks and aims of physiotherapy: joint functions support, an increase of joint mobility, an improvement of metabolism and blood flow of demaged joints, prevention of contractures and an increase of overall working capacity.

Benefit of physiotherapy, duration and nature of activities:
• Physiotherapy is not applied during the acute period,
• During the subacute period both passive and activemovements, dinamic breathing relaxation exercises,
• In the beginning of the course: while lying, sitting, later – while standing exercises are done in an increasing amplitude and pace,
• Physiotherapy takes about 20-30min.,
• When condition improves other exercises using sticks and weights are made.

Only properly controling chronic diseases complications might be delayed or avoided, progression stopped and the level of disability decreased.
There is an individual physiotherapy offered in our clinic because it is considered to be more effective. Sistematicity and consistency is very important in physiotherapy.

We evaluate the feedback when physiotherapy exercises program is prescribed.

We pay attention to every patient's needs, physical capacity, stamina, motivate and encourage to seek for better results because our health is the most precious asset we have.

Physiotherapist, Rasa Vasilevičiūtė