Kinetotherapy

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Kinetotherapy is a part of rehabilitology used in comprehensive therapy during rehabilitation of patients and disabled persons. It is a set of passive or active movements to maintain or recover the normal function of muscles. Kinetotherapy technique is very simple; it is based on real clinical achievements as well as results of scientific research into the muscular system of a human being, its physiology and biochemistry of muscular fibre contractions and impact on the locomotor apparatus of a human being. The most important practical basis of its application is considered to be the ability of a human being to control his/her muscular system volitionally; it is the only large system of an organism that can be controlled volitionally. In combination these two properties make it possible to intentionally influence the organism of a human being in a rather wide range.
Treatment with correct movements involves adapted, gradually increasing force impact selected strictly individually for each patient taking into account his/her medical history, age-specific, physiological and other peculiarities and diseases accompanying the main disease. Gradual correct (simple and difficult) movement education leads to neuroreflectory recovery of the trophism and metabolism in the musculoskeletal system of a human being. Most frequently, treatment is performed using special remedial rehabilitation training instruments, for example, sling suspension systems.
One of the basic requirements when undergoing remedial or rehabilitation kinetotherapy with suspension or other types of training instruments is correct breathing, without it any movement made within the program loses its therapeutic effect.

mitri.az Remedial physical training is an independent medical discipline that uses physical training tools to treat diseases and injuries, prevent their recurrence and complications, restore working capacity. Remedial physical training implies a set of methods of treatment, prevention and medical rehabilitation that are based on the use of physical exercises specially selected and systematically developed. When prescribing them a physician takes into account the peculiarities of the disease, character, degree and stage of the disease process in systems and organs. The therapeutic effect of physical exercises for patients and impaired persons is based on strictly dosed loads with a distinct performance style. Increasing the efficiency of comprehensive treatment of patients remedial physical training promotes faster recovery and prevents further disease progression. Remedial physical training is a powerful remedial and preventive tool. There is general training for strengthening and improving the health of an organism as a whole, and special training aimed at removing impaired functions of some systems and organs. Remedial physical training is one of the most important elements of comprehensive treatment which implies an individually selected set of remedial methods and tools: conservative, surgical, medication, physiotherapeutic, remedial nutrition, etc. You should not start remedial physical training on your own as this can worsen the state; the training technique prescribed by the physician should be strictly followed. Comprehensive treatment affects not only pathologically modified tissues, organs or system of organs but also the whole organism. The specific weight of different elements of comprehensive treatment depends on the recovery stage and the need to restore the working capacity of a human being. Gymnastic exercises in remedial physical training are classified according to:
  • the anatomical principle – for certain muscle groups (muscles of arms, legs, respiratory, etc.);
  • their independence - active (done completely by the patient) and passive (done by the patient with impaired motor function with a healthy extremity or with the help of the instructor).
To achieve the tasks some groups of exercises are selected that help an organism adapt to gradually increasing loads and correct (align) disorders caused by the disease. Remedial physical training is prescribed by your physician, while remedial physical training specialist determines the training technique. Procedures are performed by a physiotherapist or instructor under supervision of a rehabilitation physician.
mitri.az The fitness centre of the institute is equipped with medical rehabilitation training machines. They are used for treating damaged extremities, developing problem joints, as well as for diagnosing the state of a patient. Training machines are used to achieve fast and painless rehabilitation of people with different diseases and injuries. Not only adults but also children can do exercises in the fitness centre. Small patients are in need of movements, training machines help significantly satisfy this need. Very often rehabilitation is considered as a set of exercises or special procedures the purpose of which is to recover the lost functions of an organism to their initial level in case of traumas and surgeries, and their normal level if the capabilities of an organism are restricted due to other reasons. Training for this group of patients are performed according to special rehabilitation programs: to restore the functionality of the body combinations of remedial physical training, manual techniques and standard force and tolerance exercises are used. Each rehabilitation program is developed individually. It takes into account recommendations of physicians, is supplemented with exercises for correct breathing. During training sessions the correct amplitude of movements is strictly observed and special equipment is used. The results of the training can be observed after the first session already and continue to exist for about a week. During this time the tissue metabolism is improved, freedom of movements is increased, pain is reduced. During this time the tissues of the body are rearranged, their motion stereotype, muscle morphology completely change, innervations and the state of joints improves. The body restores its initial functional capabilities. The institute has comprehensive rehabilitation programs for people that suffer from spinal osteochondrosis, radiculitis, postural disorders, scoliosis, arthrosis, are in the state after an injury, surgery or transplantation of a joint. The team of our specialists will help you cope with your diseases, develop an effective program for maintaining the achieved results and preventing possible recurrence in case of back and joint diseases. A neuropathologist, manual therapist, remedial physical training physician, physiotherapists qualified in rehabilitation, massage specialists will work with you.
mitri.az The anti-gravity treadmill for rehabilitation uses an air bag technology to regulate the residual weight of a body that assures precise, safe and comfortable unweighting therapy observing an accurate gait and running pattern and biomechanics. The treadmill has an additional advantage compared to conventional training; it reduces compression load that influences the joints and spine; this advantage allows using the treadmill at early stages of rehabilitation. This technology makes it possible to increase the efficiency of the cardiovascular system as compared to traditional training. AlterG® Anti-Grabity Treadmill® speeds up the rehabilitation process and allows patients to rehabilitate with less pain and less risk of injury. The anti-gravity treadmill is used for:
  • Restoration of mobility, development of the force and physical form, increase of the motor range.
  • Physiotherapy after an injury or surgery on a lower extremity (hip, knee, ankle joints or a foot)
  • Rehabilitation after complete joint replacement
  • Normalization of the gait in neurological patients
  • Weight reduction programs
  • Prevention of postsurgical traumatism.
mitri.az Traction therapy is a type of rehabilitation treatment of injuries and diseases of the locomotive apparatus and their consequences (degenerative dystrophic processes in the spine, deformations and contractures of joints, etc). The therapy includes passive and active traction of the spine by means of special tools (belts, blocks, rings). This method influences the spine, muscles, ligamentous apparatus, tendons and joint capsules, removes functional restrictions, relaxes deep spinal muscles. Short-term or long-term traction helps overcome muscle retraction, remove contractures or deformations thanks to gradual stretching effect on the relevant area of the body. Moreover, blood circulation and trophism of injured tissues improve, the motion stereotype of the spine normalizes. Traction can be preceded by an osteopathic massage, taking of myorelaxing medication.
mitri.az Robotic-assisted device for locomotor therapy with extended feedback REHA Technology (GE-O) makes it possible to improve everyday motion in patients with neurological pathologies and motion impairments using the conception of neuroplasticity. The device combines functional locomotor therapy with motivation and evaluation of the state of the patient by means of extended feedback virtual reality tools, which sets new standards in robot-assisted rehabilitation. The GE-O system is a robot-assisted orthesis that performs physiological movements of the lower extremities in patients with gait function disorders. In case of motion function impairment (due to cerebrocranial injuries, spinal cord injuries, neurological, muscular or osseous pathologies). GE-O therapy improves mobility of patients. Innovative therapy on GE-O systems proved to be efficient in returning gait functions in patients with injuries and pathologies of the nervous system assuring the restoration of motion functions thanks to recent achievements in neurorehabilitation. The basic advantages of GE-O therapy are as follows
  • The G-EO system provides a physiological gait pattern which is very important at early rehabilitation stages;
  • The G-EO system allows to perform highly intensive therapy leading to fast rehabilitation;
  • Extended feedback tools of the G-EO system that display the activity of the gait, stairs climbing up and down, in real time, strongly motivate the patient;
  • Performing floor walking, stairs climbing up and down the patient receives useful information from receptors of the lower extremities which makes it possible to regain motion skills.
Intensive functional motion therapy
  • Patients in wheel-chairs can be easily verticalized and fixed with special clamps;
  • Computer-controlled robot-assisted engines are accurately synchronized with the treadmill velocity, and give a pathway to the patient’s legs similar to the physiological gait pattern;
  • User-friendly computer interface makes it possible for a rehabilitation specialist to easily operate and regulate training parameters according to the needs of each patient.
mitri.az Passive kinetotherapy consists of forms and tools in which the patient participates passively, does not perform volition movements. Movement is performed either by other person manually or by means of special device and accessories that simulate normal physiological movements (passive physiological exercises), or movements of certain tissues or parts of the body are performed by means of special procedural systems (massage, manual manipulations, mechanotherapeutic procedures, underwater massage, etc.). Passive kinetotherapy is used in case of restricted movements in joints, painful contraction of muscles and other important factors. Movements are performed under the influence of an external force by means of special devices or with the help of an instructor and simulate normal physiological exercises. The individual approach of our specialists, specially developed system of exercises and selection of load for each patient gives a good remedial effect from this rehabilitation program. Passive recovery of joints is based on the principle of Continuous Passive Motion (CPM). Fluent continuous movements performed by the training machine which is electricomechanically driven ideally correspond to physiological movements in joints and stimulate the processes of proliferation and recovery in the impaired tissue. Clinical results of the CPM therapy:
  • Increased mobility in joints;
  • Fast recovery of movements after a surgery;
  • Early activation of patients after a surgery;
  • Prevention of rigidity and contractures of joints;
  • Prevention of muscle atrophy;
  • Reduction f the period of postsurgical staying at hospital;
  • Recovery of tendons and ligamentous functions;
  • Improvement of the strength of tendons;
  • Improvement of the metabolism of joints;
  • Recovery of the cartilaginous tissue;
  • Prevention of complications after injuries and other orthopedic diseases (for example, commissures and posttraumatic arthroses);
  • Prevention of trophic changes in the extremities;
  • Reduction of the pain syndrome and swelling.
mitri.az An UGUL cabin (Spider cage) is designed for exercises performed with partial load, with resistance, to remove or reduce contractures in joints and muscles, rearrange the pathological tone of flexors in case of a number of diseases, including infantile cerebral palsy. The UGUL cabin is the main instrument of kinetotherapy; it is used for individual exercises: active — with suspension, active — with maintenance, active — with controlled resistance, as well as for intermediate traction. The UGUL cabin provides remedial opportunities and promotes:
  • Reduction of the muscle tone
  • Increase of movements in joints
  • Improvement of blood circulation
  • Recovery of motion coordination
  • Increase of the muscle force and lung capacity
  • Elimination or reduction of contractures in joints and muscles.
The special training machine that resembles a cage and uses special strands makes it possible to train certain groups of muscles, develop the sense of equilibrium, improve the control of the body position and develop movement stereotypes. Using a special construction (“a cage”) and a system of rubber strands and weights, a team of 2-3 specialists can fix certain positions of the body in space, give the required load for the relevant areas of the body (for example, for one of the extremities) or, on the contrary, remove the load from certain groups of muscles, position vertically or horizontally, if required. When the body is positioned correctly and the posture is correct different motion exercises are performed until the patient is able to repeat them himself/herself. During such a session the patient can be actively involved into the process or do passive exercises according to his/her state. In any case motion stereotypes or special motion skills are formed and maintained in the nervous system, the work of incorrectly functioning or totally inactive muscles is stimulated. In the state of gravity compensation and with the help of specialists the patient is verticalized, develops motion stereotypes, obtains motion skills without a fear of falling. Spider therapy is mainly aimed at junior patients and uses only elastic strands. Besides strands, UGUL therapy uses weights and is also aimed at heavy and adult patients.
mitri.az TheraSuit therapy is a suit system with elastic bands that provides a patient with an opportunity to straighten and move in a more natural way.
Repeated optimal straightening of the posture and normal functioning of the muscles makes it possible for the patient to learn or re-train correct types of movements (sensory integration). Elastic bands (fixed according to the impairments of the patient) create tension and this stimulates the relevant groups of muscles suitable for posture stabilization.
TheraSuit therapy is especially suitable for patients with passive muscle stiffness: it acts as a flexible orthesis straightening the joint without blocking.
How does TheraSuit therapy work?
  • Trains the central nervous system under new conditions;
  • Recovers ontogenetic development;
  • Provides external stabilization of the body;
  • Provides external stabilization of the body;
  • Normalizes the muscle tone;
  • Straightens the body, as much as possible and as closer to the normal vertical axis as possible;
  • Provides motion correction;
  • Normalizes (corrects) the walking pattern;
  • Provides tactual stimulation of sensations;
  • Influences the vestibular system;
  • Improves the balance and equilibrium;
  • Improves movement coordination;
  • Reduces uncontrolled movements in case of ataxia and athetosis;
  • Improves body feeling and spatial understanding;
  • Supports weak muscles;
  • Assures stability of strong muscles for further strengthening;
  • Improves language output and fluency thanks to control of the head and maintenance of the body;
  • Increases the density of the osseous tissue;
  • Helps reduce contractures;
  • Helps improve the straightening of the thigh by means of vertical load through the hip joint.
In what cases is TheraSuit therapy used?
  • Infantile cerebral palsy;
  • Arrested development;
  • Traumatic brain injury;
  • State after cerebral vascular accident;
  • Ataxia;
  • Athetosis;
  • Spasticity (muscle hypertension).
In what cases is TheraSuit therapy not used?
  • hypotony (low muscle tone)
  • hip sublixation more than 50%
  • accentuated scoliosis.
In what cases should care be exercised when using TheraSuit therapy?
  • Cardiac diseases;
  • Uncontrolled capture;
  • Hip sublixation;
  • Hydrocephaly (VP graft);
  • Diabetes;
  • Problems with kidneys;
  • High blood pressure.
mitri.az Taping is one of the methods of functional treatment and prevention of injuries and diseases of the locomotive apparatus and consists in application of adhesive tapes that fix the injured joint keeping the damaged area in the state of rest. Unlike plaster or other bandages, taping makes it possible to treat injuries and diseases of the locomotive apparatus by means of movements. A rehabilitation physician performs active and passive evaluation of the range of movements, selects a technique and methods according to the problems of the patient. A special breathing and water permeable tape is used, its thickness and elasticity is similar to the skin. Taping is also used for preventive measures. It is prescribed in case of joint immobilization as it does not cause damage to the integrity of joints and mobility in them, does not restrict movements. Taping can help improve microcirculation at different levels, normalize the muscle tone, reduce the acute and chronic pain syndrome, impact numerous receptors at the same time stimulating the processes of tissue curing and regeneration. Combination of neurotaping with kinetotherapy (Bobath therapy and PNF therapy), remedial physical training (except for massage) gives special effect as the patient comes to the session with tapes applied on his/her skin (strictly according to an individual scheme) with an already adjusted position of ligaments, with muscles relaxed and stimulated by the tapes. Neurotaping is used:
  • In case of injuries and diseases of the locomotive apparatus;
  • In case of motion disorders of different origin (ICP, pareses of extremities);
  • For hands (to adjust them in a correct position):
  • In case of foot deformation (planovalgus foot deformation, neurogenic intoeing, hollow foot);
  • In case of acute and chronic pain;
  • In orthopedics, traumatology (congenital heel curvature, twisted neck, platypodia, postsurgical period after different joint and ligament impairments);
  • In neurology (back pain, nerve injuries);
  • In pediatrics;
  • In gynecology.
Neurotaping effects:
  • Reduction of the muscle tone;
  • Improvement of skin microcirculation;
  • Activation of the lymphatic system;
  • Analgesic effect both in acute and in chronic cases (back pain, injuries);
  • Improvement of joint stability;
  • Improvement of the work of internal organs.
mitri.az The term kinetotherapy means treatment by movements from Latin. Another common term for this method is remedial gymnastics in water. The whole set of health improving exercises is performed in a swimming pool. Hydrokinetotherapy combines the benefit of weight training and remedial effect of water. As compared to conventional gymnastics, it has a number of advantages:
  • It is known that the total body weight reduces in a swimming pool and all movements become easier to perform. This is especially important for patients with obesity and locomotor pathologies. The bearing power of water gives them an opportunity to perform the exercises they cannot do under normal conditions.
  • Hydrokinetotherapy has a more physiological effect on an organism. Sessions are performed in warm water which additionally relaxes muscles. Patients become free of strain, rigidity and pain. The instructor has an opportunity to increase physical load to achieve a better training effect.
  • Water presses the subcutaneous venous bed which stimulates peripheral blood circulation. Excess fluid is removed from tissues, swelling reduces, the cardiovascular system activates.
  • Water procedures also have a restorative and tempering effect. As a heat conductor, water “takes” excessive calories from the organism which accelerates metabolism and stimulates the functions of the immune system.
  • Aqua aerobics is also useful for respiratory organs. Under water the load on respiratory muscles increases; after regular training these muscles develop and strengthen. The lung capacity increases in patients which promotes oxygen supply to all tissues.
A set of exercises is selected individually taking into account the state of the patient and his/her age. As a rule, each session consists of three parts:
  • Respiratory gymnastics (warming up);
  • A set of intensive exercises (basic training);
  • Several relaxing exercises or a massage (cooling down).
Gymnastics is performed in water with a temperature of 20-37ºС. Different accessories can be used: shovels, air cuffs for joints, balls, elastic bandages and plastic hula hoops. Patients do both standard exercises (marching on the spot, bending/extension of legs, hip twisting, etc.) and special swimming exercises (for example, sliding on the back, footwork in a breaststroke style). In case of diseases of the locomotive apparatus running in water in special air vests is actively used. Sessions are performed under supervision of an instructor who controls the state of patients. Training can be performed in a group or individually. Duration of therapy depends on the disease and age of patients. An average session lasts for 5-20 minutes. A complete course consists of 10-20 procedures. Generally speaking, thanks to the manifold effect on the organism hydrokinetotherapy can be useful in case of almost any disease. The main thing is to select a correct set of exercises and learn to do it correctly.
mitri.az An underwater treadmill is used for rehabilitation of patients after long-term hypodynamia, with disorders in the locomotor apparatus, coordination, cardiologic, vascular and post-stroke patients. An underwater treadmill is also ideal for preparation and rehabilitation of athletes after injuries. Unlike standard treadmills exercises on the Pooltrack underwater treadmill involve a greater number of muscles (the core muscles) and reduce load on the skeletal apparatus of a person. It should be noted that exercises in water make patients feel themselves safer as falling is impossible. This approach made it possible to use an underwater treadmill for example for rehabilitation of children with infantile cerebral palsy. Excellent results were received after the first sessions in children with ICP after one of the rehabilitation centres in China had been equipped with a complex system of bottom regulation and an underwater treadmill. An underwater stationary bicycle has a simple construction that assures its continuous operation. All elements of a stationary bicycle are made of medical stainless steel and plastics. The height of the seat and arm rests can be adjusted. The training machine is equipped with two omniwheels to be easily transported. Two rubber feet assure fixation on the bottom of a swimming pool.
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