The Scroth Method
The Scroth Method
MHS private practice is the only one in Bosnia and Herzegovina that is conducting the Schroth method under control and treatment of licensed team (Schroth physiatrist and Schroth physiotherapist).
The Schroth method is a long-standing traditional method that is primarily applied in the non-operative treatment of scoliosis. This kind of workout system is being used in modern kinesiotherapy.
The treatment is based on solid neurophysiological foundations that are giving rise to five classic Schroth’s principles:
- axial elongation,
Also, great attention must be directed to the correct rotational breathing. Rotational breathing affects the increase in vital capacity of lungs, stops the progression on curve and makes corrections of the existing deformity.
Schroth method has a long-standing tradition. Katharina Schroth has established this method in 1921 in Meissen, in the eastern part of Germany.
Katharina and her daughter Christa have moved to Bad Sobernheim in 1961 and in 1983 they have founded their own clinic─”Katharina Schroth Clinic”.
Katharina lived until 1985 and Christa continued to implement the method of her mother. Moreover, she enhanced it in a way that she included the treatment of breathing into the therapy.
In MHS private practice Schroth method is performed on the principles of the teamwork, continuity of exercise and continuous monitoring.
The first examination, basic diagnosis and guidelines for the treatment are given by a doctor specialized in the field of physical medicine and rehabilitation (licensed Schroth doctor). During the first examination, as well as continuation of exercises, parents have active participation in the process for the sake of education and monitoring exercises regarding the home program.
Schroth method and individual exercises for each patient are carried out by licensed Schroth physiotherapists in the MHS private practice.
Schroth method is applicable for both children and adults.
Kinesio Taping was developed in 1970s in Japan. The creator of the fundamental principles of Kinesio Taping is Dr. Kenzo Kase.
Kinesio Taping is a method of adhering/sticking specifically designed Kinesio tapes for the therapeutic purposes. In order to achieve the therapeutic goal, the elastic property of the tape is being used. The function of the tissue is changed by the alternation of tape tension. Kinesio Taping affects the skin, blood, lymphatic system, fascia, muscles and joints. Kinesio Taping lifts the skin while creating wrinkles and grooves that eventually leads to the creation of reduced pressure canals. In this way, the interstitial space is being increased what enhances circulation, lymphatic flow and reduces the pressure on the pain receptors. Lifting of the tissue also reduces swelling and inflammation because it spurs the flow of liquid. Kinesio Taping cooperates with the body and allows the normal range of motion. The application/tape is carried 3-5 days, is waterproof and allows smooth performance of daily life activities, sports activities and personal hygiene. While wearing Kinesio tape, we can apply other types of physical therapy, such as: magnetotherapy, thermotherapy, kinesiotherapy, various types of manual techniques, etc.
Kinesio Taping is widely used in the rehabilitation of various problems of locomotor system. It gained great popularity in the last decade as an essential part of the rehabilitation of sports injuries. It is applicable for both children and elderly people.
Types of Kinesio Taping applications:
- muscle correction,
- fascia correction,
- mechanical correction,
- spatial correction,
- tendon correction,
- ligament correction,
- functional correction,
- lymphatic correction,
- correction of the scar tissue
Mirror therapy is innovation in our practice.
Mirror therapy involves a special technique and application of mirrors in terms of eliminating imaginary pain of amputees. This method is relatively new in the world of medicine and health care professionals from our practice became rare certified mirror therapists.
Two workshops were held in Hope 87in Sarajevo and were led by Dr. Amira Karkin-Tais and doc. Dr. Mirsad Muftić.
The treatment lasts for 30 days on a daily basis of 10 minutes. The therapy’s task is to mimic the movement of the amputated part of the body in relation to the healthy part of the body seen in the mirror.
The expected results are achieved within 30 days. The goal of therapy is to eliminate the phantom pain of amputees.
Bobath concept-rehabilitation of neurological patients, is used for conditions after the stroke, CNS and spinal cord injuries, muscular dystrophy, multiple sclerosis, cerebral palsy, etc.
We apply the Bobath concept in our centre in the rehabilitation of children and adults with neurological disabilities. Each treatment is individual and is defined by the short-term and long-term therapeutic goals that we set together with the patient and his/her family. The goal of Bobath concept is to achieve the maximal possible normal function in performing of daily life activities.
Bobath concept was founded by a married couple Karel and Berta Bobath in the United Kingdom in 1943.
Bobath concept is the approach to solving problem used in the evaluation and treatment of patients with disorders of functions, movement and posture caused by lesion of the central nervous system.
Thanks to the plasticity of the central nervous system, normal posture and movement can be re-learned.
The therapy is aimed at preventing abnormal activities and achieving the normal function by re-establishing postural control and normal movement. The therapist works with the patient, leads him/her with his hands during handling and in that way gives him/her clear information. In that way the patient is given the opportunity “to feel the movement”, that teaches him the normal movement over again and thus improves the performance of daily life activities.
Nowadays, Bobath concept takes leading position in the neurological rehabilitation in the majority of European and world countries
Thera – Band
Thera – Band system of progressive functional exercises
Thera Band is a leading global brand in the field of rehabilitation, fitness and sport. Thera Band is used for the first time in 1978 in the United States. Program Thera-Band is recognized by the American Association of Physiotherapists (APTA) and is official program of rehabilitation of all EU countries. Highly qualified training on the use of Thera Band program is conducted as a part of Thera Band Academy what leads to becoming a certified Thera Band practitioner recognized as such in the entire world.
Thera Band system of progressive exercises is used to improve::
- mobility of joints,
- motor function,
- muscle performance
Certified Thera Band practitioners apply this form of progressive exercises in our practice as a part of individual khinesiotherapeutic treatment. Thanks to that, excellent results in rehabilitation are achieved. Thera Band exercise program can be adjusted to the needs of people of different ages, from children to the third age population.
Some of Thera Band programs we conduct are:
- exercises for prevention and correction of the bad posture,
- rehabilitation after sports injuries,
- preoperative and postoperative rehabilitation (with total hip arthroplasty, knee, and other orthopedic procedures),
- exercises for osteoporosis,
- exercises for rheumatic patients (rheumatoid arthritis, ankylosing spondylitis…)
Myofascial Release Technique
Myofascial Release Technique
The founder of this advanced manual technique is Dr. John F. Barnes.
Myofascial release method is safe and highly effective manual technique that involves the application of gentle and continuous pressure on the fascial connective tissue in order to eliminate neck pain and regain the possibility of movement. ‘Myo’ is the name for the muscle, while the term ‘fascia’ is most easily described as an elastic layer of connective tissue that stretches along the entire body. Fascia supports and covers all muscles, tissues, organs, bones, ligaments and nerves. Muscles and fascia are one, they operate together and only in their accordance the body functions in an orderly and healthy manner. During inflammation or injury, fascia shrinks and becomes solid and motionless causing tension, pain, stress and limits the movement. Fascias are the first line of our defense and they operate independently of the central nervous system (CNS), so they are called “peripheral brain”.
Myofascial release method is used for the pain relief, to increase the range of motion and improve posture. Also, regarding certain neurological conditions, especially among children with cerebral palsy, we influence the reduction of muscle tone and improve mobility.
MRT is used in following conditions:
- back and neck pain,
- frozen shoulder,
- hardened and painful scars,
- neurological conditions,
- sports injuries
Šta je ručna limfna drenaža?
Ručna limfna drenaža je tehnika koju koristimo da bi uspostavili ravnotežu tečnosti u organizmu. Tehnika se zasniva na iskustvu masažne tehnike koju je razvio dr. Vodder 1936. te je utvrdio pokrete, redoslijed i način izvođenja, koji se uz male promjene koristi i danas.
Ručna limfna drenaža djeluje povoljno na limfni sistem, autonomni živčani sistem, senzorne puteve refleksa boli i imunološki sistem. Uklanja višak vode i bjelančevina iz tkiva, uklanja metabolički otpad i toksine, povećava produkciju limfocita, smanjuje stres i bol, dovodi do relaksacije, povećava stepen otpornosti organizma.
Izvodi se segmentalno, nikad cijelo tijelo, uz isti tempo i pritisak, uz poštivanje smjera i tačno određenim redoslijedom. Prije tretmana provode se mjerenja obima ekstremiteta koje služe za evaluaciju stanja nakon provedene terapije.
Što je zapravo limfa?
Limfa je bezbojna do blago žuta tečnost, koja nastaje cijeđenjem krvi kroz zidove krvnih kapilara i skuplja se u međućelijskom prostoru. Sadrži vodu, bjelančevine i štetne tvari. Nakon što se skupi dovoljna količina limfe u međućelijskom prostoru, ona ulazi u limfne kapilare, zatim prelazi u limfne žile i dolazi do limfnih čvorova. U njima se limfa razgrađuje i uništavaju se mikroorganizmi. Ostatak nerazgrađene limfne tečnosti putuje prema većim limfnim vodovima i ulijeva se u grudni i desni limfni vod koji je dalje prenose u gornju šuplju venu gdje ulazi u venski krvotok
Kada sve dolazi do zastoja limfe?
Određena patološka stanja mogu poremetiti ravnotežu tečnosti u organizmu, što dovodi do pojave edema. Faktori koji utiču na nastanak edema: su povećanje kapilarnog hidrostatskog pritiska (prekomjerno zadržavanje soli i vode, visok krvni pritisak, zatajenje srca), hipoproteinemija (gubitak proteina u urinu, bolesti jetre, neuhranjenost), bakterijske infekcije i blokada limfnog protoka ( karcinom, infekcije, ožiljno tkivo, paraziti).
Uslijed povreda, hirurških zahvata ili zbog zračenja kod malignih oboljenja, dolazi do prekomjernog nakupljanja tečnosti i bjelančevina u međućelijskom prostoru. To stanje nazivamo limfedem, a može se pojaviti na ekstremitetima, trupu, abdomenu, glavi, vratu i genitalijama. Ako se ne liječi, može uzrokovati hroničnu upalu i fibroze zahvaćenog tkiva.
Kada koristimo limfnu drenažu?
Limfna drenaža se koristi kod mnogih patoloških procesa jer za njeno izvođenje nema mnogo kontraindikacija. Ima važnu ulogu u fizioterapiji, sportskoj medicini, rehabilitaciji i nakon terapije zračenjem, ali i u kozmetičkim tretmanima lica i tijela.
- limfni zastoj kao posljedica mehaničkih problema, prirođenih ili stečenih disfunkcija, hladnoće, preopterećenja i nedostatka kretanja
- pareze n.facialisa i hemiplegije kao uvod u terapiju
- hronični reumatizam
- sportske povrede
- operativni zahvati
- kozmetičko područje, detoksikacija kože
- aktivacija parasimpatikusa
- smanjenje boli
- alergijske reakcije
- opća relaksacija
- umorne i teške noge
- glavobolja i migrena
- hronični sinusitis
- maligne bolesti
- akutne infekcije bilo koje vrste
- bubrežna disfunkcija
- febrilna stanja
- akutne alergijske reakcije
- srčana dekompezacija
APARATURNA LIMFNA DRENAŽA – PRESOTERAPIJA
U savremenoj njezi, pored ručne limfne drenaže sve više i sve efektnije se primjenjuje i aparaturna tehnika limfne drenaže, korištenjem specijalno dizajniranih aparata. Najčešće primjenjivani oblik aparaturne limfne drenaže je presoterapija.
Princip rada aparata za presoterapiju zasniva se na postojanju zatvorenog sistema, najčešće u obliku produženih pantalona, koje su izrađene od mekog plastičnog materijala, u čijim zidovima se nalaze manžetne koje se u toku aplikacije, u ritmičnim intervalima napumpavaju i vrše pritisak na kožu i tkivo ispod nje. Pri aplikaciji presoterapije manžetne se napumpavaju sukcesivno, prema utvrđenom redosljedu, od periferije ka centralnim dijelovima tijela. Segmentno povećenje i smanjenje pritiska od periferije ka centru izaziva ubrzanu vensku i limfnu drenažu..
Indikacija i kontraindikacije su iste kao i kod ručne limfne drenaže.