The new technologies in physical and rehabilitation medicine

Medicina Fluminensis

Schnurrer-Luke-Vrbanić, Tea¹  Ćurković, Božidar² 

[1] Centar za fizikalnu i rehabilitacijsku medicinu, KBC Rijeka, Rijeka, Hrvatska;Klinika za reumatske bolesti i rehabilitaciju, KBC Zagreb, Zagreb, Hrvatska

关键词: high intensity laser therapy;    physical therapy;    rehabilitation;    shock wave therapy;   

DOI  :  

学科分类：医学（综合）

来源: Medicina Fluminensis

【 摘 要 】

Physical medicine applies physical agents in the prevention, treatment and the rehabilitation of patients, whereas rehabilitation is a process which enables a person to achieve the maximum in physical, psychological, social, professional, recreational and educational ability with regard to the physiological or the anatomical damage, environment limitations, personal desires and life plans. In physical medicine, physical therapy is prescribed, which applies various forms of energy, for the purpose of patient prevention, healing and rehabilitation. With reference to the type of the physical agent, physical therapy can be divided into five large groups. These include mechanotherapy (including kinesitherapy), thermoterapy, electrotherapy, phototherapy, and natural factors. Because of its proved effectiveness, kinesitherapy has absolute priority in the choice of physical procedures, while classical methods of electrotherapy tend to lose their importance mainly because of the fact that their application is used on the empirical basis. Furthermore, there is a relatively low incidence of well designed research studies showing scientifically significant proofs in evidence based medicine. Nevertheless, with the development of technology, new, technologically advanced devices have appeared, such as extracorporeal shock wave therapy (ESWT) and high intensity laser therapy (HILT). Indications for the ESWT are the tendinitis with and without calcifications, pseudarthrosis, bone avascular necrosis and calcifying myositisis, as well as myofascial syndromes with trigger points. Indications for the application of HILT are vertebral and vertebrogen syndromes, radiculopathies, tendinopathies, lesions of the muscles, contractures, arthritis and arthropathies, cartilage lesions, analgesic impact on painful trigger points and the application on the tissue with weakened metabolism activity (pressure and trophic ulcers). With the procedures mentioned above, one should insist upon the proof of their respective effectiveness by applying quantitative measures, for the purpose of increasing the quality of work and improving the outcome of treatment and rehabilitation.

【 授权许可】

CC BY