Use of Traction, Massage, Electrical Stimulation and Heat


Traction is a force that is used therapeutically to stretch or lengthen joint structures and / or muscles. Applied correctly, the force pulls in the direction of separation or distraction of the joints of the extremities or vertebral bodies. Traction can be applied manually; a mechanical traction device, static weights, or positional distraction can also be used. Therapeutic effects include relieving pain and spasms, reducing or preventing adhesions, stretching tense muscles, and improving circulation.


Massage is often underestimated and underused as a therapeutic procedure. When applied correctly, it can be very effective in managing musculoskeletal conditions. The purposes for which it is used are mainly the improvement of circulation, muscle relaxation, the loosening of scar tissue and the elongation of tense muscles and fascias. A gentle, relaxing massage is effective in relieving muscle spasm (as seen in cases of protective spasm). Applying gentle, surface heat beforehand often improves response. Due to the relaxing effect of the massage, it should not be used when dealing with tense and weak muscles. (See treatment of paralyzed muscles below.) Symptom relief is sometimes almost immediate, confirming the appropriateness of this approach. The technique used, the area of ​​application and both the direction and duration of the massage must be appropriate to the soft tissue dysfunction, the patient's tolerance and the desired treatment result. The stretching massage is invaluable in the corrective treatment of muscles and fascia shortened by postural insufficiency or long-term immobilization. The response elicited by the patient is often "a pain that feels good" and effective stretching allows the tense muscles to "loosen". The correct technique involves firm but delicate kneading movements specific to the tissues and in the direction of the heart. Sometimes, however, massage in the opposite direction is more effective. Massage is also appropriate when the goal is to relieve excessive edema that restricts movement. Swelling usually occurs distally after surgery, trauma, and prolonged addiction and inactivity. The affected area should be in an elevated position and the massage should be applied with caution with gentle and firm pressure in the direction from distal to proximal (towards the heart). When stretching is indicated, tense muscles should be stretched so as not to injure either the part or the body as a whole. Range of motion should be increased to allow for normal joint function, unless limitation of motion is the desired end result for stability reasons. EXERCISE

Muscles have the ability to actively contract and passively stretch. The quality of the elasticity of the muscles.

it depends on a combination of these two characteristics. The exercises serve to strengthen weak muscles and stretch short muscles in order to restore, as far as possible, the elasticity on which the normal muscle rests depends on the function. Exercises are also used to increase endurance, improve coordination, and restore function. Stretching movements should be performed gradually to avoid damaging tissue structures. The oppression that has occurred a reasonable time must be allowed for correction over a period of time. It usually takes several weeks to restore mobility in muscles that show moderate tension. Treatment of muscle weakness resulting from stretching and non-use requires consideration of the underlying causes. In cases of defective body mechanics, numerous cases of muscle strain weakness are observed, but the element of disuse atrophy is much less common. Muscles that are paralyzed or weakened by disease or injury require special care in their management and treatment. Muscles that undergo denervation atrophy are more delicate than normal muscles and can be injured with treatment that would not be harmful to normal muscles. Trauma to the delicate atrophic fibers in the first months of atrophy undoubtedly accelerates the degeneration process. Be gentle Paralyzed or denervated muscles are extremely vulnerable to secondary involvement due to careless treatment or excessive treatment. Sunderland says one of the goals of treatment is "to keep paralyzed muscles at rest and protect them from being over-stretched or permanently shortened by interstitial fibrosis." The rational approach to treatment is to maintain functional range of motion to prevent joint stiffness, to move the joints to the full range of motion in the direction of stretching normal muscles, but be very careful when moving in the direction of the normal muscle. stretching. or paralyzed muscles. muscle. Weak muscles that lost strength during stretching procedures then regained strength with the only change in treatment being to limit the stretching range.


Many types of electrical stimulation modalities are currently available for use in related treatment programs pain control, muscle re-education or edema management. Some are effective, when used judiciously, as a supplement in a well-planned treatment program. SUPPORTS Brackets are used for several reasons: to immobilize a part, to correct misalignment, to relieve stress weak muscles, to facilitate function and limit movement in a certain direction. Correction of alignment errors associated with weakness often requires supportive measures. However, such measures may not be effective. if there is tension in the muscles that oppose the weak ones. Attaching a media in a faulty position do not relieve tension; the contracted muscle needs to be stretched. The question often arises whether people with Weak abdominal muscles should be advised to use support. Would the support be so reliable that the muscles will weaken? By employing postural and muscle testing procedures, trial and error can be minimized when determining when to use supportive measures. The degree of weakness and the extent of the failure alignment aid to determine if support is needed. Extreme weakness caused by stress or fatigue can require temporary bed rest or a restriction of movement of the affected part through the application of a support. Moderate weakness may or may not require support, largely depending on the individual's occupation. Mild muscle weakness generally responds to localized exercise without support or reduced functional activity. When it comes to abdominal muscle strength, adults who score medium or low need support. It is often difficult to convince a person that wearing a bandage will help increase the strength of weak muscles. This claim appears to be contrary to the general knowledge that exercise and activity increase muscle strength. It should be explained to the patient that instead of a particular muscle weakness caused by lack of exercise, it is caused by continuous tension. The support will relieve postural tension and allow the muscles to function in a position closer to normal. Each time a support has been applied, another question arises: how long will the support be needed? The support should only be permanent if the part that is being supported has become irretrievably weakened (for example, by paralysis or injury). Most conditions of muscle weakness However, the supports associated with postural failures can be corrected and the supports should only be temporary until muscle strength is restored. If no treatment other than support is used, the individual can become addicted on the bracket and reluctant to remove it. However, if therapeutic exercises are intended to complement the use of the support so that it is subsequently abandoned, then the supports become only a corrective aid rather than a permanent part of the treatment.


The therapeutic effects of heat include pain relief

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