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How to choose a method of physiotherapy for therapeutic and preventive and rehabilitation purposes?
Last reviewed: 23.04.2024
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When appointing physiotherapy procedures it is necessary to know and constantly remember the general contraindications to physiotherapy. The appointment of any physiotherapeutic procedures is prohibited in the following diseases and pathological conditions of the patient:
- malignant neoplasms,
- systemic blood diseases,
- acute exhaustion of the patient (cachexia),
- hypertensive disease of the III stage,
- sharply expressed atherosclerosis of cerebral vessels,
- diseases of the cardiovascular system in the stage of decompensation,
- bleeding or inclinations to them,
- the general severe condition of the patient,
- febrile state (body temperature of the patient over 38 ° C),
- active pulmonary tuberculosis,
- epilepsy with frequent seizures,
- hysteria with severe convulsive seizures,
- psychoses with phenomena of psychomotor agitation
It should be noted that various methods of physiotherapy are widely used in specialized medical institutions, where the treatment of cancer patients, patients with various forms of tuberculosis (including pulmonary) and systemic blood diseases is performed. However, these institutions have their own legal documents regulating treatment activities and their methodological recommendations on the use of exposure to certain physical factors. In other medical and health institutions, it is necessary to strictly observe the general contraindications for physiotherapy.
In addition to general contraindications, there are contraindications to private methods of physiotherapy, depending on the diagnosis of the disease or pathological condition of the patient, as well as the features of manifestations of the physical factor. It should be remembered that in some cases they are absolute (the patient has metal objects in the affected area or pacemaker), in other cases - the approach is strictly individual.
As a result of physiotherapeutic effects, various clinical effects manifest themselves. Their presence and severity under the influence of certain external physical factors depend on the properties of these factors and on the possibility of initiating certain biological reactions. Comparative analysis of the efficacy data of the corresponding physiotherapy methods for various pathologies over a 20-year observation period allowed us to compile groups of lists of therapeutic physical factors possessing the relevant significant clinical effect. In each list, the methods of physiotherapy are indicated by ordinal numbers as the severity of the clinical impact decreases: the highest in the method with the first number, the smallest in the method with the last number.
Methods of physiotherapy that have analgesic effect
- Transcranial Electroanalgesia
- DiaDinamotherapy
- Short-pulse electroanalgesia
- Amplipulse therapy
- Fluctuorization
- Galvanization and drug electrophoresis
- Ultrasonic therapy and drug phonophoresis
- Laser irradiation and drug photophoresis
- DMV therapy
- UHF-therapy
- Inductothermy
- Magnetotherapy
Methods of physiotherapy that have an anti-inflammatory effect
- Galvanization and drug electrophoresis
- Ultrasonic therapy and drug phonophoresis
- Laser irradiation and drug photophoresis
- UHF-therapy
- CMV therapy
- DMV therapy
- Inductothermy
Methods of physiotherapy that have an antispasmodic effect
- Inductothermy 2. UHF-therapy
- Electrosleep therapy
- CMV therapy
- DMV therapy
- Galvanization and drug electrophoresis
- Laser irradiation and drug photophoresis
- Ultrasonic therapy and drug phonophoresis
- Fluctuorization
Methods of physiotherapy that improve vascular microcirculation
- Magnetotherapy
- Darsonvalization
- Ultrasound therapy
- Laser irradiation and drug photophoresis
- Inductothermy
- UHF-therapy
- CMV therapy
- Ultrasonic therapy and drug phonophoresis
- DiaDinamotherapy
Methods of physiotherapy that improve regenerative action
- Magnetotherapy
- Laser irradiation and drug photophoresis
- Darsonvalization
- Ultrasound therapy
- CMV therapy
- DMV therapy
- Ultrasonic therapy and drug phonophoresis
Methods of physiotherapy that have a sedative effect
- Central electroanalgesia
- Electrosleep therapy
- Galvanization and drug electrophoresis
- Magnetotherapy
- Inductothermy
Methods of physiotherapy that have antihypertensive effects
- Electrosleep therapy
- Central electroanalgesia
- Galvanization and drug electrophoresis
- Magnetotherapy
- Inductothermy
- UHF-therapy
Methods of physiotherapy that provide immunocorrective action
- DMV therapy
- CMV therapy
- Laser irradiation and drug photophoresis
- Ultrasonic therapy and drug phonophoresis
Methods of physiotherapy that exert a desensitizing effect
- Medicinal electrophoresis
- Electrosleep therapy
- Laser irradiation and drug photophoresis
- Galvanization
- DMV therapy
- Magnetotherapy
Methods of physiotherapy that have antipruritic effect
- Laser irradiation and drug photophoresis
- Ultraviolet irradiation
- Irradiation with visible and infrared light
- DMV therapy
- Magnetotherapy
Methods of physiotherapy that reduce skin receptor sensitivity
- Darsonvalization
- Ultrasound therapy
- Laser irradiation and drug photophoresis
- Irradiation with visible and infrared light
Methods of physiotherapy, which have neuromyostimulating action
- Electrostimulation
- DiaDinamotherapy
- Short-pulse electroanalgesia
- Amplipulse therapy
- Ultrasonic therapy and drug phonophoresis
- Interference therapy
Methods of physiotherapy that improve venous outflow
- Darsonvalization
- Ultrasound therapy
- Laser irradiation and drug photophoresis
- Magnetotherapy
- Inductothermy
Methods of physiotherapy that inhibit excessive growth of connective tissue (prevention of the onset and treatment of keloid scars)
- Ultrasonic therapy and drug phonophoresis
- Laser irradiation and drug photophoresis
- DiaDinamotherapy
- Amplipulse therapy
Methods of physiotherapy that stimulate secretory functions
- UHF-therapy
- CMV therapy
- DMV therapy
- Inductothermy
- Laser irradiation and drug photophoresis
- Galvanization and drug electrophoresis
Methods of physiotherapy that have a bronchodilator effect
- Inhalation therapy
- DMV therapy
- UHF-therapy
- Inductothermy
- Ultrasonic therapy and drug phonophoresis
- Laser irradiation and drug photophoresis
Methods of physiotherapy that have bactericidal and bacteriostatic action
- Ultraviolet irradiation
- UHF-therapy
- Laser irradiation
Methods of physiotherapy that have adaptogenic effect
- Hydrotherapy
- Massage
- Electrosleep therapy
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