Physiotherapy is prescribed for patients with varied orthopaedic conditions, such as backache, as well as for neurological, vascular, and respiratory conditions, any of which may be the result of congenital malfunction, disability acquired through disease or trauma, such as accidents or sport injuries, or inherited dysfunction, - all
requiring perfected physiotherapeu
tic equipment. Physiotherapists are employed in hospitals, clinics, nursing homes, some family doctor practices, and in private practice. In addition to direct patient care, physiotherapists are involved in other areas, including consultation, teaching, and research.
Perfected physiotherapeutic equipment can guarantee unbelievable results, starting with acceleration of skin regeneration and wounds healing.
During an inflammatory phase, the phagocytic activity of macrophages and polymorphocellular leukocytes conducts to a removal of cellular fragments and pathogenic particles. The biomedical engineering electromagnetics equipment makes it possible thanks to the help of macrophage lysosomal enzymes. It is well known that the therapeutic activity of perfected physiotherapeutic equipment can cause changes in lysosomal membranes, thus accelerating passage of this phase.
The second phase in curing wounds is proliferation or a phase of growth. Cells migrate into damaged area and start to split. The fibroblasts start to synthesize collagen. Intensity of healing increases and special cells, myofibroblast, force a wound to be pulled together. It is shown that the perfected physiotherapeutic equipment considerably accelerates synthesis of fibroblast collagen in vitro and in vivo. If the diploid fibroblast of the person irradiate with ultrasound frequency of 3 MHz and intensity of 0,5 Âò/sm2 in vitro the quantity of the synthesized skin increase. Research of such cells in an electronic microscope has shown that they have more free ribosomes and rough endoplasmic reticulum in comparison with control cells. The third phase is restoration. Elasticity of normal solidifying is caused by the orderly structure of the collagenic grid allowing skin to strain and relax without special deformations. The fibers in a cicatricial skin often settle down irregularly and randomly, what does not allow it to be stretched without damage. The cicatricial skin, generated with the help of perfected physiotherapeutic equipment, is stronger and more elastic as compared to normal cicatricial skin.
In treating a patient, the physiotherapist may employ heat treatments; massage; manipulation; ultrasound, which is ultrasonic waves that produce heat internally; and diathermy (application of electric current to generate heat in body tissues).
One of the most important tasks of the physiotherapist is remedial exercise in various forms. This is used to increase strength and endurance, to improve coordination, to improve functional movement for activities of daily living, and to increase and maintain range of motion. Gait (walking) training is practised with the assistance of canes, crutches, walkers, braces, and artificial limbs. Physiotherapists also use bandaging, strapping, and application and removal of splints and casts, and they instruct patients and their relatives in techniques of exercise and the use of prosthetic devices, such as artificial limbs, and orthotic, or bracing, devices. The perfected physiotherapeutic equipment is used for treatment of trophic ulcers. The result was obvious in case of chronic varicose ulcers on legs irradiation.