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PH Y

ER A
OT H
E S I
KI N
INTRODUCTION
Aspecializedareaofmedicineinwhichexerciseand
movementareusedastheprimaryformof
rehabilitation.
Itistypicallyusedinthetreatmentofamputees.
kinesiotherapy
Arehabilitativetreatmentthatusesexerciseor
movement.
Thisnameisacompoundfromthewordskinezi
whichmeansmovementandtherapiswhichmeans
healing.
KinesiotherapyorKinesitherapyorkinesiatrics,
(kinsis,"movement")literallymovementtherapy,is
thetherapeutictreatmentofdiseasebypassiveand
activemuscularmovements(asbymassage)andof
exercise.Itisthecoreelement
ofphysiotherapy/physicaltherapy.
EquivalentsofthetermKinesiotherapyareusedin
placeofthetermphysiotherapy/physicaltherapyin
severalnon-Englishspeakingcountries(e.g.Bulgaria,
Lithuania,Rwanda,Luxembourg,Mauritius,Belgium,
France,Chile,Paraguay,andRomania).
HISTORY
Ithasbeenusedasawell-establishedtherapeutical
resourcesincetheearly20thcentury.Backthen,
variousdeviceswereusedincludingvibratingdevices
tostimulatethemuscles.
Itwasformerlyknownascorrectivetherapyandwas
devised
bytheU.S.ArmedForcestohelpphysicaltherapistswi
ththelargenumberofsoldierswoundedduringWorld
WarII
KINESIOTHERAPY SERVICES

Providetreatmentprogramstoenhancefunctional
capacityincluding:
wheelchair/seatingmobilityclinic;
drivertraining;
amputationcareclinic;
therapeuticpool;
andbasicmobilityskills.
PURPOSE OF USING
KINESIOTHERAPHY
Rehabilitationofpatientsafterstrokesandtraumasis
alwaysalongmulti-stepprocesscomprisingapluralityof
components,suchasergotherapy,physiotherapy,
massages,therapies,sessionswithaneuropsychologist,
speechtherapist,neurologist,etc.
Oneofthemaincriteriafortheoverallsuccessof
rehabilitationmeasures,asthedoctorsintherehabilitation
centerofclinic"Aksimed"opine,iscomprehensive
developmentofanindividualapproachtothepatient.
Hence,takingintoaccountindividualcharacteristicsof
eachpatient,amongtheentiresetoftoolsthatarewidely
usedforrehabilitation,apatientmayreallyneedonlya
few.Oneofsuchinstrumentsofteniskinesiotherapy.
Todaykinesiotherapyisoneofthemethodsofphysical
rehabilitationofthepatientwhosemainpurposeisto
curepatientsusingmovements.Treatmentusing
movementsmeansthatthepatientgetsadaptedandwith
timeincreasingforcepressure,thatisselectedbythe
expertsofourCenterindividually,takingintoaccount
allthecharacteristicsandneedsofthepatient
Themainindicationsfortheuseofmethodsof
kinesiotherapyarediseasesanddisordersinthe
musculoskeletalsystem.Themethodsusedin
kinesiotherapyinclinic"Aksimed"canbedividedinto
active(whenthepatientmovesindependently)and
passive:
TYPES OF METHODS IN
KINESIOTHERAPHY
Activemethodsincludeexercisetherapysessions,as
wellasavarietyofgames.
Passivemethodsincludemassages,mechanictherapy
andthemethodofstretchingthepatient.Sessionsof
kinesiotherapyareheldwiththehelpofspecial
equipmentandtrainingsimulators.
Inthecenterofneurorehabilitationafterstrokesand
traumasinclinic"Aksimed"therearegatheredallthe
necessarystuffforsessionsofkinesiotherapy.Toachieve
themostpositiveeffectfromtherehabilitationthe
doctorsoftheCenternotonlydevelopanindividual
treatmentprogram,butalsousetime-testedEuropean
techniquessuchasBobatandPNF.
Thecenteralsohasallthenecessarymodern
equipmentformechanotherapyandaseparateroomfor
cardio,whichallowsthepatienttograduallyincrease
thereserve-adaptivecapabilitiesoftherespiratoryand
cardiovascularbiologicalsystemsofthebody.
Inadditiontoagoodbase,therehabilitationcentrein
clinic"Aksimed"isalsoproudofitsspecialists-
rehabilitatorswhohaveextensivepracticalexperience
anddonotforgettoconstantlyimprovetheirskillsand
learnfromforeignexperience.
ThedoctorsoftheCenterareateamofprofessionals
whostrivetomaketherecoveryprocessasefficientas
possible.Rememberthatitisalwaysbettertoaskfor
expertsadvicethantobegintreatmentonyourown.
Thisrulealsoreferstorehabilitationafterstrokesor
traumas
FORMS OF KINESIOTHERAPHY
Kinesiotherapyisoneofthephysiotherapymethods,which
usesmotionfortherapeuticpurposes.Itcanbeusedasthe
basicandonlyformoftreatment(e.g.,intheconservative
treatmentofposturaldefects),butisoftencombinedwith
otherformsoftreatment,includingphysiotherapymethods,to
increasethetherapeuticeffect.

Thefollowingformsaredistinguished:
localkinesiotherapy-actingdirectlyontheaffectedorgans,
generalkinesiotherapy-consistinginexercisesofbodyparts
notaffectedbythecondition,
therapeuticmethods-whoseaimistocounteractthechanges
occurringinthecentralnervoussystem,themusculoskeletal
systemorboth.
TECHNIQUES USED IN
KINESIOTHERAPHY
Individual therapeutic exerciseswherethe
physiotherapistselectsthemostappropriateexercises,
supervisestheirperformance,motivatesandgivestips
forahealthylifestyleandprovidestipsforexercising
athome.
Medical group gymnastics,whereactiveexercises
withhelpofvariousequipment,exercisestoimprove
circulation,breathingexercises,relaxationexercises,
stretchingandpilatesareperformed.
Relaxing energy techniques,whichincludevarious
breathingtechniques,guidedmeditation,techniques
forenergycollectionandgrounding,Indianmagic
gestures,Kundalini,ThaiChi,techniquesforopening
theheartchakra,detoxificationtechniquesand
numerousothertechniques.
Pelvic floor muscle training forthepreventionand
treatmentofincontinence
VARIOUS APPROACHES OF
KINESIOTHERAPHY
Mechanotherapyisanimportantpartofrehabilitation
treatmentafterstrokesandtraumas.Duetothe
influenceontheneuromuscularsystemofahumanit
helpstonormalizemuscletonebeforerestoring
movement.
Cardio workoutgymisequippedwithspecialmulti-
functionalequipment(anorbitrek,treadmill,exercise
bike),whichallowstoperformcyclicdosedexercises
aimedatimprovingthereservecapacityofthe
cardiovascularandrespiratorysystems.
Balance trainerisatrainerwithadjustableloadwhich
allowsthepatienttodo,totrainandimprovethe
"early"stepsandperformspecialcombinedexercises
inthehorizontalplane.
THE BALANCE TRAINER EFFECTS:

anincreaseintherangeofmotionsinthejoints;
improvementofthestatodynamicstabilityofthe
vestibularapparatus;
optimizationofthedistributionofthemuscular-
adiposetissue;
normalizationofthemuscletone;
theintestinestimulation.
THE MOST IMPORTANT AND KEY SYSTEMS OF
ORGANISAM BENEFITED BY KINESIOTHERAPHY
1.Thecentralandperipherycerebralsystem:
Maintainingthemotormovementscheme;
Establishingadequateandqualitycoordination.

2.Themusclesystem:
Maintainsandincreasesthemusclecapacityand
increasestheirstrength;
Correctsthemusclesnutrition;

Preventsmusclesdegeneration;
Increasesmusclesflexibility;
3.Bone-jointsystem:
-Preventsthechangeoftheshape,morphologyand
bonestructurebypreventingdecalcificationinthe
weaknessofthewalkingpresentiment.
4.Inthechildhooditpreventstheirregularbonegrowth,
irregularbonelengthandappearanceoffakewrist.
5.Respiratorysystem:
Deepensthebreathingandmakesconditionsoffilling
thebloodwithoxygen;
Enablesbetterexchangeofgasespreventsthe
appearanceofpneumoniaincasesofpronediseases;
Enablesbetterexpectorationofthebronchial
secretion.
6.Cardiovascularsystem:
Intensifiesthethriftinessofthecoronarymuscle;
Improvesthebloodcirculation;
Preventstheinterruptionofthebloodflow,the
swellingofthetissues,veinthrombosisofthelimbs,
andloweringtheheartmusclestrength.
7.Gastrointestinalsystem:
Improvestheworkoftheintestinesaswellasthe
secretionoftheintestinaljuices;
Improvesthedroppingoftheinternalorgans.

8.Improvesandstabilizesthepsychologicalcondition.
InLasermedwearespecializedforthespecific
kinesiotherapyintreatingvertebropathy(apainful
syndromeoftheloin)inbroadestmeaning,trauma
orthopedicdiseases,neurologicandchildrendiseases
aswellassportinjuries.
KINESIOTHERAPISTS
Kinesiologyisthestudyofbody-movement
mechanics.Kinesiotherapistsuserehabilitative
exercise,reconditioning,andphysicaleducationto
treatpatientswhohaveproblemsmovinginanyway.
ThecareerfieldemergedduringWorldWarIIasa
formofexercisetherapytotreatservicemembers
injuriessothattheycouldreturntoactiveduty.
WHAT THEY DO?
Jobdutiesforkinesiotherapistsvary,dependingon
wheretheyworkandsometimeswithinthefacility
itself.Responsibilitiesusuallyincludeassessingand
treatingpatients,amongothertasks.
Kinesiotherapistsworkunderaphysiciansdirection,
oftenwithotherspecialists.
1.Assessment.Todeterminewhatexercisesandtraining
maybebeneficial,akinesiotherapistfirstevaluates
patientstoassesstheirphysicalabilitiesandactivity
levels.Thisassessmentallowsthekinesiotherapistto
decidehowmuchhelp,ifany,patientsneedeachdayfor
routinetasks,suchaswalking,eating,andgettinginto
andoutofbed.
2.Treatment.Kinesiotherapistsbaseapatientstreatment
planonwhattheylearnedduringassessment.
Emphasizingthephysicalandpsychologicalbenefitsof
exercise,theyfocusonreconditioningandphysical
education.Treatmentistailoredtoeachpatientsneeds
andsituation.
3.Other duties.Inadditiontotasksrelatedto
assessmentandtreatment,kinesiotherapistshavesome
administrativeduties.Theseincludedocumenting
patientvisits;orderingequipment,suchasadaptive-
eatingutensilsorwheelchairs;andparticipatingin
outreachactivities.
Somekinesiotherapistsotherresponsibilitiesare
relatedtotheworkbutspecifictotheirpatient
population.
HOW DO YOU BECOME A REGISTERED
KINESIOTHERAPIST?

Kinesiotherapyprogramsareaccreditedbythe
CommissionofAccreditationofAlliedHealth
EducationPrograms(CAAHEP)andKinesiotherapists
conformtospecificcriteriaforethical,safetreatment
ofpatientswithintheScopeofPracticeandStandards
ofPracticeforKinesiotherapy.
KINESIOTHERAPYS TASKS ARE:
Preventionofthedamagedfunctionofthelocomotorsystem;
Healing;
Restoringthefunctionofthelocomotorsystem.
Thesetasksrefermainlyto:
Preservingandrestoringthenormalmovingabilityofthe
joints;
Preservingandrestoringthenormalmusclesstrength;
Motoriceducationlearningmovements;
Reeducationlearningagainaboutthemovement;
Preservingandrestoringthecoordination;
Operatingonthecentralandperipherycerebralsystem,
cardiovascularsystem,respiratorysystemandbone-joint
systeminordertoachievemaximumfunctionality;
Acquiringgoodpsychophysicalcondition.
OTHER TASKS ARE
Foreachpatient,thekinesiotherapistwill:
Evaluatethepersonsmobility,strengthandendurance
Discusstreatmentgoals
Educatethepatientabouthowthebodyworksand
whatiscausingtheimpairment
Developanappropriate,targetedtreatmentplan
Guidethepatientinperformingexercisescorrectly
Monitorprogress
Modifytheplanasneededtoachievespecificgoals
Provideappropriateadaptiveequipmentandtraining
Providetrainingforcaregivers
Inadditiontochoosingtherightexercises,asuccessful
outcomedependsonhowwellthetherapistandpatient
worktogether.Buildingrapportandmotivatingthe
patienttodotheexercisesregularlyisakeyroleofthe
kinesiotherapist.
Tobeasuccessfulkinesiotherapist,youmustbe
intelligentandhonest,practicegoodjudgmentand
havegoodinterpersonalskillsandthecapacitytoreact
toemergenciesinacalmreasonedmanner.
ATHLETIC TRAINING AND KINESIOTHERAPY LAB
EQUIPMENT LIST
MettlerElectronicsSonicatorPlus940
ChattanoogaIntellectLegendXT-combounit:electo-

musclestimulation,ultrasound
GameReady
ParaffinBath
MettlerElectronicsLaserSysStim
BiodexBalanceSystemSD
BiodexSystem4
BiopackMP100System-3channelsofEMG,2channelsof

SkinTemperature
MettlerElectronicsDiathermUnit
ChattanoogaFluidotherapySingleExtremityUnit


AdditionalItems
Mattedtablestoseat34
Fivetreatmenttables
Twolowtables
Fourtapingtables
Parallelbars
Steps
TREATMENTS & METHODS

Electrotherapy:
Laser
Ultrasound
Diathermia
Compositeelectrotherapy
Magnettherapy
EMSexercise
Iontophoresis
Ultravioletradiation
Biofeedback
Incontinencetreatmentby:
Electricalstimulation
Biofeedback
Kinesiotherapywithinstruments
Physicalmodalities
Paraffinbaths
Whirlpoolbaths
Lymphmassage
Thermaltreatment
Kinesiotherapytechinques:Brunkow
Brugger
Neurophysiologicalkinesiotherapy:
Bobath
PNFKabat
E-tecnik
Manualtherapies:
Cyriax
McKenzie
Breathingexercise
Kinesiotherapy:
Sportstherapy
Hydro-gymnastics
Therapeuticexerciseinthepool
Tractiontherapy
KinesiotherapySuspensionexercises
Gaittraining
Useoforthotics&Prosthetics
Splintuse&casting
Transfertraining
Climbingstairstraining
Balance&coordinationtraining
ADLActivitiesofdailyliving(stimulationdept)
Handfunctiontraining
NATIONAL KINESIOTHERAPHY
NationalKinesiotherapy(KT)Weekwas
celebratedSeptember8-12th,2014.KTisthe
applicationofscientificallybasedexercise
principlesadaptedtoenhancethestrength,
endurance,coordination,rangeofmotionand
mobilityofindividualswithfunctionallimitations
orthoserequiringextendedphysicalconditioning.
KT(formerlycorrectivetherapy)isanalliedhealth
professionwhoserootscanbetracedbackto1943.
DIFFERENCE BETWEEN KINESIOTHERAPHY
AND PHYSICAL THERAPHY
Kinesiotherapyisusedtoimproveaperson's
endurance,mobilityandstrength.Therehabilitation
techniquesusedbykinesiotherapistsareoften
prescribedtohelpindividualsenhancetheiroverall
physicalconditioning.Apatientmayseea
kinesiotherapistafterreceivingaprescriptionfroma
physician,physicianassistantornursepractitioner.
Kinesiotherapistsprimarilyworkinpublicandprivate
hospitals,sportsmedicinefacilities,rehabilitation
centersandacademicinstitutions,aswellasinprivate
practiceandasconsultants.
Physicaltherapyisthepracticeoftreatingphysical
ailmentsinawaythatemphasizespreventativecare.
Physicaltherapistsworkdirectlywithothermedical
professionals,suchasoccupationaltherapists,medical
doctors,audiologistsandnurses,totreatpatientswho
havedifficultyperformingday-to-dayphysicaltasks.
Theseprofessionalsmayworkinhospitals,public
healthfacilitiesorotherhealthcareenvironmentsto
providemobilityimprovementservicesanddevelop
treatmentplansforindividuals.
CONCLUSION
Kinesiotheraphycanreducethepatientpopulationand
imporvethetreatmentsettingthroughoutpatient
clinic,telemedicineandtele-rehabilitation.
Kinesiotherapistsarehighlytrainedhealth-care
professionals.Henceitmayhelpsthecardiacand
traumapatientsforfastcuringofillness.

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