The Question of Short Lower Limb and Long Lower in Manual Therapy: An Overview

The purpose of this paper is to review relevant literature concerning limb length inequalities in adults and to make recommendations for assessment and intervention based on the literature and our own clinical experience. The research was carried out on PUB MED, Non-English articles and duplicates in the databases were not included. Limb length inequality and common classification criteria are defined and etiological factors are present. Common methods of detecting limb length inequality include model manual technics. This work has the purpose of describing a well standardized therapeutic in the form of practical guidance. The approach we describe provides standardized model evaluation for leg lower limb in order to be used in rehabilitation clinic.

An Alternative Approach to the Gastroesophageal Reflux Disease: Manual Techniques and Nutrition

Gastroesophageal reflux disease (GERD) is a chronic digestive disorder that affects a growing number of people in the world and is one of the most common gastric complaints that prompts an individual to consult a doctor. Heartburn and regurgitation are the most predominant esophageal symptoms of GERD, but patients with the disease may also have extra esophageal symptoms, such as epigastric pain, bronchospasm, and chronic cough. All of these symptoms may compromise health-related quality of life with modification of eating habits and sleep pattern that have a great impact on the normal daily. Furthermore, GERD is a multifactorial disease that can be complicated and difficult to treat. Mechanical, chemical, physiopathologic, and functional factors that predispose patients to the disease are still under investigation. A simple treatment plan for manual therapists is presented based on current evidence-based literature;it is designed to reduce symptoms of GERD through somatovisceral approach and the nutrition.

Regional Interdependence: A Model That Needs to Be Integrated in the Functional Evaluation and Physiotherapy Treatment—Part 1

Background: Rehabilitation is increasing the need to use codes in order to make both a functional diagnosis and a therapeutic intervention as correct and targeted as possible. Thus, it is very important to integrate the model of Regional Interdependence (RI) in the classical rehabilitation evaluation methods, since it will be of help for understanding, solving dysfunctional problems, and improving the patient management, which is often difficult given the fact that there is no concordance on functional tests and timing of treatments. The RI should be added to the functional evaluation each time that a patient presents symptoms in a specific location, which interest also distal regions. This is due to the functional and anatomical connections of the myofascial system, vascular, autonomic nervous system (ANS), the peripheral nervous system (PNS) and the neuro-immunoendocrine system. The RI can be summarized into three groups that are correlated when it comes to applying it practically: upper, bottom and front quadrant. Adding the concept of RI to the clinical and therapeutically practice, it would have positive effects on improving the quality of life and allocate better health’s resources. The aim of this paper is to make the functional assessment in clinical practice faster and more standardized.

Lumbar Stenosis of the Aging Spine: Evaluation and Treatment According to the Evidence Based Medicine for the Improvement of the Quality of Life

The lumbar spinal stenosis (LSS) is a syndrome with a wide economic and social impact on the adult population. It is a particular form of narrowing of the lumbar vertebral canal or the intervertebral foramina which can compress the neural and vascular elements in the lumbar spine. It is a degenerative process which predominantly affects the geriatric population. The increase of the life expectancy has increased the health needs of this target of population. The (LSS) is a syndrome that can manifest itself with lower back pain and pain to the inferior limbs, and functional disabilities which affects mobility and motor skills. Given the complexity of the clinical presentation, an accurate clinical-functional evaluation is needed that includes: The combination of clinical signs from the patient’s history, a physical evaluation and diagnostic imaging, excluding possible red flags. In this respect, the use of Rehabilitative Ultrasound Imaging (RUSI) might be useful in the evaluation and treatment process, enhancing the effectiveness and documenting the benefits of it. The aim of this work is to propose an integrated evidence-based approach that may be useful for improving the quality of life of LSS patients.

The Use of Ultrasound Images in Manual Therapy and Additionally in Assessment of Shoulder Impingement Syndrome

The use of the ultrasound imaging (USI) in physiotherapy is becoming increasingly common but is highly operator dependent and there are safe and professional issues regarding its practical use. Currently there are no specific training guidelines relating to physiotherapists using USI. The use of ultrasound technology for medical applications began in the 1950s and has proven to be an effective, safe, non-invasive, and relatively inexpensive tool for assessing morphologic characteristics and structural integrity of visceral organs and soft tissues. The use of ultrasound to assess muscle morphology and guide rehabilitation decision-making in physical therapy practice can be traced back to the late 1960s and has been found to be reliable and valid for specific muscles during particular movements. Over the last decade there has been rapid development of this technique with increased use both by clinicians and researchers. This method is defined in literature with the denomination of Rehabilitative Ultrasound Imaging (RUSI). In this work we will see how RUSI could be of help in the evaluation of shoulder impingement syndrome (SIS).

Regional Interdependence: A Practical Guidance in Rehabilitation Clinic—Part 2

Background: This work has the purpose of describing a well standardized therapeutic path in reference to the article “Regional Interdependence: A model that needs to be integrated in the functional evaluation and Physiotherapy treatment—Part. 1,(doi.org/10.4236/ojtr.2016.43010)” in the form of practical guidance in reference to Figure A1. The approach we describe provides standardized techniques for each joint regional quadrant in order to be used in rehabilitation clinic. Therapeutic techniques will also be classified according to the type of maneuver as classified in the literature.