The Scroth Method

The Scroth Method

MHS private practice is the only one in Bosnia and Herzegovina that is conducting the Schroth method under control and treatment of licensed team (Schroth physiatrist and Schroth physiotherapist).

The Schroth method is a long-standing traditional method that is primarily applied in the non-operative treatment of scoliosis. This kind of workout system is being used in modern kinesiotherapy.

The treatment is based on solid neurophysiological foundations that are giving rise to five classic Schroth’s principles:

  • axial elongation,
  • deflexion,
  • derotation,
  • facilitation,
  • stabilization.

Also, great attention must be directed to the correct rotational breathing. Rotational breathing affects the increase in vital capacity of lungs, stops the progression on curve and makes corrections of the existing deformity.

The exercises are performed on a daily basis under the supervision of a professionally trained person.
Schroth method is a unique method that is focusing on re-establishing of spinal symmetry. In addition to the force of its own muscles, Schroth relies on the force of gravity and the force of additional load. The goal of the method is to establish a postural balance.

Schroth method has a long-standing tradition. Katharina Schroth has established this method in 1921 in Meissen, in the eastern part of Germany.

Katharina and her daughter Christa have moved to Bad Sobernheim in 1961 and in 1983 they have founded their own clinic─”Katharina Schroth Clinic”.

Katharina lived until 1985 and Christa continued to implement the method of her mother. Moreover, she enhanced it in a way that she included the treatment of breathing into the therapy.

In MHS private practice Schroth method is performed on the principles of the teamwork, continuity of exercise and continuous monitoring.

The first examination, basic diagnosis and guidelines for the treatment are given by a doctor specialized in the field of physical medicine and rehabilitation (licensed Schroth doctor). During the first examination, as well as continuation of exercises, parents have active participation in the process for the sake of education and monitoring exercises regarding the home program.

Schroth method and individual exercises for each patient are carried out by licensed Schroth physiotherapists in the MHS private practice.

Schroth method is applicable for both children and adults.


Kinesio Taping

Kinesio Taping

Kinesio Taping was developed in 1970s in Japan. The creator of the fundamental principles of Kinesio Taping is Dr. Kenzo Kase.

Kinesio Taping is a method of adhering/sticking specifically designed Kinesio tapes for the therapeutic purposes. In order to achieve the therapeutic goal, the elastic property of the tape is being used. The function of the tissue is changed by the alternation of tape tension. Kinesio Taping affects the skin, blood, lymphatic system, fascia, muscles and joints. Kinesio Taping lifts the skin while creating wrinkles and grooves that eventually leads to the creation of reduced pressure canals. In this way, the interstitial space is being increased what enhances circulation, lymphatic flow and reduces the pressure on the pain receptors. Lifting of the tissue also reduces swelling and inflammation because it spurs the flow of liquid. Kinesio Taping cooperates with the body and allows the normal range of motion. The application/tape is carried 3-5 days, is waterproof and allows smooth performance of daily life activities, sports activities and personal hygiene. While wearing Kinesio tape, we can apply other types of physical therapy, such as: magnetotherapy, thermotherapy, kinesiotherapy, various types of manual techniques, etc.

Kinesio Taping is widely used in the rehabilitation of various problems of locomotor system. It gained great popularity in the last decade as an essential part of the rehabilitation of sports injuries. It is applicable for both children and elderly people.

Types of Kinesio Taping applications:

  • muscle correction,
  • fascia correction,
  • mechanical correction,
  • spatial correction,
  • tendon correction,
  • ligament correction,
  • functional correction,
  • lymphatic correction,
  • correction of the scar tissue

KINESIOTAPING and PEDOBAROGRAPHY; Goran Pavlović -senior physiotherapist MHS Sarajevo from bonaventura on Vimeo.


Mirror Therapy

Mirror Therapy

Mirror therapy is innovation in our practice.

Mirror therapy involves a special technique and application of mirrors in terms of eliminating imaginary pain of amputees. This method is relatively new in the world of medicine and health care professionals from our practice became rare certified mirror therapists.

Two workshops were held in Hope 87in Sarajevo and were led by Dr. Amira Karkin-Tais and doc. Dr. Mirsad Muftić.

The treatment lasts for 30 days on a daily basis of 10 minutes. The therapy’s task is to mimic the movement of the amputated part of the body in relation to the healthy part of the body seen in the mirror.

The expected results are achieved within 30 days. The goal of therapy is to eliminate the phantom pain of amputees.


Bobath Concept

Bobath Concept

Bobath concept-rehabilitation of neurological patients, is used for conditions after the stroke, CNS and spinal cord injuries, muscular dystrophy, multiple sclerosis, cerebral palsy, etc.

We apply the Bobath concept in our centre in the rehabilitation of children and adults with neurological disabilities. Each treatment is individual and is defined by the short-term and long-term therapeutic goals that we set together with the patient and his/her family. The goal of Bobath concept is to achieve the maximal possible normal function in performing of daily life activities.

Bobath concept was founded by a married couple Karel and Berta Bobath in the United Kingdom in 1943.

Bobath concept is the approach to solving problem used in the evaluation and treatment of patients with disorders of functions, movement and posture caused by lesion of the central nervous system.

Thanks to the plasticity of the central nervous system, normal posture and movement can be re-learned.

The therapy is aimed at preventing abnormal activities and achieving the normal function by re-establishing postural control and normal movement. The therapist works with the patient, leads him/her with his hands during handling and in that way gives him/her clear information. In that way the patient is given the opportunity “to feel the movement”, that teaches him the normal movement over again and thus improves the performance of daily life activities.

Nowadays, Bobath concept takes leading position in the neurological rehabilitation in the majority of European and world countries


Thera – Band

Thera – Band system of progressive functional exercises

Thera Band is a leading global brand in the field of rehabilitation, fitness and sport. Thera Band is used for the first time in 1978 in the United States. Program Thera-Band is recognized by the American Association of Physiotherapists (APTA) and is official program of rehabilitation of all EU countries. Highly qualified training on the use of Thera Band program is conducted as a part of Thera Band Academy what leads to becoming a certified Thera Band practitioner recognized as such in the entire world.

Thera Band system of progressive exercises is used to improve::

  • posture,
  • mobility of joints,
  • motor function,
  • balance,
  • muscle performance

Certified Thera Band practitioners apply this form of progressive exercises in our practice as a part of individual khinesiotherapeutic treatment. Thanks to that, excellent results in rehabilitation are achieved. Thera Band exercise program can be adjusted to the needs of people of different ages, from children to the third age population.

Some of Thera Band programs we conduct are:

  • exercises for prevention and correction of the bad posture,
  • rehabilitation after sports injuries,
  • preoperative and postoperative rehabilitation (with total hip arthroplasty, knee, and other orthopedic procedures),
  • exercises for osteoporosis,
  • exercises for rheumatic patients (rheumatoid arthritis, ankylosing spondylitis…)


Myofascial Release Technique

Myofascial Release Technique

The founder of this advanced manual technique is Dr. John F. Barnes.

Myofascial release method is safe and highly effective manual technique that involves the application of gentle and continuous pressure on the fascial connective tissue in order to eliminate neck pain and regain the possibility of movement. ‘Myo’ is the name for the muscle, while the term ‘fascia’ is most easily described as an elastic layer of connective tissue that stretches along the entire body. Fascia supports and covers all muscles, tissues, organs, bones, ligaments and nerves. Muscles and fascia are one, they operate together and only in their accordance the body functions in an orderly and healthy manner. During inflammation or injury, fascia shrinks and becomes solid and motionless causing tension, pain, stress and limits the movement. Fascias are the first line of our defense and they operate independently of the central nervous system (CNS), so they are called “peripheral brain”.

Myofascial release method is used for the pain relief, to increase the range of motion and improve posture. Also, regarding certain neurological conditions, especially among children with cerebral palsy, we influence the reduction of muscle tone and improve mobility.

MRT is used in following conditions:

  • back and neck pain,
  • frozen shoulder,
  • hardened and painful scars,
  • neurological conditions,
  • sports injuries


Lymphatic drainage

Lymphatic drainage

What is manual lymphatic drainage?

Manual lymphatic drainage is a technique we use to restore fluid balance in the body. The technique is based on the experience of massage technique developed by dr. Vodder in 1936 established the movements, the order and the manner of execution, which is still used today with small changes.

Manual lymphatic drainage has a beneficial effect on the lymphatic system, the autonomic nervous system, the sensory pathways of pain reflexes and the immune system. It removes excess water and protein from tissues, removes metabolic waste and toxins, increases lymphocyte production, reduces stress and pain, leads to relaxation, increases the body’s resistance.

It is performed segmentally, never the whole body, with the same tempo and pressure, with respect for the direction and in a precise order. Before treatment, measurements of the extent of the extremities are used to evaluate the condition after treatment.

What is lymph?

The lymph is a colorless to slightly yellow fluid, which is produced by squeezing blood through the walls of the blood capillaries and collecting in the intercellular space. Contains water, protein and harmful substances. After enough lymph is collected in the intercellular space, it enters the lymphatic capillaries, then passes into the lymphatic vessels and reaches the lymph nodes. In them, the lymph is broken down and the microorganisms are destroyed. The rest of the undiluted lymph fluid travels to the larger lymphatic ducts and flows into the thoracic and right lymph ducts, which further transfer it into the upper cavity, where it enters the venous bloodstream.

When does lymphoma come to a halt?

Certain pathological conditions can disrupt the fluid balance in the body, leading to edema. Factors affecting the onset of edema are: increase in capillary hydrostatic pressure (excessive salt and water retention, high blood pressure, heart failure), hypoproteinemia (loss of protein in urine, liver disease, malnutrition), bacterial infections and blockage of lymphatic flow (cancer, infections , scar tissue, parasites).

Injury, surgery, or radiation in malignancies lead to excessive accumulation of fluid and protein in the intercellular space. This condition is called lymphedema and can occur on the extremities, torso, abdomen, head, neck and genitals. If left untreated, it can cause chronic inflammation and fibrosis of the affected tissue.

When do we use lymphatic drainage?

Lymphatic drainage is used in many pathological processes because there are not many contraindications for its implementation. It plays an important role in physiotherapy, sports medicine, rehabilitation and after radiation therapy, as well as in cosmetic face and body treatments.

Indications:

  • lymphatic arrest as a result of mechanical problems, congenital or acquired dysfunctions, cold, overload and lack of movement
  • lymphedema
  • paresis of n.facialis and hemiplegia as an introduction to therapy
  • chronic rheumatism
  • sports injuries
  • hematomas
  • scars
  • operations
  • cosmetic area, skin detoxification
  • activation of the parasympathetic
  • reduction of pain
  • allergic reactions
  • general relaxation
  • tired and heavy legs
  • headache and migraines
  • cellulite
  • chronic sinusitis

Contraindications:

  • malignancies
  • acute infections of any kind
  • renal dysfunction
  • febrile states
  • acute allergic reactions
  • thrombosis
  • cardiac decompression

APPARATUS LYMPHENE DRAINAGE – PRESOTHERAPY

In modern care, in addition to manual lymphatic drainage, the lymphatic drainage technique is being used more and more effectively, using specially designed apparatus. The most commonly used form of apparatus lymphatic drainage is presotherapy.
The principle of operation of the pressotherapy apparatus is based on the existence of a closed system, usually in the form of elongated pants, which are made of soft plastic material, the walls of which contain cuffs which, during application, inflate at a rhythmic interval and exert pressure on the skin and tissue below her. With presotherapy, the cuffs are inflated successively, in the established order, from the periphery to the central parts of the body. Segmental increase and decrease in pressure from the periphery to the center causes accelerated venous and lymphatic drainage.

The indication and contraindications are the same as for manual lymphatic drainage.

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