Clinics Physical Medicine
Physical Medicine, Rheumatology and Rehabilitation
Introduction to Rheumatology and Rehabilitation:
Prof. of Physical Med. And Rehab. Ain shams university
By rehabilitation we mean the restoration of the patient to his best ability, physical and vocational after trauma or disease . This branch usually deals with locomotive problems related to bones, joints ,muscles, tendons and nerves.
The Most Commonly Encountered Problems:
Evaluation of the Patients:
There is no one to one relationship between the physical impairment and the disability so, the function is our goal.
The patient should be evaluated in four phases:
Phase 1 History taking, physical examination, daily activity assessment and laboratory data.
Phase 2 Identification
of special problem list.
Phase 3 Description
of specific treatment program either (physical or medical) for each.
Phase 4 Reevaluation of the program at the end of treatment.
The Goal of Treatment Protocol is:
- Relief of pain or stiffness
- Restoration of movement and function
- Restoration of strength and daily activity
Different Modalities and Exercises Included in the Treatment Program:
- Electrotherapy and paraffin wax and infrared
- laser therapy
- Traction: Cervical,
- Aids and appliances
to facilitate function
as Braces, Splints, and
Short Notes on the Different Medical Modalities:
- Electrical Currents:
Used in nerve injuries, muscle reduction, muscle strengthen and / or to decrease pain.
They activate the excitable tissue whether nerves, innervated muscles and denervated muscles. Types: Galvanic, faradic, interferential, Russian, dynamic and Tens.
- Superficial and Deep Heating Modalities:
Used in arthritic condition; tendonitis, sprain, strains and stiffness
Note: Heating modalities increase blood flow, decrease pain, and Increase tissue elasticity.
- Laser Therapy
Laser Therapy :
Benefits of Laser Therapy :
- Increase collagen
synthesis useful for
Permeability of cell
- Increase level of
an increase in cellular
ATP which is useful for