
The types of therapy are:
Preventive: We can prevent diseases, injuries, or prevent irreversible damage and rehabilitate worse.
Healing: injury, joint locking, and following the rehabilitation program that the specialist performed for each lesion and patient process.
Pre-surgery: teaching the patient a regimen of exercises to do before the intervention and preparation for surgery and the recovery process.
Post-surgery: rehabilitation and recovery process for an early introduction of daily life
• early or immediate phase sequelae of surgery (scar, edema ...)
• Late stage: pathology which has operated.
Post-immobilization: The muscles will atrophy, frozen shoulder, etc.., Incalcificación in the bones (cast, splint, ...).
Maintenance: Deformities of the spine, gait disorders and rehabilitation, orthopedic and foot disorders.
It uses the following methods:
It is the modality of Physical Therapy in which electricity is used to make biological and therapeutic effects.
4 types are used electrotherapy:
Trains .- That is used for nerve stimulation and reinforcement.
Galvanic .- Used for relaxation and to reduce inflammation at opposite poles.
2 .- Tens used as analgesia.
5 .- Tens used as analgesia and stimulation.
The effects it has on rehabilitation are:
1. Used for nerve stimulation and reinforcement.
2. Used for relaxation and to reduce inflammation at opposite poles.
3. It is used as an analgesic.
4. It is used as analgesia and stimulation.
5. Anti-inflammatory.
6. Analgesic.
7. Improved trophism.
8. Neuromuscular potentiation.
9. Heat, in the case of high-frequency electrotherapy.
TENS: transcutaneous electrical nerve stimulation is a form of low-frequency electrotherapy can stimulate nerve fibers thick A - alpha rapidly conducting myelinated. Central level triggers the implementation of systems descending pain inhibitory character
Galvanic: DC is one whose direction is constant. In it, the load flow is performed in the same direction: the negative to positive to negative charges, positive or negative if we consider the flow of positive charges. In medical applications, we use a type of power, as well as continuous, is continuous and constant intensity. This is called galvanic current.

It is a form of energy from mechanical vibrations. This energy is spread in a longitudinal compression wave and an elastic needs to be transmitted. Ultrasonic treatment means the use of sound vibrations in the spectrum does not audibly, for therapeutic purposes.
Mechanical effect.- Mechanical effect used in the joints and helps to free movement. Cellular micro massage, mechanical effect on living tissue.
Thermal.- Heat is used as an analgesic and anti-inflammatory.
Types of Ultrasound
Continuous ultrasound, thermotherapy is used as selective deep tendon and periarticular structures.
Its strength is controlled by the appearance of periosteal pain if there is local thermal overload.
It can be applied in the presence of metallic osteosynthesis.
Contraindicated in acute inflammatory processes, recent trauma, ischemic areas or with altered sensitivity.
Pulsed Ultrasound: The pulsed emission is currently used for its positive effects on inflammation, pain and edema.
It is indicated in acute and inflammatory parameters as lacking adequate thermal effects.
By not producing periosteal pain, there is a lack of notice of an overdose and one must be cautious in medium and high intensities.
Biological effects:
• They arise from the absorption coefficient.
• Promotes muscle relaxation.
• Increase the permeability of the membrane. Absorption of nutrients at the cellular level.
• Increases the regenerative capacity of tissues.
• Effect on the peripheral nerves.
• Reduction of pain.
• Decreased or increased spinal reflexes depending on the dose applied.
• Acceleration of axonal regeneration and increased enzyme activity in the distal end of an axon regeneration.

It is a technique by which power is applied to the body of the electromagnetic spectrum to facilitate its biochemical activity. The energy must be measured and calibrated so as not to saturate the living environment or otherwise insufficient.
LASER means Light Amplified Esmulada Emission of Radiation.
Biological effects of laser
• Analgesia in the irradiated area
• Anti inflammatory
• Anti edematous
• heals wounds and injuries in various tissues.
Photothermal effect of laser
• It is a form of "message" or usable power (mW) by the cell itself for the normalization of the altered functions.
• This is an effect fotoenergético or bioenergy.
Photochemical effect of laser
• It causes the release of substances such as histamine, serotonin, and bradykinin.
• Increased production of intracellular ATP.
• Stimulation of DNA synthesis, protein synthesis and enzyme.
It is used in chronic pain, intense and healing, analgesic and anti-inflammatory.
It is defined as the therapeutic use of mechanical devices designed to provoke and direct regulated body movements in their strength, path and amplitude, is given along with the gym to improve injury therapy, by mechanical devices, exercises, routines, specialized equipment such as tables of hands wheels, cages with weights and pulley system, pulls, pedal board, etc.
It is the use of water as a therapeutic agent, in any form or temperature status as it is the result of the use of physical agents such as temperature and pressure, prevention and treatment of diseases and injuries through the water. In its many and varied possibilities (swimming pools, jets, bathrooms, fumes ...) hydrotherapy is a valuable tool for treating many pathological conditions such as trauma, stroke, rheumatism, improve range of motion, restore muscle function, stimulating brain, etc..
The therapeutic properties of water enable us to provide the basis for the treatment of disorders of patients. Exerts relaxant effects, increases the pressure to improve the functionality of the body, increase body temperature, etc..
The hydrotherapy or aquatic physical therapy patients are treated gently with water in different forms and techniques such as:
• Bathrooms.
• Showers.
• Jets.
• whirlpool baths.
• sub aquatic massage.
• Tanks.
• Swimming pool.
• Swimming.
• specialized exercises.
These modalities are used in all diseases as rehabilitation and treatment:
Pre and post surgery as shoulder, knee, foot, plastic surgery, accident and recovery.
Treatment and rehabilitation of neurological diseases, spinal cord injury, CVA (stroke), nervous system disorders.
Shoulder surgery, knee, hip, plastic surgery, liposuction.
Patients and professional athletes, accidents.
Chronic Pain:
• Back.
• Shoulder.
• Cervical or neck.
• Knee.
•Foot.
Rehabilitation and treatment for neurological and nervous system; and musculoskeletal diseases
Nervous system diseases and neurological
• Accidents involving the nervous system
• Multiple Sclerosis
• Cognitive disorders and brain
• Migraine
• Facial paralysis
• stroke (cerebrovascular disease scale) stroke
• Fibromyalgia
• Parkinson
Osteoarticular
• Rheumatoid Arthritis.
• Bursitis.
• Adhesive caplets.
• cervicoarthrosis.
• Cervical spondylosis.
• Ankylosing Spondylitis.
• Fibromyalgia.
• Gout.
• Herniated Disc.
• Osteoarthritis.
• Osteoporosis.
• sacroiliitis.
• Rickets.
• Shoulder Tendinitis.
• Carpal Tunnel.
• Tarsal Tunnel.
The person focuses his mind on internal sensations, such as breathing.
Guided imagery techniques employing a display, such as walking on a quiet beach, a natural landscape. Progressive relaxation techniques involve gradual relaxation of the muscles. Incorporate the repetition of a phrase or sound silently or aloud, and even a music tour with musical sounds. We also use electrotherapy modalities such as galvanic to relax the muscles.
They are used today by too much stress, preparing for a surgery, sleep disorders, chronic back pain, neck, shoulder, feet, joints. Chemotherapy, post-traumatic stress, depression.
• Anti-stress.
• Chronic fatigue.
• Relaxing.
• Sleep disorders.
In the area of child psychological
We work to achieve the optimum development of each of the stages of child growth. Parents are able to see if your child has some difficulty to deal appropriately with different areas of development, requiring professional support.
We are an integral interested in creating spaces that allow children to maximize their development by providing evaluation and treatment for a wide range of emotional problems, school and behavior.
Every child who attends will be applied a full evaluation will aim to obtain a clear and correct the factors that are causing difficulties. That will allow us to develop a customized program for each child to define the type of therapy that will be during treatment.
The methods used to make such an assessment include a battery of psychological tests, which vary depending on each particular case, information obtained through interviews with parents and information provided by teachers, if necessary.

It is noteworthy that within this therapeutic process is expected to actively participate in the child and parent. Getting an effective and lasting change that delighted families who trust us.
• Behavior and performance.
• Learning.
• school failure.
• Family problems.
• Changes: sleep, eating disorders.
• Shyness, low self-esteem and bullyng.
• Aggressiveness.
Psychological therapy for adults
Here in rehabilitation centers also have psychology so that the patient has more comprehensive recovery not only physically, emotionally. Many patients have gone through difficult processes such as accidents, surgery or failed surgeries, spinal cord injury and many of these events can trigger anxiety disorders, stress, low self-esteem and with the help of psychology is more complete recovery.
Attend:
• Low self-esteem.
• Anxiety disorders: depression.
• Couples Therapy: sexuality, infidelity, and special programs.
The normal development of language, is acquired by the individual's development, however for physiological causes, neurological or psychological, can sometimes be a delay or an alteration of language, so YUPI and rehabilitation LIZAOLA special programs of stimulation and speech therapy.
Language disorders secondary to:
• Problems oral (tongue, lips, teeth, nose and palate).
• Autism.
• Brain Injury (seizures, diffuse axonal injury).
• CVA (stroke).
• Speech Pathologist.
• hearing impairment.
• Brain Gym.
• Brain plasticity.
• Learning.
• Hyperactivity.
• Stuttering.
• Children outstanding.
• Mutism.
Special education is specially designed programs to meet the unique needs of children with disabilities and special educational needs due to intellectual giftedness or mental, physical or sensory impairments. Special education comprises all measures to offset these needs, here we have specialists, and professionals dedicated to helping patients with customized programs for each of your needs.
We work with children and adults who have some kind of problem as:
• Language problems
• Therapy and language stimulation
• Disability visual, auditory and motor
• Intellectual disability
• Down Syndrome (Trisomy 21)
Objectives
Communicating with the unborn baby through music, poems, stories, visual stimuli, swaying and dancing, massage, relaxation and visualizations.
Benefits for Parents
• Strengthen the bond with the baby.
• Reduce stress during pregnancy
• Create a positive attitude towards pregnancy.
Benefits for baby
Promotes the further development of:
Attention and memory, language, reading and mathematics, musical skills, motor skills and muscle tone, self-esteem, socialization and overall intelligence.
Techniques such as talking to the baby, prenatal care, storytelling, relaxation techniques, breathing exercises and strengthening exercises ball, visit the pope, music therapy and preparation for the arrival of the baby.
Early stimulation is a technical group to develop the capacities of children in the first years of life. With a series of special educational techniques used in children between birth and six years of life can correct disorders or potential, encourage crawling, walking, strengthening their legs.
We help develop the potential of children, encouraging skills and areas such as cognitive, motor, language and social and emotional.
Risk groups
• Genetic disorders that hinder the development or is slower (Down syndrome, fragile X syndrome).
• congenital or acquired diseases that interfere with development (disorders of metabolism, endocrinopathies ...).
• Changes of the pre, peri or postnatal (prematurity, low birth weight, anoxia during birth,...).
• Children of psychosocial risk (absence of skin care, family abuse,...).
This treatment focuses on people to achieve independence in all the areas of life. Occupational therapy is a branch of physical medicine and rehabilitation, aimed at providing tools and strategies to the patient.
Not only related to adults, after all, the children also have jobs / work.
But the main job of a child is playing and learning. An occupational therapist can evaluate a child's skills for play activities and teach the operation and activities of daily living and compare the development appropriate for a certain age.
We work with children:
• Psychomotor
• Autism
• Attention Deficit Hyperactivity
• Genetic disorders (Down syndrome, mental retardation)
• Feeding difficulties
• Sensory Integration Disorder
Occupational Therapy to evaluate, treat and consult airlines:
• Fine Motor (difficulty writing and cutting
• Difficulties with visual perception and visual motor
• Play and socialize
• Sensory Integration
• Difficulties that may interfere with the learning process
• Organize and plan motor movements
• personal care skills (dressing, eating with utensils and personal hygiene)
• environmental adaptations (home and school).
Electromyography and visual evoked potentials and somatosensory hearing:
Electromyography (EMG) is a technique for assessing and recording the electrical activity produced by skeletal muscles. The EMG is developed using a medical instrument called an electromyograph, to produce a record called an electromyogram. An electromyograph detects the potential energy generated by muscle cells when these cells are activated neurally or electrically, the signals can be analyzed for abnormalities and the level of activation or analyze the biomechanics of movement of a human.
Evoked potential
This is a neurophysiological examination that assesses the function of the acoustic sensory system, visual, and somatosensory pathways through responses to a stimulus caused known and standardized.
When a train of sensory stimuli of any kind reaches the brain, causing characteristic sequences of waves in the EEG (EEG), known as evoked potentials. They are different for each sensory modality and its variability also depends on the intensity of the stimulus. Typically have a stable relationship over time compared to the stimulus.

It's a test allows us a fairly accurate assessment of hearing, to be vital to determine if a person hears or not. Carries additional information about the underlying problem, possible cause of hearing loss.
However, to obtain reliable results is very important to the patient's cooperation, being necessary to pay great attention during the test and answer honestly in the same
Audiometry was accomplished by evaluating the "air" and "bone conduction"
The airway: Assesses the ability to detect sounds produced / transmitted through the air, in particular through headphones.
The bone conduction: Assesses the ability to detect sounds transmitted through the bones of the head. In this case, use a vibrator that fits behind the ear.
The human ear can discern sounds with frequencies between 20 and 20,000 Hertz.
The sensitivity of our ears to detect these sounds is not the same at all frequencies, being more sensitive to the so-called conversational frequencies, ie the sound frequencies emitted by our fellow human beings generally. The ability to detect sound, hearing, diminishes with aging, this decline being larger in the higher frequencies, also called high frequency or frequencies. These would be the frequencies above 4000 Hz.
Mold
With the results of audiometry and reporting, we know that the patient requires a device, for that you need a mold that is embedded in the patient's ear that is tailored and thus placing the device you need.
The mold is made ??of special material like silicon and becomes instantly.
Is shaped pasta, is introduced to the ear and is expected about 2 to 3 minutes to dry, then removed from the ear and makes a hole where the hose enters the device will be connected, the hose is placed, fixed in the mold and trimmed, to finish is varnished and the mold is ready.
This procedure is only for curveto devices.
Quote of hearing aids
It sends the results of audiometry to a specialist to specify the type of hearing aid is required for each patient and equipment options.
Botox (botulinum type A), a drug that acts by paralyzing the muscles temporarily, is the most potent toxin of the seven derived from the bacterium Clostridium botulinum. Came into use in the U.S. in the 60's as a therapeutic agent for the treatment of diseases associated with neurological disorders, characterized by involuntary muscle contraction.
Botox is a safe substance with very few contraindications. People who suffer from allergies to the bacteria used. Neither is used in pregnant women because there are no studies to show that the treatment is safe.
The frequency of treatments varies from person to person is about 4 to 6 months. The patient, once the application of Botox, you can return to your normal routine as it does not require admission to the medical center.
When Botox is used in large quantities, as in the case of the neck, the body can create natural defenses against bacteria. In this case no effect. This has led some doctors think (but no studies) that eventually could return Botox is ineffective.
Indications for Botox (botulinum toxin).
The breadth of the Botox is wide and its applications are many. Among them, we can highlight:
- Treatment of facial wrinkles
- Treatment of Hyperhidrosis
- Focal dystonia (blepharospasm, hemifacial spasm, cervical dystonia, oromandibular dystonia, laryngeal dystonia or spasmodic dysphonia, ...)
- Spasticity (specifically, in spasticity present in patients with cerebral palsy)
Finally, it is interesting that some types of migraines benefit from the use of Botox.
Given its efficacy and few side effects and risks, Botox is a technique of Aesthetic Medicine which has gradually gained ground displacing cosmetic surgery techniques such as lifting.
According to EFE news, surgical techniques continue to lose ground to revolutionary treatments, while less painful and traumatic, has revealed the annual report of the American Association of Plastic Surgeons, in conjunction with therapies such as injection Botox.
"This trend is the increasing number of patients who prefer to combat the effects of aging treatments that do not involve alteration of the body such as injections," he said in a statement Bruce Cunningham, president of the association.
Always be alert to the offers of beauty treatments. In this area is normally abundant inexperience and improvisation. Before leaving your face in the hands of beginners, it is necessary to satisfy itself of the professionalism and recognition of the center where it will be applied. In the salons and the like are not usually found plastic surgeons, neurologists, dermatologists and ophthalmologists, and other experts authorized to handle this technique.
The use of Botox is extremely delicate. First, you must have a precise knowledge of human anatomy and dose management and tools. Among the most frequently reported side effects include: facial palsy, ptosis or drooping of the eyelid and headaches (12 to 24 hours after application). However, the distortion is not forever. After four to six months, the unpleasant effect is gone.
Finally it is interesting to note that according to recent research, when administered in combination with physical therapy, Botox injections can help strengthen weak muscles and possibly restore normal movement in children with cerebral palsy, I use this of great interest and probable future development.
1. Frontal
2. Temporary
3. Procera
4. Orbicularis oculi
5. Zygomatic
6. Orbicular of the mouth
7. Masseter
8. Buccinator
9. Digastric
10. Mental
11. Platysma
Botox therapy for cerebral palsy, spinal cord injury ...
And BOTOX therapy, range of motion of its members improved by 40%. His life, 100%.
BOTOX
Improves quality of life by decreasing spasticity |
Decreases the letter for him who cares |
Decreases pain Spasticity |
Decreases pain Spasticity |
Reinforces patient self |
Improves the overall perception of the severity of the disease by parents |
Decreases postoperative pain |
Improve daily living activities |
56% decreases the impact of the disease in children with spastic cerebral palsy. |
|
Improvement in the perception by parents of children with adductor spasticity in lower limbs 12 to 18 weeks after treatment with BOTOXR.
References:
a. Ease of daily care and hygiene.
b. Reduction of pain during daily care.
c. Decreased pain therapy.
d. Improvement in the ability to sit
e. Improvement in the ability to stand
f. Improvement in gait
g. Improved ride quality.
Neurology: cerebral palsy, tremor, dystonia, myoclonus, hemifacial dystonia, migraine, spasticity.
Urology: overactive bladder detrusor muscle (sphincter dyssynergia between the detrusor muscle of the bladder.
Otolaryngology: palatal myoclonus, dysphonia.
Dermatology: facial hyperhidrosis, axillary, palmar and plant them.
Hiperquinteticas frontal facial lines, orbicular, nasolabieales, etc.
Traumatology and orthopedics: Spasmodic torticollis, spastic disorders, back pain, neck and spine associated with pathological cotracturas.
Odondotologia: bruxism temporomandibular jaw.
Proctology: anal fissure,
Gastroenterology: Achalasia
























