Sports rehabilitation

Sports rehabilitation

Sports rehabilitation at Biotrening centre unites the athlete and the entire team of physiotherapists, kinesiotherapists, fitness trainers, nutritionists and mental training principles into one.

Injuries are part of any sport and it is our task to accelerate tissue healing through proper sport rehabilitation, and also to speed up the return of an athlete to the level he was at before the injury and to prevent repeated injuries.

Our rehabilitation is individually adjusted to each athlete, and it is completely in line with top-notch trends in the word.
Highly educated physiotherapists and kinesiotherapists with broad experience and theoretical knowledge are a guarantee of our quality and swift rehabilitation of our clients, regardless if they are professional athletes or amateurs.

Our team has great knowledge in the area of osteopathy and manual therapy, but also in some other more advanced kinesio-therapeutic methods which are used to heal your problems as painlessly and as successfully as possible:

  1. Kalteborn / Evjenth concept
  2. Cyriax Method
  3. Maitland concept
  4. IASTM (Instrument assisted soft tissue mobilization)
  5. PNF (Proprioceptive Neuromuscular Facilitation)
  6. Anatomy Trains
  7. Dry needling
  8. Dynamic Neuromuscular Stabilization DNS
  9. Medical flossing
  10. Kinesio Taping
  11. Cupping therapy

 

Cupping therapy

Owing to athletes at the Olympic Games in Rio de Janeiro, a huge interest was raised for this ancient therapy method, which is more than 5000 years old. It was primarily put under the spotlight by the American swimmer Michael Phelps when he showed up at the tracks with mysterious red circles on his body, with everybody presuming they were injuries.

However, the circles were caused by the cup therapy, so called ‘cupping’. It is a traditional therapeutic method spread in many cultures around the globe. Today it is used in all parts of the world and it is quite popular since it is harmless and has a pleasant relaxing effect.

Cupping therapy is a very powerful technique that acts locally on problem areas, improves circulation and generally enhances health and vitality of the entire body. During the process vacuum is used to restore circulation to painful zones and in such a way enables sufficient amount of nutrients necessary for healing.

In the past vacuum was achieved by heating the air inside the cup prior to placing it on the skin. As the air cools, natural vacuum is made and it massages the painful area.
Recently vacuum is made by using pumps that simply suck out the air from the cup. In both cases the principle is the same – vacuum drives the blood into painful areas and brings extra nutrients to certain parts and by doing so accelerates the healing process. We use silicone and plastic cups, both dynamically and statically.

For the majority of people cupping is a completely safe technique that eases muscle pain and strain. However, prior to staring such a treatment it is desirable to consult your therapist. The majority of treatments is used to release back pain, but many use vacuum also for belly or arm regions. These treatments are pleasant and comfortable and provide relief from muscle pain, inflammation or cramps. Additionally, many women use it to prevent pain caused by their menstrual cycles. Alongside back and neck, cupping therapy may be used in case of problems with cellulitis, on legs and thighs.
This method proved to be quite good for body transformation, and recently it has been used for face, neck and cleavage massages, because cups stimulate circulation and improve skin tonus, and thus provide a fantastic lifting effect.

It can be used separately or in combination with other manual procedures, in cases of neck pain, back pain, frozen shoulder etc. Cupping therapy is particularly recommended for athletes and patients where classical therapy is not recommended or if it is contraindicated.

Osteopathy

Osteopathy is a science, skill, art and philosophy. Functional manual medicine, complementary to traditional medicine that looks for blockades in the body and the reasons for them. The procedures used for diagnosis and treatment stimulate healthy functioning of the body by correcting mechanical imbalances within body structures. It is generally accepted that each local problem needs to be treated on a level of a complete person. It gives attention to everything that is important for health. It treats the entire person on physical, emotional, mental and emotional level. It is used as prevention, in orthopaedics, rheumatology, traumatology, paediatrics, stomatology, sports, and veterinary medicine.

PRINCIPLES OF OSTHEOPATHY:

  1. Artery rules (circulation), it is necessary to unblock circulation and thus enable optimum nutrients to cells, which consequently changes tissue quality
  2. Funkcionalno jedinstvo- svi dijelovi tijela su funkcionalno povezani i svaki utječe na onaj drugi. Fascija povezuje cijelo tijelo.
  3. Struktura vlada funkcijom, funkcija vlada strukturom.
  4. Autoregulacija- tijelo ima mogućnost samoizlječenje

 

Kalteborn/Evjenth concept

Manual physiotherapy according to the Kalteborn/Evjenth concept is a specialist part of musculoskeletal physiotherapy that contains a differential and specific examination. Therapies of joints, muscles and peripheral nerves. The examination starts by a differential examination of the structure that can cause paid and restriction of movement. Those structures are joints, muscles, nerves. After detecting which joint is problematic, a specific examination of the joint begins and it includes active and passive movements, examination of end-feel and translatoric movements. For muscle examination tests with weights and muscle length is used, and examination of nerves includes neurological test of reflexes, sensibility and neurodynamic testing of nerve mobility.

When the specific problem that causes decreased functional activity is detected, mobilisation or stabilisation starts. In case of hypo mobile joints or muscles various mobilisation techniques may be used – functional massage, friction massage, stretch using post isometric relaxation, withheld friction on sub maximally stretched muscle and self-stretching. Specific stabilisation techniques through muscles are used in order to increase stability.

Finally, the effect of therapy is tested by repeated translatoric motion and functional movement.

Cyriax method

One of the first methods in manual medicine that managed to link together and develop exceptionally thorough diagnostics and therapy at the same time. What makes it different is the assistance to the therapist to be able to go through a series of specific tests, and with a great certainty determine damaged structure, position and level of damage. Therapeutically the greatest role is the friction massage which is particularly important in cases of damages because it leads fresh blood to the damaged spot and thus increases blood flow and tissue healing at the same time.

Maitland Concept

This is one of the top manual therapies and it is actually a concept, i.e. it unites several different methods. Maitland deals with problems and disorders in joints, muscles and nervous system with acute and chronic problems. The therapy includes joint movements that a person is not able to make without assistance (ancillary movements) and they are of great importance to increase movement and to decrease pain. Elements of chiropractic and working on nerve sliding through dynamic stretching, so called neurodynamics, are also used.

IASTM (Instrument assissted soft tissue mobilization)

IASTM (Instrument assisted soft tissue mobilization) is a technique that leads to relaxation of muscles, ligaments and fascia using special metal instruments/tools. The technique was used in ancient Chinese medicine using rocks, wood and plastics. Modern scientists recognised the potential and conducted research in order to produce more advanced tools which could generate even better results.

Today IASTM is an inevitable technique in all top of the range world clinics and sports club. The technique is used to quickly relax soft tissues so it is mostly used in sports where fast results are of utmost importance. However, it is also used with other population.

It is not used solely as a treatment for pain or injury, but also to resolve limited movements caused by soft tissue problems. Using IASTM technique has been growing rapidly in the last 5 years due to patient and practitioners satisfaction, but also due to a lot of research that have showed the numerous benefits and efficiency of IASTM method.
IASTM is used for stimulation of damaged tissue as a body response to scars and problems of the central nervous system to stimulus with the aim of relaxing muscles, treating injuries or relieving limited movement.

Dry needling

Method for pain control and release as well as functional rehabilitation through application of acupuncture needles. This is a neurophysically acknowledged method that was thoroughly tested both anatomically and biomechanically. The difference between this method and acupuncture is based on meridians and is not scientifically substantiated, so basically the only similarity is that both use needles. A very thin needle is put into the so called ”trigger point” and pain paths responsible for better conductivity of impulses and pain decrease. Additionally, the needle may be used to stimulate cartilage and to accelerate regeneration by causing micro traumas. Dry needling treatment can achieve great results in excessive muscle tension and increase tonus and can also help to increase joint mobility.

Anatomy Trains

Anatomy Trains, established by Thomas Myers, is based on fascia and myofascial anatomic connectivity and gives us guidelines in order to be able to recognise patterns in body and to make the desired change. In order to give you the idea on what this concept is about it is important to explain that fascia is a thin layer around all body structures. Since it has plenty receptors, therapist commonly consider it the most intelligent tissue and it has great importance in manipulation of other structures to which it defines direction, shape, position etc.

Myofascial meridians, 12 of them, within the Anatomy Trains system connect muscles which had been previously perceived as isolated units, into functional units inside the fascia. Each meridian is precisely defined, it is clear which segments (bones, muscles, ligaments etc.) of the locomotor system belong to which meridian and each meridian has its role in posture and movement, which helps to understand the neuromyofascial network.

Anatomy trains leads to more practical new holistic strategies for improvement of stability, coordination and to solving longstanding compensation mechanisms in posture and movement patterns. Manual approach and active exercises are used to rehabilitate all injury types, to improve posture or performance of top athletes with a final goal set – to improve kinaesthetic quotient i.e. body intelligence.

 

Dynamic Neuromuscular Stabilization – DNS

New method of stabilisation exercises which aims at activating and strengthening intrinsic muscular spine. Intrinsic muscles are located immediately next to the spine and they are not visible, but have an exceptional role in spine stabilisation and maintenance. DNS is not only an exercise technique but a strategy through which brain understands the entire locomotor system. DNS base are muscles connecting vertreabe (multifidus muscle), deep neck muscles, diaphragm, abdominal wall and pelvis floor muscles.
The technique uses and is based on elements of movement of a 3-month to 1-year old healthy baby. Babies at that age use their bodies with minimum energy, perform movements economically with emphasised breathing (to the abdomen) which provides additional body stabilisation. The goal is to mirror baby movement patters to an adult person which, naturally, lost them. This method is extraordinary for athletes, because when they learn to breath and move in a proper way they may improve their physical performances.

PNF (Proprioceptive Neuromuscular Facilitation)

PNF is a comprehensive concept developed in the 1940s during poliomyelitis epidemic. The pioneers were Dr Herman Kabat and physiotherapists Margaret Knott and Dorothy Voss. Today it is used by physiotherapists in order to utilise the unused physical and mental potentials in patients, regardless is it a person who suffered a brain seizure or a person who is a top athlete. This concept also enables us to have a comprehensive approach to the patient, by keeping records and in attempting to optimise movement/activity.

The name itself discloses that stimulation of proprioceptors and exteroceptors is used to gain sensory input (proprioception), by using muscles and nerves we are looking for motoric response (neuro-muscular) and we facilitate i.e. give the possibility of initiating movement. The philosophy behind PNF contains positive and targeted approach, observing a person as a whole, the possibility of mobilisation of reserves, motor control and learning.

Manual contact is extremely important since it, besides providing plenty of information on the patient’s condition, it gives a certain stimulation for movement, i.e. patters which are always 3-dimensional with its spiral and diagonal components starting from a fact that the brain knows nothing about muscles, but only recognises movement.

PNF is recommended when we want to decrease tonus or pain, when we want to increase movement and work on intermuscular and intramuscular coordination and in cases of motoric learning when the goal demands a certain technique.

Kinesio Taping

Kinesio taping was developed in Japan over 25 years ago, and the technique is based on the process of stimulating own body healing. It proves its efficiency by activating neurological and circulation systems. This method stems from kinesiology. Muscles, besides having the function of moving the body, control the circulation of vein and lymph fluids, as well as body temperature.

Kinesio taping is a technique that uses a special tape, and with its unique biomechanical therapeutic effect has multiple benefits. Kinesio Taping tape imitates skin characteristics and, depending on the therapeutic goal, it is applied with different tensions. It is used in many fields of physiotherapy, complimenting other rehabilitation methods and manual techniques with the aim of obtaining better therapeutic effects. This is a principle of treating muscle disorder, decrease of lymphedema and pain.

Application of Kinesio Taping enables prevention of injuries in sports, treatment of injuries, oedema and pain decrease, and it is also used in paediatrics in case of correcting postural relations. A person wearing Kinesio Tape may use it up to 10 days, depending on the desired therapeutic effect in agreement with the therapist. For the entire duration of wearing the tape, it can be washed without worrying that it will wear off. It only should not be dried with a hairdryer.

Goals of Kinesio Taping:

  1. Correcting muscle function. Increases or decreases muscle tension, depending on the technique used to position the tape. This technique impacts proper muscle relations and stimulates better movement control.
  2. Increasing blood and lymph circulation. Kinesio Taping helps in elimination of oedema and hematoma.
  3. Decreasing pressure on pain receptors.
  4. Assistance in correcting joint disorder. Through muscle and soft tissue improvement Kinesio Taping corrects irregular position of joints and enables better postural relations, joint surfaces are evenly used and secondary pathological changes are prevented.

 

 

 

Medical Flossing

Medical flossing is a special physiotherapeutic technique which is very useful and practical and gives great results immediately. It can be widely used in sports and also in general physiotherapy.

Medical Flossing is a therapeutic method in which latex rubber is used. This rubber works on the skin surface with high cohesion power. This method works on the blood and sensomotoric system and has positive impact on autonomous reparative mechanisms inside the body. It is very commonly used for sports injuries, since they usually require fast recovery during tournaments, during or after matches.

It also works on the myofascial system, lymph system and vegetative nerve system.

The main goal is to reduce pain and increase movement.

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