Flexores. Avances en fisioterapia

Abstract

Introduction

In spite of contradict techniques of traditional rehabilitation where passive exercises are begun in order to go to the active ones later, this protocol is expected to inmobilize selectively the most proximal articulations permiting an active mobilization of the distal articulation.

Material and method

we have documented the tendinous injuries treated in our centre by immediate active mobilization and we have checked the results with a controlled group followed by immediate passive mobilization.

Conclusions

the use of this technique,allows us to solve three problems simultaneously. a) To solve the articular weakness and soft tissues; b) to change the active mobility pattern becoming more productive, and c) tTo mobilize the chronic oedema.

When it is tried to reduce the stress of an articulation through the use of fixed orthosis, we are provoking a weakness of the passive mobilization which cannot be treated with passive mobilizations. Only negative effectshave been researched, also a better passive movement which does not correspond with a better active mobility. The abnormal patterns of movement provoke changes at the somesthetic cortex level. The recovery of the mobility cover a mechanic rehabilitation and normal patterns of movement rehabilitation at the cortex level.

Using this methodology allows us to create movement patterns wanted without the appearance of compensatory movements.