The Rehabilitation and physiotherapy Unit at Ruber International is a department focused on excellence, based on specialization and individual management, at the forefront, with the latest technology available.
Through therapeutic exercises and non-invasive techniques based on heat, cold or low intensity currents, among others, physiotherapy manages to treat many trauma, neurological, etc. conditions in order to achieve each person's maximum mobility and autonomy.
We have a team of physiotherapists in constant training and with extensive experience in different specialties.
We always strive for excellence based on clinical reasoning for an objective and specialized therapeutic intervention. For this reason, we have the following Treatment Units:
- Sports rehabilitation and, Readaptation and injury prevention.
- Trauma rehabilitation and physiotherapy.
- Spine rehabilitation and spine motor control exercises.
- Neurologic rehabilitation.
- Urogynecologic rehabilitation.
- Obstetric physiotherapy.
- Aesthetic physiotherapy.
- Laboratory for Functional Assessment and Injury Prevention.
- Rehabilitación Uroginecológica.
- Fisioterapia obstétrica.
- Fisioterapia estética.
- Laboratorio de Valoración funcional y prevención de lesiones.
Sports rehabilitation, readaptation and injury prevention
Sports physiotherapy seeks to recover injuries from an early stage to a final stage, seeking to return to sport and to retrain sport gesture, preventing the chance of relapse as much as possible.
In early phases, the most current technological tools are used to speed up inflammatory processes and to minimize pain.
Our work is focused on recovering the injured structure's active mobility and strength to avoid loss of muscle function and sports performance, as well as maintain the rest of the musculoskeletal system structures and the patient's physical condition.
Depending on the patient's condition and progress, recovery phases will be followed through functional exercises that will conform to the sport rehabilitation, reaching the final stage that is field sport..
The objectives of each phase will be as follows:
- Biostimulation of the injured tissue.
- Recovery of the basic physical function and conditions of the injured structure(s): mobility, flexibility, strength.
- Physical maintenance of non-injured musculoskeletal system structures: Cardiorespiratory work.
- Recovery of sport gesture and re-introduction to sports.
The department has access to the latest technology in physiotherapy and sports recovery available:
- Deep diathermy.
- Ultrasound-guided progress diagnosis.
- Musculoskeletal percutaneous electrolysis.
As well as the synergies needed to form a multidisciplinary service that takes care of the athlete and pathology in every respect:
- Sports nutrition.
- Functional assessment and injury prevention: Isokinetic assessment and 4D video-analysis (Younext).
Trauma rehabilitation and physiotherapy
Musculoskeletal injuries and conditions are the first reason for consultation in physiotherapy. We focus our work on excellent physiotherapy based on scientific evidence through manual therapy and active movement techniques.
We maintain a multidisciplinary strategy for injury management through continuous contact between patient, doctor and physiotherapist during all surgical and conservative processes.
Our professionals are trained in:
- Manual therapy.
- Dry tapping.
- Osteopathic techniques.
- Spine Motor Control.
- Injury functional readaptation.
- Myofascial techniques.
- Invasive, ultrasound-guided processes: Intratissue percutaneous electrolysis (EPI).
- Pain neuromodulation.
- Physiotherapy techniques for Temporomandibular Joint (TMJ).
- Neurodynamics: Techniques for mobilizing neural tissue.
- Functional bandaging.
- Therapeutic exercise.
- Injury readaptation.
Spine rehabilitation and spine motor control exercises
Back pain is at the top of the list of most common health problems. The prevalence of spinal pain is suffered by 18.6% of the adult population, in fact, it is estimated that about 80% of the population will suffer back pain at some point in their life.
Often, these episodes of acute lumbar or cervical pain tend to reappear and become chronic without the correct clinical approach and reasoning. Our work environment, sedentary lifestyle and mistaken knowledge of the pathology promote pain progression to a chronic state.
It is important to know that the clinical-radiological relationship is not relevant or decisive in most cases of back pain, i.e., the findings found in spinal imaging tests are not always related to clinical symptomatology, in fact, only in 20% of cases are they related. Studies have shown that having negative expectations based on conclusions drawn from imaging test findings, such as magnetic resonance imaging, favour attitudes of avoidance and fear of movement that evolve into chronic spinal pain.
The treatment of spinal pain based on physiotherapy through manual therapy and motor control re-education is a method that has been proven effective.
On the contrary, the oldest conventional physiotherapy based solely on manual techniques on trolley beds has proved unable to resolve chronic pain in most cases. Therefore, it is essential to specifically work on deep stabilizing muscles of the spine to guide a treatment progression until a final stage where the patient is able to move normally and carry weight, maintain extended sitting and standing positions or return to sports.
For patients who receive a conservative choice of treatment, as well as for surgical patients, we will perform:
- Ultrasound-guided deep muscular rehabilitation of the spine.
- Strength and resistance work of these muscles and motor control of the neutral spinal position in an ultrasound-guided way while static.
- Functional spine motor control aimed at function, whether it is sitting and standing up, carrying weight, walking to day-to-day activities and specific work activities, or sports functions such as running, jumping, or sports gestures and positions in certain more prevalent disciplines such as: golf, cycling, athletics, hockey, volleyball, rugby, basketball, football...
The aim of neurologic physiotherapy is to retrain the brain to improve neuromuscular and sensitive aspects, towards the motor relearning of normal movement. From a biopsychosocial model, and, within the framework of the International Classification of Functioning, Disability and Health (ICF), therapeutic intervention is aimed at the activity and participation of the person affected, seeking their independence and/or functionality in their daily life activities, in order to improve their quality of life.
Neurophysiological bases for neurologic physiotherapy are: Neuroplasticity, Motor control, Motor relearning and Clinical reasoning.
Neurologic diseases include disorders of the brain, brain structures, spinal cord and nerves throughout the body, affecting the central and/or peripheral nervous system (WHO, 2007). These disorders, due to the increase in life expectancy, will become a serious problem of particular importance in the future population profile (WHO, 2016).
The acute and chronic neurologic disorders treated with neurofunctional physiotherapy are:
- Cerebrovascular accident (stroke).
- Cerebral paralysis.
- Multiple sclerosis (demyelinating diseases).
- Amyotrophic lateral sclerosis.
- Parkinson's disease (movement disorders).
- Alzheimer's disease.
- Intracranial injury.
- Spinal injury.
- Cerebellar pathologies.
- Guillain-Barré syndrome.
- Multisystemic atrophies.
- Polyneuropathies and peripheral neuropathies.