Leonardo's anatomy

Leonardo's anatomy

Tuesday, May 6, 2014

Physiotechniques: Percutaneous Intratissue Electrolysis (Electrólisis Percutánea Intratisular (EPI®))

This is an invasive physiotherapeutic pioneering technique that targets musculo-skeletal tissue (tendons, muscles, ligaments, etc.). It consists on the introduction of a galvanic current through an acupuncture needle which induces a local inflammatory process in order to activate phagocytosis and healing of the soft tissue involved. It was recently developed by a team of Spanish physiotherapists (José Manuel Sánchez Ibáñez, Francisco Minaya and Fermín Valera). The process requires the aid of echography to guide the specific placing of the needle. The developers affirm that the current is able to induce a healing on the affected tissue, and to activate a new process of collagen proliferation. The modifications of the structure and mecano-biological behavior of soft tissue can be seen immediately. The effectiveness is high compared to other conventional physiotherapy treatments such as: ultrasound, laser, Cyriax, Diacutaneous Fibrolysis, Extracorporeal Shockwave Therapy, etc., or medical treatments such as: pharmachology, infiltrations or surgery. It also has a low frequency of relapse.
The authors explain that these effects have been recently demonstrated in degenerative processes such as tendinosis of the patellar tendon, lateral epicondylitis, athletic pubalgia, and plantar fascitis.
You will find more information in their website at: http://www.mvclinic.es
They have also published a very thorough book called “Fisioterapia Invasiva” (Invasive Physiotherapy) in Spanish by Elsevier.
Bibliography
Sanchez-Ibañez et al., Int J Phys Med Rehabil 2013, 1:2  


EPI® Technique in Patellar Tendinopathy/ Técnica EPI® en Tendinitis Rotuliana




Thursday, May 1, 2014

Physiothoughts: The Body Matrix


G. Lorimer Moseley, Alberto Gallace and Charles Spence [2012] have proposed the concept of “body matrix”, not to be mistaken with Melzack’s [2005]concept of a “neuromatrix”, which would allow our body to adapt to different anatomical configurations in our body and would play a major role in the control of homeostasis. They propose a dynamic neural representation that integrates somatotopic and peripersonal sensory data together with body-centred spatial sensory data.
The relevance of such a concept for physiotherapy practice seems enormous for, if the theory is proven, we would count with evidence for the need of an integrated treatment even for the more basic and mechanical pathologies.  




References
Melzack, Ronald, [2012]. Evolution of  the Neuromatrix Theory of Pain. Pain Practice, Volume 5, Issue 2, 2005. 85-94
Moseley, G. Lorimer; Gallace, Alberto and Spence, Charles. [2005] Bodily illusions in health and disease: Physiological and clinical perspectives and the concept of a cortical “body matrix”. Neuroscience and Biobehavioral Reviews 36 (2012) 34-46. Elsevier.