The treatment in physiotherapy is always individually tailored to the patient. In most cases, however, the following four goals are in the foreground:
- Pain relief
- Improvement of metabolism and blood circulation
- Improvement of mobility, coordination, strength and endurance
- Help for self-help
In order to set the focus correctly, the physiotherapists start with an anamnesis, which also considers psychological and social factors. This is followed by findings with active and passive testing. A combination of these results is translated into a possible treatment plan using the Clinical Reasoning process (thinking, acting and decision-making process). It is important to ensure that this is a joint process with the patient. Working according to the best scientific knowledge must always have room for the patient’s wishes and the therapist’s experience.
Education is an elementary part of the therapy. The patient must understand the possible reasons for his symptoms. Only then can insight and thus a change in everyday life take place.
In physiotherapy, a distinction is made between passive and active therapy methods.
The passive measures include:
- Manual lymphatic drainage
- Manual therapy
On the other hand, the active measures represent a central pillar that is becoming increasingly important. They are based on physiological adaptation phenomena to stimuli, which are controlled in their dosage with the help of sports science knowledge, taking the patient into account (motor learning, muscle building, metabolic stimulation). This active therapy usually also represents the part that can be continued independently by the patient at home. This often involves strengthening exercises or relaxation measures.