Category: Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more. Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

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Treating Deconditioning in Elderly | Physiotheraphy Near Me

physiotheraphy near me

Treating Deconditioning in Elderly | Physiotheraphy Near Me

admin

May 31, 2024

physiotheraphy near me
Conditions Relating To Elderly, Synapse Physiotherapy

Introduction

As individuals age, maintaining optimal health and mobility becomes increasingly challenging. Deconditioning, characterised by a decline in physical function and muscle strength, is a common consequence of ageing. It is a complex process of physiological change following a period of inactivity, bedrest or sedentary lifestyle. This phenomenon not only diminishes quality of life but also predisposes the elderly to a range of health issues, including falls and fractures. It also results in functional losses in such areas like mental status, degree of continence, and ability to accomplish activities of daily living.

 The most predictable effects of deconditioning can be seen in the musculoskeletal system that includes diminished muscle mass, decrease in muscle strength, muscle shortening, changes in the cartilaginous joint structure and limited mobility. These effects are closely linked to falls, functional decline, increased frailty and immobility.

Fortunately, a multifaceted approach combining physiotherapy, nutrition, medical management and psychological support can help in rejuvenating the health and vitality of elderly individuals experiencing deconditioning. 

Understanding Deconditioning in the Elderly:

Deconditioning refers to the physiological changes that occur when the body experiences a reduction in physical activity and muscle use over time. In the elderly population, factors such as sedentary lifestyles, chronic illness, and age-related muscle loss (sarcopenia) contribute to this decline. As muscle strength, balance, and endurance diminish, individuals become more susceptible to functional limitations and mobility impairments, ultimately compromising their independence and well-being.

 Physiotherapy Interventions:

Physiotherapy plays a pivotal role in addressing deconditioning in the elderly by focusing on improving physical function, mobility, and overall quality of life. Key physiotherapy interventions include:

Strength Training:

Progressive resistance exercises tailored to the individual’s abilities can help rebuild muscle strength and endurance. Resistance bands, free weights, and bodyweight exercises are commonly utilised to target major muscle groups.

Balance and Coordination Exercises: 

Balance training exercises, such as standing on one leg or walking heel-to-toe, can enhance stability and reduce the risk of falls. Coordination drills and functional movements help improve motor skills and promote independence in daily activities.

Flexibility and Range of Motion: 

Gentle stretching exercises help maintain or improve flexibility, preventing stiffness and enhancing joint mobility. Physiotherapists employ techniques such as static stretching, dynamic stretching, and proprioceptive neuromuscular facilitation (PNF) to optimise range of motion. 

Gait Training: 

Walking retraining programs focus on correcting abnormal gait patterns and improving walking endurance. Assistive devices such as canes or walkers may be recommended to support safe ambulation.

Nutritional Support: 

Proper nutrition is a cornerstone of healthy ageing and can significantly impact physical function and recovery from deconditioning. Key nutritional considerations for elderly individuals undergoing physiotherapy include:

Protein Intake: 

Adequate protein consumption is essential for maintaining muscle mass and promoting muscle repair and growth. Lean sources of protein such as poultry, fish, eggs, legumes, and dairy products should be included in the diet.

Micronutrient Supplementation: 

Certain vitamins and minerals, including vitamin D, calcium, and magnesium, play critical roles in bone health, muscle function, and overall vitality. Supplementation may be recommended to address deficiencies and support optimal nutritional status.

Hydration: 

Proper hydration is essential for maintaining muscle function, joint lubrication, and overall well-being. Elderly individuals may be at increased risk of dehydration due to decreased thirst sensation, so it’s important to encourage regular fluid intake throughout the day.

Balanced Diet: 

A well-rounded diet rich in fruits, vegetables, whole grains, and healthy fats provides essential nutrients and antioxidants to support overall health and vitality. Nutrient-dense foods help fuel physical activity and promote recovery from deconditioning.

Frequently Asked Questions (FAQs)

1. What is deconditioning, and why is it common in the elderly?

Deconditioning refers to the loss of physical fitness and strength due to inactivity or prolonged bed rest. It is common in the elderly due to factors such as chronic illnesses, hospitalisation, and sedentary lifestyles, which can lead to muscle weakness, reduced cardiovascular fitness, and overall decline in physical function.

2. How can physiotherapy help treat deconditioning in the elderly?

Physiotherapy can help treat deconditioning by providing tailored exercise programs that improve strength, flexibility, balance, and cardiovascular health. Physiotherapists also offer mobility training, pain management techniques, and functional exercises to enhance the elderly’s ability to perform daily activities safely and independently.

3. What role does nutrition play in addressing deconditioning in the elderly?

Nutrition plays a crucial role in addressing deconditioning by ensuring the elderly receive adequate nutrients to support muscle repair, energy levels, and overall health. A balanced diet rich in protein, vitamins, and minerals can help maintain muscle mass, improve energy, and boost the immune system, aiding in the recovery process.

4. What specific exercises are recommended for elderly individuals experiencing deconditioning?

Specific exercises for elderly individuals experiencing deconditioning include low-impact aerobic activities, resistance training, balance exercises, and flexibility stretches. Examples are walking, seated leg lifts, gentle yoga, and resistance band exercises. A physiotherapist can design a personalised exercise program based on individual needs and abilities.

5. How can caregivers support elderly individuals in their journey to overcome deconditioning?

Caregivers can support elderly individuals by encouraging regular physical activity, assisting with exercise routines, ensuring a nutritious diet, and creating a safe environment for exercise. Additionally, caregivers can monitor progress, provide emotional support, and facilitate communication with healthcare professionals to ensure comprehensive care.

Conclusion

The combination of physiotherapy and nutrition offers a synergistic approach to addressing deconditioning in the elderly, promoting functional independence, and enhancing quality of life. Reconditioning is a long process that may be overwhelming to the patient and caregivers, therefore a specific treatment plan must be established to meet the unique needs of each individual. 

 

Through targeted exercise programs, physiotherapists can help rebuild strength, improve balance, and restore mobility, enabling elderly individuals to regain confidence in their ability to perform daily activities. Concurrently, optimal nutrition supports the body’s physiological processes, providing essential nutrients for muscle repair, bone health, and overall vitality. By integrating these two pillars of health promotion, healthcare professionals can empower elderly individuals to age gracefully and maintain an active and fulfilling lifestyle for years to come.

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Dry Needling vs. Acupuncture: Which One Do You Need?

Dry Needling vs. Acupuncture: Which One Do You Need?

admin

May 11, 2024

Back & Neck Pain, Conditions Relating To Elderly, Home Physiotherapy, Synapse Physiotherapy

Introduction 

It’s common for people to feel confused about the differences between dry needling and acupuncture, often leading to comparisons between the two practices. Many individuals find it difficult to decide to choose one over the other.

 Acupuncture

Acupuncture, an integral component of Traditional Chinese Medicine (TCM), dates back thousands of years as a holistic healthcare system. TCM, a comprehensive approach to wellness, encompasses methods aimed at prevention, diagnosis, and treatment of ailments. Central to TCM philosophy is the concept of qi, the body’s vital energy, believed to flow along specific meridians. Balanced qi signifies overall well-being, encompassing spiritual, emotional, and physical health, while imbalances may lead to illnesses. Blockages in qi can disrupt the equilibrium between yin and yang, opposing yet interconnected principles in Chinese philosophy. TCM employs diverse strategies to restore harmony between yin and yang, including acupuncture. Acupuncturists identify over 2,000 acupuncture points interconnected by meridians, utilizing this technique to alleviate blocked or stagnant qi, thus facilitating its free flow and enhancing health. Acupuncture entails inserting fine needles into specific points along meridians, with subsequent activation by manual manipulation or electrical stimulation by the practitioner.

Dry needling 

‘Dry needling’ involves the insertion of thin monofilament needles, similar to those utilized in acupuncture, without injection. This technique is frequently utilized in the treatment of muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to address various neuromusculoskeletal pain syndromes. Importantly, the definition of dry needling has undergone refinement by organizations like the National Physical Therapy Association and several State Boards of Physical Therapy. According to their updated specifications, dry needling is specifically defined as the insertion of needles into nodules within taut bands of muscle, commonly referred to as ‘trigger points’ or ‘myofascial trigger points’ (MTrPs).

Benefits 

Dry needling offers several potential benefits for individuals experiencing musculoskeletal pain and dysfunction:

Pain Relief

One of the primary benefits of dry needling is pain relief. By targeting trigger points and releasing tension in muscles, dry needling can help alleviate acute and chronic pain conditions such as muscle strains, tension headaches, fibromyalgia, and lower back pain.

Improved Range of Motion

Tight muscles and trigger points can restrict movement and flexibility. Dry needling helps release muscle tension, allowing for improved range of motion and flexibility in the affected area. This can be particularly beneficial for athletes or individuals recovering from injuries.

Muscle Relaxation

 Dry needling promotes muscle relaxation by stimulating the release of endorphins, which are natural pain-relieving chemicals produced by the body. This relaxation can help reduce muscle spasms and stiffness, allowing for greater comfort and mobility.

Enhanced Healing

 By increasing blood flow to the targeted area, dry needling can facilitate the delivery of oxygen and nutrients to injured tissues, thereby promoting faster healing and recovery. It can also help break up scar tissue and adhesions, which can inhibit movement and contribute to chronic pain.

Complementary Treatment

 Dry needling can be used as part of a comprehensive treatment plan for musculoskeletal conditions, complementing other therapies such as physical therapy and exercise. It can help address underlying muscle imbalances and dysfunctions, leading to more effective overall treatment outcomes.

Reduced Dependence on Medications

 For individuals who prefer to avoid or minimize the use of medications for pain management, dry needling offers a drug-free alternative. By targeting the root cause of pain and dysfunction, it can help reduce the need for pain medications and their associated side effects.

Improved Quality of Life 

Chronic pain and musculoskeletal dysfunction can significantly impact an individual’s quality of life, limiting their ability to perform daily activities and participate in leisure or recreational activities. By providing effective pain relief and improving mobility, dry needling can help enhance overall quality of life and well-being.

Acupuncture 

Acupuncture, a traditional Chinese medical practice, offers numerous potential benefits for both physical and mental health.

Pain Relief

Acupuncture is well-known for its ability to alleviate pain, both acute and chronic. It is often used to manage conditions such as back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. Acupuncture can help reduce inflammation, release endorphins (the body’s natural painkillers), and regulate the nervous system’s pain response.

Stress Reduction and Relaxation

Acupuncture sessions are typically relaxing experiences for many individuals. The insertion of needles at specific points on the body can help regulate the body’s stress response, promote relaxation, and reduce feelings of anxiety and tension. Some people also report improvements in sleep quality after acupuncture treatment

Improved Mood and Mental Health

Acupuncture has been shown to have positive effects on mood and mental well-being. It can help regulate neurotransmitters such as serotonin and dopamine, which play a role in mood regulation. Acupuncture is often used as a complementary therapy for conditions such as depression, anxiety, and PTSD.

Enhanced Immune Function

 Acupuncture is believed to support the body’s immune system by promoting the flow of Qi (vital energy) and balancing the body’s internal systems. Regular acupuncture treatments may help strengthen the immune response and reduce the risk of illness and infection.

Better Digestive Health

Acupuncture can help regulate digestive function and alleviate symptoms of gastrointestinal disorders such as irritable bowel syndrome (IBS), acid reflux, bloating, and constipation. By balancing the body’s energy flow and reducing stress, acupuncture may improve digestion and nutrient absorption.

Hormonal Balance

Acupuncture may help regulate hormonal imbalances in the body, making it beneficial for conditions such as polycystic ovary syndrome (PCOS), infertility, menopausal symptoms, and menstrual irregularities. It can help regulate menstrual cycles, improve ovarian function, and reduce symptoms associated with hormonal fluctuations.

Support for Chronic Conditions

Acupuncture can provide relief and support for various chronic conditions, including autoimmune disorders, fibromyalgia, chronic fatigue syndrome, and neuropathic pain. While it may not cure these conditions, acupuncture can help manage symptoms and improve overall quality of life.

Complementary Cancer Care

Acupuncture is often used as a complementary therapy for cancer patients to manage treatment side effects such as nausea, pain, fatigue, and neuropathy. It can help improve overall well-being and quality of life during cancer treatment.

 

 

Technique 

 

Dry needling

Assessment

Before performing dry needling, the practitioner typically conducts a thorough assessment of the patient’s musculoskeletal system. This may involve identifying areas of pain, muscle tightness, restricted movement, or trigger points.

Locating Trigger Points

Trigger points are areas of tight muscle fibers that can cause pain and dysfunction. The practitioner locates these points by palpating the muscles and asking the patient about areas of pain or tenderness.

Insertion of Needles

Once the trigger points are identified, the practitioner inserts thin, solid needles directly into the skin and muscle at these points. The needles used in dry needling are similar to those used in acupuncture but are typically thicker and may be manipulated differently.

Stimulation

After insertion, the needles may be manipulated by the practitioner, often with gentle movements or twitches, to stimulate the trigger point. This can help release tension in the muscle and alleviate pain.

Response and Monitoring

Patients may experience various sensations during dry needling, including a dull ache, tingling, or a muscle twitch. The practitioner monitors the patient’s response and adjusts the treatment as needed.

Aftercare

After the dry needling session, patients are usually advised to rest and drink plenty of water. Some practitioners may also recommend specific exercises or stretches to complement the treatment and prevent further muscle tension.

Acupuncture 

Consultation and Assessment

Before starting acupuncture treatment, the acupuncturist conducts a thorough consultation and assessment with the patient. This may involve discussing the patient’s medical history, current symptoms, lifestyle, and any specific health goals.

Point Selection

Based on the assessment, the acupuncturist selects the acupuncture points to target during the session. Acupuncture points are located along pathways called meridians, which are believed to be channels through which Qi (pronounced “chee”), or vital energy, flows.

Needle Insertion

The acupuncturist inserts thin, sterile needles into the selected acupuncture points on the patient’s body. The needles are typically made of stainless steel and are extremely thin, ranging from 0.12 to 0.35 millimeters in diameter. The depth of insertion varies depending on the location of the acupuncture point and the condition being treated.

Needle Manipulation

After the needles are inserted, the acupuncturist may gently manipulate them by twirling, rotating, or stimulating them with a slight up-and-down movement. This manipulation is believed to enhance the therapeutic effects of acupuncture by promoting the flow of Qi and facilitating the body’s natural healing processes.

Needle Retention

Once the needles are in place, the patient typically remains in a relaxed position for a certain period, typically ranging from 15 to 30 minutes. During this time, the patient may experience sensations such as warmth, tingling, or a dull ache at the acupuncture points.

Removal of Needles

After the designated period of needle retention, the acupuncturist removes the needles carefully and safely. The needles are disposed of in accordance with medical waste regulations.

Follow-Up and Recommendations

 Depending on the patient’s response to treatment, the acupuncturist may recommend a series of acupuncture sessions to achieve optimal results.

Differences 

Dry needling performed by a physiotherapist concentrates on treating musculoskeletal (MSK) conditions directly related to pain, movement, and function. Although acupuncturists may receive additional training in MSK conditions, their practice tends to be broader, potentially resulting in less specialized experience in addressing MSK issues compared to physical therapists.

A physiotherapist, specializing in musculoskeletal (MSK) conditions, incorporates dry needling as part of a comprehensive treatment plan. This plan may encompass various interventions such as joint mobilizations, neuromuscular reeducation, postural education, as well as strength, mobility, and flexibility exercises. In contrast, an acupuncturist’s approach might differ, focusing less on these specific components of MSK treatment and more on adjunctive therapies like recommending herbal supplements or dietary changes to support the healing process.

 

Which is better for you?

For musculoskeletal (MSK) injuries, seeking treatment from a specialized MSK practitioner such as physiotherapy who offers a multifaceted approach to address your pain and movement condition is often recommended. These professionals are trained to provide comprehensive care tailored to MSK issues. In cases where the injury appears to involve non-MSK components, consulting a medical doctor (MD) first would be prudent. This ensures a thorough evaluation and appropriate management plan, potentially involving a multidisciplinary approach if necessary.

 

In conclusion, if you’re dealing with a musculoskeletal (MSK) injury, seeking assistance from a qualified physiotherapist who is trained in dry needling can be beneficial. Synapse Physiotherapy is a reputable option that offers this service. Physiotherapists are skilled in providing a multifaceted approach to MSK injury treatment, and dry needling can be an effective component of their treatment plans. However, it’s essential to ensure that the physiotherapist you choose is appropriately qualified and experienced in dry needling techniques to optimize your recovery and rehabilitation process.

 

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Stroke Rehabilitation in Malaysia: Effective Rehab Treatment

Stroke Rehabilitation in Malaysia: Effective Rehab Treatment

admin

May 8, 2024

Conditions Relating To Elderly, Home Physiotherapy, Neurological Conditions, Synapse Physiotherapy

Stroke, a leading cause of disability worldwide, can have profound and life-altering effects on individuals and their families. In Malaysia, cerebrovascular disease is Malaysia’s third leading cause of death. Successive national health and morbidity surveys demonstrated a continuous rise in the prevalence of risk factors such as diabetes, hyperlipidaemia, and obesity. Several studies have also shown that the outcome of hospital admissions for acute stroke have shown that 36.2% were discharged independent while 53.1% had functional dependence. This indicates that there is a real need for stroke rehab in Malaysia.

 

When stroke prevalence is on the rise due to ageing demographics and lifestyle factors, stroke rehabilitation plays a crucial role in helping survivors regain independence, mobility, and quality of life. Let’s delve into the field of stroke rehabilitation in Malaysia and explore the treatments available to support recovery.

Understanding Stroke:

Stroke occurs when blood flow to the brain is disrupted, either due to a blockage known as ischemic stroke (occurs when the blood supply to part of the brain is blocked or reduced) or bleeding known as hemorrhagic stroke (occurs when a blood vessel in the brain leaks or bursts and causes bleeding in the brain, blood increases pressure on brain cells and damages them). 

 

A stroke is a medical emergency and it’s crucial to get medical treatment right away. It can cause lasting brain damage, long-term disability or even death. Therefore, seeking emergency medical help quickly can reduce brain damage and other stroke complications.

 

Many people are unsure of the symptoms of a stroke, even if they seem to come and go or they disappear completely. Seek immediate medical attention if you suspect that you or a loved one is demonstrating symptoms of a stroke. A simple way to remember would be by using the mnemonic device “FAST”.

 

  • Face. Ask the person to smile and notice if there is any drooping on one side of the face.

 

  •  Arms. Ask the person to raise both arms and notice if one arm drifts downward or they are unable to raise the arm.

 

  • Speech. Ask the person to repeat a simple phrase and is the person’s speech slurred or different from usual?

 

  • Time.  If any of the above symptoms seems to persist or come and go persistently, seek for emergency medical help right away.

 

Some of the symptoms of stroke include:

  • Trouble speaking and understanding what others are saying. A person having a stroke may be confused, slur words or may not be able to understand speech.
  • Numbness, weakness or paralysis in the face, arm or leg. Usually stroke affects just one side of the body.

 

  • Problems seeing in one or both eyes. Person may have sudden blurred or blackened vision in one or both eyes.

 

  • Headache. Sudden and severe headaches may be a symptom of a stroke. May be accompanied by vomiting, dizziness and a change in consciousness.

 

  • Trouble walking. Loss of balance and coordination.

 

The sudden onset of symptoms such as weakness, numbness, difficulty speaking, and loss of balance requires immediate medical attention to minimise brain damage and prevent long-term disability. Once stabilised, stroke survivors often face a challenging journey of recovery, requiring comprehensive rehabilitation to address physical, cognitive, and emotional impairments.

 

Multidisciplinary Approach to Rehabilitation:

Rehabilitation is a key part of stroke recovery and the goal is to restore as much independence as possible by improving your physical, mental and emotional functions. Different types of therapies will be designed for your specific needs to relearn skills lost as a result of your stroke. Rehabilitation therapy will focus on helping you with movement, speech, strength and daily living activities. It is strongly recommended for everyone affected by stroke to participate in stroke rehabilitation as it is proven these populations will recover better.

 

Stroke rehabilitation in Malaysia follows a multidisciplinary approach, involving a team of healthcare professionals working collaboratively to address the diverse needs of stroke survivors. Physiotherapists, occupational therapists, speech therapists, psychologists, and rehabilitation nurses play integral roles in the rehabilitation process, tailoring treatment plans to each individual’s unique impairments, goals, and functional abilities.

 

Key Components of Stroke Rehabilitation:

 

  1. Physiotherapy focuses on restoring movement, strength, and coordination through exercises, gait training, and mobility aids. In Malaysia, physiotherapists utilise a variety of techniques including Bobath therapy, constraint-induced movement therapy (CIMT), and robotic-assisted therapy to facilitate motor recovery and improve functional independence.

 

  1. Occupational therapists help stroke survivors regain skills needed for daily activities such as dressing, feeding, and grooming. They provide adaptive strategies, assistive devices, and environmental modifications to enhance independence and participation in meaningful occupations.

 

  1. Speech therapists address communication deficits (aphasia), swallowing difficulties (dysphagia), and cognitive-linguistic impairments following stroke. They employ exercises, compensatory strategies, and augmentative communication devices to improve speech clarity, language comprehension, and swallowing safety.

 

  1. Coping with the physical and emotional consequences of stroke can be challenging for survivors and their families. Psychologists offer counselling, psychoeducation, and coping strategies to address depression, anxiety, adjustment issues, and cognitive-behavioural difficulties, promoting emotional well-being and resilience.

 

  1. Rehabilitation extends beyond the clinical setting to support stroke survivors’ reintegration into the community. Community-based programs, vocational rehabilitation, and support groups provide opportunities for socialisation, leisure participation, and vocational retraining, empowering survivors to rebuild their lives post-stroke.

Advancements in Stroke Rehabilitation:

In recent years, Malaysia has witnessed advancements in stroke rehabilitation technologies and interventions aimed at enhancing recovery outcomes. Innovative approaches such as virtual reality therapy, brain-computer interface technology, and telerehabilitation have shown promise in engaging stroke survivors in intensive, goal-directed rehabilitation while overcoming barriers to access and participation.

Challenges and Future Directions:

Despite progress in stroke rehabilitation, challenges such as limited access to specialised services, disparities in rural healthcare, and cultural beliefs affecting help-seeking behaviour persist in Malaysia. Addressing these challenges requires concerted efforts to expand stroke rehabilitation services, raise public awareness, and promote interdisciplinary collaboration in stroke care.

 

In conclusion, stroke rehabilitation in Malaysia embodies a holistic and person-centred approach aimed at optimising recovery, promoting independence, and enhancing quality of life for stroke survivors. Through multidisciplinary interventions, innovative technologies, and community support, Malaysia is paving the way for empowering stroke survivors on their journey toward recovery and rehabilitation. 

At Synapse, we have a great neurological rehabilitation program designed to help patients suffering from stroke and various other neurological conditions. Our professional physiotherapist will be sure to meet your expectations. 



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Rehab malaysia

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Types of Physiotherapy Treatments in Malaysia

Types of Physiotherapy Treatments in Malaysia

admin

May 6, 2024

Back & Neck Pain, Conditions Relating To Elderly, Home Physiotherapy, Neurological Conditions, Osteoarthritis & Rheumatism, Pre-Post-Surgical Conditions, Scoliosis & Postural Abnormalities, Sports Injuries, Synapse Physiotherapy, Work Desk Injuries​

Physiotherapy is a branch of healthcare that focuses on rehabilitation, restoring movement and function to individuals affected by injury, illness, or disability as well as health promotion and fitness. It encompasses a wide array of treatments tailored to meet diverse needs. The profession employs a holistic approach to treatment, looking at a patient’s lifestyle and engaging them at where they are at. Physiotherapy can be defined as a treatment method that focuses on the science of movement and helps people to restore, maintain and maximise their physical strength, function, motion and overall well-being by addressing the underlying physical issues.

 

At Synapse Physiotherapy, our physiotherapists believe in helping people maximise their quality of life by looking at the physical, psychological, emotional and social wellbeing of an individual. As physiotherapy is about promoting health, prevention of injuries, treatment/intervention, and rehabilitation, our physiotherapists are qualified to:

 

  • Undertake a comprehensive examination/assessment of the patient/client or needs of a client group.
  •  Evaluate the findings from the examination/assessment of the patient/client or needs of a client group.
  •  Formulate a diagnosis, prognosis and plan.
  • Provide consultation within their expertise and determine when patients/clients need to be referred to another healthcare professional.
  • Implement a physiotherapy intervention/treatment programme.
  • Determine the outcomes of any interventions/treatments.
  • Make recommendations for self-management.

In Malaysia, the field of physiotherapy has evolved significantly, offering a plethora of specialised treatments that cater to various conditions and requirements in a number of different settings, whether it be home health, clinical based or acute care. This article will explore the different types of physiotherapy treatments available in Malaysia.

1. Musculoskeletal Physiotherapy:

Musculoskeletal physiotherapy, also known as orthopaedic physiotherapy, is one of the most common types practised in Malaysia. It focuses on treating conditions related to the musculoskeletal system which are made up of muscles, bones, joints, tendons, ligaments, and soft tissues. Physiotherapists can help diagnose and treat any musculoskeletal injuries or ailments to improve mobilisation and flexibility by employing a variety of techniques including manual therapy, exercise prescription, and electrotherapy to alleviate pain, treat soft tissue damage, improve mobility, and enhance overall function. This type of physiotherapy is often sought by individuals suffering from work-related injuries, arthritis, back pain, and post-operative rehabilitation. 

2. Neurological Physiotherapy:

Neurological physiotherapy is designed to address impairments resulting from neurological conditions in relation to the nervous system such as stroke, Parkinson’s disease, multiple sclerosis, and spinal cord injuries. Effects from these conditions can lead to paralysis, lack of sensation and balance issues.

Physiotherapists work on improving balance, coordination, strength, and mobility through specialized exercises, gait training, and functional activities. Neurological physiotherapy uses a multitude of intervention techniques aimed at rehabilitating patients with very specific disorders and traumas.

In Malaysia, neurological physiotherapy plays a crucial role in helping individuals regain independence and quality of life following neurological diseases.

3. Paediatric Physiotherapy:

Paediatric physiotherapy focuses on the unique needs of infants, children, and adolescents. Physiotherapists focus on providing assessment and treatment to help children with mobility, balance, flexibility, coordination, core stability and more. This branch of physiotherapy also focuses on improving the growth and development in children.

Physiotherapists utilise playful activities, developmental exercises, and sensory integration techniques to address conditions such as developmental delays, cerebral palsy, and musculoskeletal disorders in young patients.  Some of the benefits include improvement of motor skills, posture, gait, balance, and developing strength and endurance.

In Malaysia, paediatric physiotherapy aims to promote optimal physical development and functional abilities in children, fostering their participation in daily activities and social interactions.

4. Geriatric Physiotherapy:

Geriatric physiotherapy caters to the ageing population, addressing age-related conditions, functional decline and any related medical conditions. This branch of physiotherapy is useful in helping people maintain flexibility and reduce the chances of injuries in later years, improve mobility, alleviate pain and restore overall health. Physiotherapists focus on enhancing strength, endurance, balance, flexibility, and mobility to improve independence and reduce the risk of falls and injuries among older adults. In Malaysia, with a growing elderly population, geriatric physiotherapy plays a vital role in promoting healthy ageing and maintaining seniors’ quality of life.

5. Cardiopulmonary Physiotherapy:

Cardiopulmonary physiotherapy targets individuals with cardiovascular and respiratory conditions such as chronic obstructive pulmonary disease (COPD), asthma, chest infections and cardiac rehabilitation post-heart surgery. Physiotherapists employ breathing exercises, airway clearance techniques, and cardiovascular conditioning to optimise lung function, endurance, and overall cardiovascular health. In recent years, it has also been useful for people suffering from the side effects of COVID-19. Cardiopulmonary physiotherapy is beneficial in treating shortness of breath, chronic cough, and rehabilitation for cardiac conditions.

 In Malaysia, cardiopulmonary physiotherapy is instrumental in improving respiratory efficiency and promoting cardiac wellness.

6. Women’s Health Physiotherapy:

Women’s health physiotherapy addresses conditions specific to women, including pelvic floor dysfunction, prenatal and postnatal care, and urinary incontinence. Physiotherapists employ pelvic floor exercises, manual therapy, and education to manage symptoms and improve pelvic health.

It can help to strengthen core muscles, helps in the childbirth process, control urinary functions, strengthen pelvic floor muscles and help alleviate pain for pregnant women.

In Malaysia, women’s health physiotherapy is not as well known however it still plays a crucial role in supporting women through various stages of life, from pregnancy to menopause, promoting optimal pelvic wellness and overall well-being.

7. Sports Physiotherapy:

Sports physiotherapy has played a huge role in helping athletes and sports professionals to get back to their optimal form. This type of physiotherapy deals with assessment and treatments of injuries related to sports and focuses on preventing and treating sports-related injuries, as well as enhancing athletic performance. Sports activities have higher demands on the body hence these sports professionals who go through rigorous training will need this type of physiotherapy to improve flexibility and avoid serious injuries. 

Physiotherapists utilise a combination of movement assessments, manual therapy, exercise prescription, taping techniques, and sports-specific rehabilitation to rehabilitate athletes and prevent future injuries. In Malaysia, with a burgeoning interest in sports and fitness, sports physiotherapy plays a pivotal role in keeping athletes in peak physical condition and facilitating their return to sport safely.

Conclusion

In conclusion, the field of physiotherapy in Malaysia encompasses a diverse range of treatments tailored to meet the unique needs of individuals across the lifespan and with varying health conditions. From musculoskeletal and neurological rehabilitation to pediatric and geriatric care, our physiotherapists here at Synapse are equipped with the knowledge and skills to empower individuals to achieve optimal health, function, and quality of life. Whether you’re recovering from an injury, managing a chronic condition, or seeking to enhance your physical well-being, the world of physiotherapy in Malaysia offers a wealth of opportunities for healing and rehabilitation.

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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What is Frozen Shoulder? I Stages, Symptoms & Treatments

What is Frozen Shoulder? I Stages, Symptoms & Treatments

admin

April 8, 2024

Back & Neck Pain, Conditions Relating To Elderly, Home Physiotherapy, Neurological Conditions, Synapse Physiotherapy

Introduction

Frozen shoulder, also known as adhesive capsulitis, is a painful and debilitating condition that affects the shoulder joint. It is a condition that causes a gradual loss of movement in the shoulder joint. The shoulder joint is a ball and socket joint and it is one of the most mobile joints in the body. However with a frozen shoulder, the joint feels stuck and its movement is limited. The shoulder capsule thickens and becomes stiff and tight. Thick bands of tissue called adhesions develop and there will be less synovial fluid in the joint to lubricate the joint, which will make it painful and stiff to move.

Symptoms and Causes

Individuals experiencing frozen shoulder often find their daily activities compromised due to varying degrees of symptoms such as:


  • Dull and aching pain.
  • Stiffness and difficulty to move the shoulder joint.
  • Typically worse in the earlier phase of the condition.
  • Usually located over the outer shoulder area and sometimes the upper arm.

There is no known specific cause for frozen shoulders. It is most often caused by inflammation of the tissues surrounding the joint or immobilisation of the shoulder after an arm injury or inflammation of the muscles and tendons (such as rotator cuff tendinitis or bursitis).

The following are some of the risk factors for frozen shoulder:


  • People aged 40 and older, particularly women
  • History of immobility and injury/trauma to the shoulder
  • Stroke
  • Recovery from surgery
  • Systemic diseases such as diabetes, thyroid disorders, cardiovascular diseases and Parkinson’s disease.

 

Stages of Frozen Shoulder

For people who are suffering from this condition, symptoms may develop suddenly and have a slow recovery phase. Recovery may take up to 2 or 3 years. Frozen shoulder develops in three stages:


Stage 1 – Freezing

Any movement of the shoulder causes pain, and the shoulder’s ability to move becomes limited. Typically at this stage, the patient will experience an increase in pain. The freezing stage lasts from 2 to 9 months.


Stage 2 – Frozen

Painful symptoms may lessen during this stage however stiffness remains or increases. Using the shoulder for daily activities during this stage may be very difficult. The frozen stage lasts from 4 to 12 months.  


Stage 3 – Thawing

Shoulder movements begin to improve. There will be a complete or near complete return to normal strength and motion. This thawing stage typically takes anywhere from 6 months to 2 years.


Physiotherapy Treatment for Frozen Shoulder

Fortunately, there are a range of effective physiotherapy treatments for frozen shoulders to alleviate symptoms and restore shoulder function. At Synapse Physiotherapy, we will be able to help address these symptoms and help you recover to full health. Undoubtedly, physiotherapy plays a crucial role in managing frozen shoulders. Here at Synapse Physiotherapy, we aim to reduce pain, increase range of motion, and enhance overall shoulder function. Our professionally trained physiotherapists employ a variety of techniques, exercises, and modalities to achieve these goals. The following are some of the treatment techniques and exercises that are carried out by our physiotherapists: 

1. Passive Range of Motion (PROM) Exercises:

Passive range of motion exercises involve a therapist gently moving the patient’s arm through various motions. This helps maintain flexibility and prevent further stiffness. PROM exercises are particularly beneficial in the painful and early stages of shoulder dysfunction.

 2. Active Range of Motion (AROM) Exercises:

As pain decreases and the shoulder begins to thaw, active range of motion exercises become crucial. Patients are encouraged to perform controlled movements on their own, gradually improving their ability to move the shoulder. These exercises are designed to restore strength and flexibility.

 3. Stretching Exercises: 

Stretching exercises target the muscles and connective tissues around the shoulder joint. Stretching helps improve flexibility and reduce stiffness. Therapists may incorporate techniques such as wall stretches, pendulum exercises, and towel stretches to address specific areas of tightness. 

4. Strengthening Exercises:

Strengthening the muscles surrounding the shoulder is essential for restoring function. Therapists design tailored exercise programs that focus on building strength in a progressive manner. Resistance bands, dumbbells, and bodyweight exercises may be utilised to target specific muscle groups. 

5. Joint Mobilisation:

Joint mobilisation involves the therapist gently moving the joint in specific directions to improve its mobility. This technique helps reduce stiffness and enhances the shoulder range of motion. It is often used in conjunction with other exercises to optimise results.

6. Heat and Cold Therapy:

Applying heat or cold to the affected shoulder can provide relief from pain and inflammation. Heat therapy helps relax muscles and increase blood flow, while cold therapy helps reduce swelling. Physios may recommend alternating between these modalities based on the individual’s needs.

7. Ultrasound Therapy:

Ultrasound therapy uses sound waves to stimulate deep tissues and promote healing. It can be effective in reducing pain and inflammation associated with frozen shoulders. Physios may incorporate ultrasound as part of a comprehensive treatment plan.

8. Electrical Stimulation:

Electrical stimulation, such as transcutaneous electrical nerve stimulation (TENS), can be employed to alleviate pain. By sending low-level electrical currents through the skin, this technique disrupts pain signals and provides relief. It is often used in combination with other therapeutic interventions.

9. Home Exercise Programs:

To ensure continuity of care, our physiotherapists will prescribe home exercise programs. They are designed to empower individuals to continue their rehabilitation independently. Consistent engagement with prescribed exercises contributes significantly to the success of physiotherapy treatment.

Frequently Asked Questions (FAQs) about Frozen Shoulder Treatment

1. What causes frozen shoulders, and who is at risk?

Frozen shoulders can develop from various factors, including inflammation of the tissues surrounding the joint, immobilization after injury, or underlying health conditions such as diabetes, stroke, or thyroid disorders. People aged 40 and older, particularly women, individuals with a history of shoulder immobility or trauma, and those recovering from surgery are at higher risk.

2. How long does it take to recover from a frozen shoulder with physiotherapy?

The recovery timeline for frozen shoulder varies depending on the severity of the condition and individual response to treatment. With consistent physiotherapy sessions and home exercises, significant improvement can be seen within a few weeks to months. However, complete recovery may take up to two to three years, especially in severe cases.

3. Is physiotherapy painful for frozen shoulder treatment?

Physiotherapy for frozen shoulder aims to alleviate pain and improve mobility, but some discomfort may be experienced during certain exercises or therapeutic modalities. However, the level of discomfort should be manageable and should not cause excessive pain. Your physiotherapist will adjust the treatment plan according to your tolerance levels.

4. Can frozen shoulder recur after treatment?

While frozen shoulder can recur in some cases, especially if underlying risk factors are not addressed, proper management and rehabilitation can significantly reduce the likelihood of recurrence. Following a comprehensive physiotherapy program, maintaining shoulder mobility through regular exercises, and addressing any contributing factors can help prevent recurrence.

5. Are there any precautions to take during frozen shoulder physiotherapy?

During frozen shoulder physiotherapy, it’s essential to communicate any discomfort or pain to your physiotherapist. They can adjust the intensity or technique of exercises accordingly. It’s also essential to follow the prescribed home exercise program diligently to maximize the benefits of treatment. Additionally, avoiding activities that exacerbate shoulder pain or stiffness can help facilitate recovery.

Conclusion

Frozen shoulders can be a challenging condition, but with the right physiotherapy interventions, individuals can experience significant improvement in pain and mobility. The key to successful treatment lies in early intervention and a tailored approach to address the specific needs of each patient. Whether through targeted exercises, modalities, or a combination of therapies, physiotherapy offers a path to improved mobility and restoring the joy of pain-free shoulder movement. If you suspect you have frozen shoulder symptoms, come to Synapse Physiotherapy for a consultation today with a qualified physiotherapist and take a crucial step towards a comprehensive and effective treatment plan to tackle frozen shoulder. 

Produced by MYSense

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Physio Center for Elderly | Synapse Physiotherapy Malaysia

Physio Center for Elderly _ Synapse Physiotherapy Malaysia

Physio Center for Elderly | Synapse Physiotherapy Malaysia

admin

January 10, 2024

Physio Center for Elderly _ Synapse Physiotherapy Malaysia
Conditions Relating To Elderly

As Malaysia undergoes demographic changes with an increasingly ageing population, the significance of geriatric healthcare, especially physiotherapy, has become more pronounced. Geriatric physiotherapy is a specialised field that focuses on addressing the unique needs and challenges faced by older adults (60 years and above). Many physio centres now offer geriatric rehabilitation. At Synapse Physiotherapy, there is one programme that is tailored to geriatric rehabilitation, one in particular called the Silver Fitness Programme which targets specific components such as cardiovascular endurance, strengthening, flexibility and balance exercises. This programme is uniquely tailored to the individual’s capability and aims to improve their well-being and quality of life.

 

This article explores the role of geriatric physiotherapy in Malaysia, delving into the specific requirements of the elderly, the advancements in rehabilitation techniques, and the resources available to enhance the well-being of seniors.

The Aging Landscape in Malaysia

Malaysia, like many other countries, is experiencing a demographic shift characterised by an ageing population. Factors such as increasing life expectancy and declining birth rates contribute to the rise in the proportion of elderly individuals. According to the Department of Statistics Malaysia, the percentage of Malaysians aged 65 and above is expected to increase significantly in the coming decades. This demographic transition underscores the importance of addressing the health and well-being of the elderly, and geriatric physiotherapy emerges as a crucial component of comprehensive healthcare for older adults. Hence, we believe that our Silver Fitness Programme will be able to help address the needs of the elderly as part of their comprehensive healthcare.

 

 

Unique Challenges in Geriatric Physiotherapy

Geriatric physiotherapy involves addressing a range of physical, functional, and cognitive challenges that are common among older adults. Some of the key issues that physiotherapists encounter in this population include:

 

Musculoskeletal Issues: 

Aging often brings about changes in bone density, muscle mass, and joint flexibility. Geriatric physiotherapy aims to address conditions such as arthritis, osteoporosis, and general musculoskeletal pain.

 

Balance and Gait Disorders: 

Falls are a significant concern among the elderly, and physiotherapy plays a crucial role in improving balance and preventing falls. Gait disorders, which can contribute to falls, are also common and require targeted interventions.

 

Neurological Conditions: 

Older adults may experience neurological conditions such as stroke, Parkinson’s disease, or age-related cognitive decline. Geriatric physiotherapy helps to manage these conditions through specialised rehabilitation programmes.

 

Chronic Pain Management:

Conditions like chronic back pain, joint pain, and neuropathic pain are prevalent in the elderly population. Physiotherapists employ various techniques to alleviate pain and improve functional capacity.

 

Cardiopulmonary Issues: 

Ageing can impact cardiovascular and respiratory function. Physiotherapy interventions include exercises to improve cardiovascular health and breathing exercises to enhance respiratory function.

 

 

Advancements in Geriatric Physiotherapy Techniques

Geriatric physiotherapy has evolved significantly in recent years. In Synapse Physiotherapy, we incorporate evidence-based practices and innovative techniques to address the unique needs of older adults. Some notable advancements include:

 

Functional Movement Assessments: Physiotherapists now employ comprehensive assessments to understand an individual’s ability to perform daily activities. These assessments help the physiotherapist tailor rehabilitation programmes to address specific functional limitations.

 

Adaptive Technologies: Assistive devices and adaptive technologies are integrated into rehabilitation programs to enhance mobility and independence. This includes the use of walking aids, mobility scooters, and smart devices designed to monitor and support physical activity.

 

Cognitive Rehabilitation: Geriatric physiotherapy often involves cognitive rehabilitation for older adults experiencing age-related cognitive decline. This may include exercises to improve memory, attention, and problem-solving skills.

 

 

Geriatric Physiotherapy Services in Malaysia

Malaysia has recognised the growing importance of geriatric physiotherapy and has integrated specialised services into its healthcare system. Public hospitals, private clinics, and rehabilitation centres across the country offer geriatric physiotherapy services to address the diverse needs of older adults.

 

Public healthcare facilities, including government hospitals and community health clinics, provide geriatric physiotherapy as part of their comprehensive healthcare services. These services are often accessible to the elderly population at subsidised rates, ensuring affordability for a broader segment of society.

 

At Synapse Physiotherapy, our Silver Fitness Programme specialises in geriatric care and strengthening. We offer individualised assessment and treatment plans, considering the specific health conditions and goals of older adults. For elderly clients with neurological issues, we also provide personalised neurological rehabilitation. Synapse Physiotherapy also provides home-based physiotherapy services, catering to individuals who may face challenges in travelling to the clinics.

 

 

Community-Based Initiatives

Recognising the importance of promoting active ageing and well-being among seniors, Malaysia has witnessed the emergence of community-based initiatives. These initiatives aim to engage older adults in regular physical activity, social interactions, and health education. Geriatric physiotherapists often collaborate with community organizations to conduct workshops, fitness classes, and health screenings for the elderly.

 

Additionally, senior citizens’ clubs and community centres play a vital role in providing a supportive environment for older adults. Physiotherapy services are sometimes integrated into these community spaces, allowing seniors to access rehabilitation services conveniently.

 

 

Challenges and Opportunities

While geriatric physiotherapy has made significant strides in Malaysia, some challenges persist. One key challenge is the need for increased awareness among older adults about the benefits of physiotherapy in maintaining and improving their health. Many seniors may not be aware of the available services or may underestimate the impact of physiotherapy on their overall well-being.

 

Another challenge is the potential barriers to access, especially for those in rural or underserved areas. Efforts to expand geriatric physiotherapy services to these regions and promote awareness about available resources are essential to ensure equitable healthcare for the elderly across the country.

 

 

Conclusion:

In conclusion, geriatric physiotherapy in Malaysia is an integral component of the evolving healthcare landscape, addressing the unique needs of an ageing population. As the country continues to embrace advancements in rehabilitation techniques and healthcare delivery, the well-being of older adults stands to benefit significantly. Through a combination of specialised physiotherapy services, community-based initiatives, and technological innovations, Malaysia is taking proactive steps to enhance the quality of life for its elderly citizens. We at Synapse Physiotherapy believe that geriatric physiotherapy not only addresses the physical challenges associated with ageing but also contributes to fostering a society where seniors can age actively, independently, and with dignity.

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.