What is the vestibular system?

The vestibular system is located in the inner ear and is responsible for maintaining balance and spatial orientation. When it is disrupted by injuries, infections, pressure changes, or aging, the body perceives nonexistent movements, causing dizziness, vertigo, and imbalance.

Problems vestibular rehabilitation can treat

• Benign paroxysmal positional vertigo (BPPV): sudden dizziness when moving the head, especially when turning or lying down.
• Chronic dizziness or instability: constant feeling of imbalance that makes walking or daily activities difficult.
• Vestibular imbalance syndrome: loss of coordination and spatial orientation problems.
• Post-traumatic or post-surgical recovery: after inner ear or central nervous system injuries or surgeries.

Examples of vestibular rehabilitation exercises

1. Repositioning exercises (Epley and Semont): move the semicircular canals to relieve vertigo.
2. Habituation exercises: repeat movements that trigger dizziness so the brain can adapt and reduce sensitivity.
3. Balance and coordination exercises: strengthen posture and improve stability when walking or performing physical activities.
4. Visual-vestibular training: improves the ability to keep the eyes fixed while moving the head.

Benefits of consulting a specialist

• Reduction of dizziness and vertigo through exercises tailored to each person.
• Improved balance and coordination for safer movement.
• Fall prevention, especially for older adults or those with reduced mobility.
• Enhanced quality of life by regaining confidence and autonomy.

At Fisiolistic, our physiotherapists specialized in vestibular rehabilitation conduct a personalized assessment and create a treatment plan tailored to each patient, combining practical exercises, advanced techniques, and continuous monitoring to ensure effective results.

✨ Don’t ignore dizziness or a feeling of instability
If you experience vertigo, frequent dizziness, or difficulty maintaining balance, vestibular rehabilitation can make a real difference. Book your consultation at Fisiolistic and restore your overall wellbeing today.

The post Vestibular Rehabilitation: How to Restore Your Balance and Say Goodbye to Dizziness first appeared on Fisiolistic.

What is rehabilitation?

Rehabilitation is a set of personalized techniques and treatments designed to restore the function of muscles, joints, and tissues after an injury, surgery, or illness. At Fisiolistic, we apply a global approach that not only treats the affected area but also works on posture, strength, and the prevention of future problems.

Benefits of personalized rehabilitation

• Faster and safer recovery
• Reduction of pain and inflammation
• Improved strength and mobility
• Prevention of relapses

Every person is different, which is why our physiotherapists carry out a thorough assessment to design a rehabilitation plan adapted to you.

A global approach at Fisiolistic

We combine advanced physiotherapy techniques, therapeutic exercises, and manual therapy with a holistic view of health. This allows us to treat not only the symptom but also the root cause of the problem, ensuring longer-lasting results.

When rehabilitation is essential

• Post-surgical recovery
• Sports injuries
• Chronic or acute pain
• Mobility problems due to aging
• Accident after-effects

Start your recovery today

Don’t let an injury limit your life. At Fisiolistic, we guide you step by step through your rehabilitation process so you can move again without pain and with confidence.

📞 Book your appointment now and take the first step towards your recovery.

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In this article, we’ll explain what respiratory physiotherapy is, who it is for, what techniques are used, and how it can help you in your daily life.

What is Respiratory Physiotherapy?

Respiratory physiotherapy is a specialized field within physiotherapy focused on improving lung function, facilitating mucus clearance, increasing lung capacity, and enhancing the quality of life for individuals with respiratory conditions.

It’s a science-based discipline that does not replace medical treatments, but rather complements them effectively.

Who Is It For?

This type of physiotherapy can benefit people with:

• Acute respiratory conditions, such as bronchitis, rhinitis, nasal congestion, or respiratory allergies.
• Chronic respiratory diseases, such as COPD (Chronic Obstructive Pulmonary Disease), asthma, pulmonary hypertension, or cystic fibrosis.
• Certain cases of sleep apnea.
• Elderly individuals or people with reduced mobility who have lost lung capacity.
• Athletes looking to optimize their breathing.

What Are the Benefits?

Some of the most common benefits of respiratory physiotherapy include:

• Improved breathing pattern.
• Reduced shortness of breath or dyspnea.
• Decreased productive cough and nasal congestion.
• Increased lung volume and oxygenation.
• Prevention of recurrent respiratory infections.
• Better physical endurance and improved sleep quality.

Techniques Used

Several techniques may be applied depending on the patient’s specific needs:

🌀 Ultrasonic Nebulization

The use of ultrasonic nebulizers allows the vapor to reach even the smallest bronchioles, helping to loosen and eliminate mucus.

👃 Nasal Hygiene

Proper nasal cleansing is essential for healthy breathing. Custom protocols are taught, suitable for both adults and children.

🧘 Breathing Exercises

Exercises may include:

• The Buteyko Method to control breathing rhythm.
• Lung volume expansion techniques.
• Strengthening of respiratory muscles.

💨 Bronchial Drainage Guided by Auscultation

Using modern and personalized techniques such as modulation of expiratory flow and positive expiratory pressure (PEP) devices.

🏋️‍♂️ Physical Re-education and Respiratory Gymnastics

Gentle training to improve endurance and exercise tolerance in patients with respiratory limitations.

💆 Myofascial Therapy

Manual therapy on inspiratory muscles and respiratory structures to relieve tension and enhance chest mobility.

Conclusion

Respiratory physiotherapy not only treats diseases, but it also teaches you how to breathe better, improves your quality of life, and helps prevent complications.
If you’re living with a respiratory issue or want to learn more, getting informed is the first step toward breathing better.

🔗 Want to know what a personalized respiratory physiotherapy session would be like?
Check out our specialized Respiratory Physiotherapy service at Fisiolistic.

The post How Can Respiratory Physiotherapy Improve Your Quality of Life? first appeared on Fisiolistic.

The Physium System device is a modern and revolutionary device that is based on CHINESE VENTOSTHERAPY techniques.

VENTOSTHERAPY dates back to the 3rd century. It is based on negative pressure and suction, it promotes the free circulation of blood, relieving various diseases.

VENTOSTHERAPY, as used in the past, is an archaic and counterproductive treatment because it leaves marks that suggest excessive suction and sustained over time, which has broken blood vessels.

PHYSIUM IN THE FIELD OF SPORTS

Indicated for:

• Muscular preparation prior to the competition.
• Acceleration of recovery from post-competition muscle stress (accelerates the elimination of lactic acid).
• Injury prevention.

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USE OF SHOCK WAVES

Shock waves are used in the field of rehabilitation and physiotherapy to re-aggravate the injury when the injury is chronic.

An injury is considered chronic from the 6th week.Although it is from 6 months when the exacerbation techniques are generally more effective, as from 6 months appear:

• Internal ruptures in the tendon, which heal and create healing nodules in the tendon giving an appearance of thickening in some parts of its path.
• Loss of lubrication and adhesions.
• Calcifications.

SHOCK WAVE MECHANISM

A shock wave is a type of propagated disturbance. It transports energy and can be propagated through a medium (solid, liquid or plasma).

Shock waves are acoustic impulses that are characterized by a sudden increase in pressure (positive) followed by a rapid phase of depression (negative).

The mechanism of action of shock waves is not related to the direct mechanical effect but to the REGENERATING biological reaction derived from acoustic stimulation through MECHANOTRANSDUCTION.

The regenerative biological reaction involves:

• Tissue regeneration.
• Angiogenesis.
• Analgesia.
• Increased local metabolism.
• Reabsorption of calcium deposits.
• Decreased inflammation.
• Osteogenic effect.

 

The level of efficacy will depend on the amount of this regenerative biological response that will be the result of TREATMENT INTENSITY vs. TREATMENT TOLERANCE.

HISTORY OF SHOCK WAVE USE

Mass use of extracorporeal shock waves was introduced into medical therapies about 30 years ago to disintegrate kidney stones, as a therapeutic alternative to conventional surgeries. Some of the side effects found were effects on bone healing and an acceleration of tissue healing in this area.

Subsequently, its use has also been transferred to the field of Rehabilitation and Veterinary Medicine. And the fields of action are expanding: urology, neurology or aesthetics.

INDICATIONS OF SHOCK WAVES IN THE FIELD OF REHABILITATION

Shock Waves have different indications depending on the energy level:

 

Low Energy (0’04-0’12 mJ / mm2) for the treatment of:

• Pain.
• Tigger points.
• Muscle contractures.

 

Medium Energy (0’12-0’28 mJ / mm2) for the treatment of:

• Calcified tissues.
• Bone consolidation problems.
• Tendinosis.
• Plantar fasciitis (with or without calcaneal spur).
• Aquilodynia.

 

• Periostitis.
• Muscle sprain.
• Femoral-patellar syndrome.
• Tendinitis in the insertion of the trochanter.
• Piriformis syndrome.
• Calcifications in the tendon.

• Frozen shoulder.
• Epicondylitis.
• Bursitis.
• Pseudoarthrosis.

WHEN SHOULD SHUTTERS NOT BE USED?

• Do not use shock waves anywhere on the body during pregnancy.
• Haemophilia and other coagulation disorders.
• With anticoagulant drugs (especially Marcumar).
• Acute inflammation.
• Do not use on swollen tissue, skin rashes or other acute tissue damage.
• Area with a polyneuropathy.
• Cortisone therapy: Wait a minimum of 6 weeks after local cortisone injection.
• Patients with bleeding or at risk of bleeding.
• Patients with malignancies and undiagnosed tumours.
• Inflammation still hot.
• Implants, areas where implants have been removed, damaged implants, and metal inclusions.

• On superficial metal implants.
• Severe arterial obstruction (stage III and
• Gynaecological disorders including acute inflammation.
• Deep vein thrombosis, phlebitis, varicose veins.
• Arterial pathologies, circulatory failure.
• On the eyes.
• About the reproductive organs.
• About pacemakers and defibrillators, cochlear implants, bone growth stimulator, deep brain stimulators, nerve stimulators.
• Directly over the carotid sinuses, the stellated cervical ganglion, or the vague nerve located in the anterior triangle of the neck.
• If the patient has a fever.
• On lungs, spine and head.

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This means that the entire human body is interrelated and that, for example, a person with emotional stress may develop muscle pain as a consequence (these pains are called psychosomatic pains).

Psychosomatic pain is already well known by the population but there are others interrelationships that are not so evident, for example the relationship that our intestine has with our state of mind, with inflammatory pains and with autoimmune diseases.

So, if a person has cervical pain for example, where can this pain come from? The healthcare professional has to assess it. But often the cause will be multifactorial (i.e. the majority of the pains have more than one cause).

In what order do I have to treat the different systems? First the musculoskeletal dysfunction or the endocrine or the psychological aspect….? Often, it’s appropriate to alternate different treatments. So, one day you can visit the physiotherapist, the next day the PNIE specialist (who will modify your diet) and the next day go to the psychologist…

The specialist in PNIE will use the scientific evidence, together with your analysis and clinical tests, to prescribe some dietary indications (or supplements) in order to correct dysfunctions of your endocrine and immune system.

Nowadays, a lot of diets have become popular, many of them are good but “hell is full of the best intentions”, this means that, is it that all diets go well for everyone? When is it necessary to stop them?

The most responsible action is that an expert supervises the diet, its effects and to modify if it’s necessary.

In the world of physiotherapy, many tools have been developed to treat people but they are useless if the person continues with a high level of inflammation due to an inadequate diet or the level of stress is high and constant.

A good physiotherapy treatment must include a good referral to another professional when necessary. Health professionals must also be interrelated!

Taking care of yourself is an exciting adventure, which sometimes requires patience, creativity, effort … do not be discouraged because health professionals will help you on this journey.

The post Psychoneuroendocrineimmunology first appeared on Fisiolistic.

Vertigo is a false sensation of movement of the person with respect to surrounding objects (commonly rotationally).

The symptoms are:

• Dizziness, spinning sensation, and anxiety.
• Instability and risk of falls.
• Nausea and vomiting

If the cause of vertigo is cupulithiasis or canalithiasis (due to accidents, etc.), the first thing we will do is the Brandt-Darof manoeuvre.

If the cause of vertigo is organic (loss of ability to capture stimuli, loss of vision, loss of sensitivity, usually related to aging), the first thing we will do is vestibular rehabilitation.

In either case, it is also useful for a physiotherapist to assess and treat the cervical spine, the base of the skull, the jaw, neck muscles … which are key points in the perpetuation of vertigo symptoms.

BRANDT-DAROF MANEUVER.

• Turn the head 45º
• 5 times on each side
• 2 times a day
• Hold gaze for 30 seconds
• For 2 weeks

VESTIBULAR REHABILITATION

Vestibular rehabilitation is a series of exercises to compensate for the loss of faculties in the vestibular system and balance.

There are some of these exercises that are simple and that the person can do at home.

VISUAL EXERCISES

1. With the computer mouse, trace waves and follow the trace with your eyes.
2. Look at the text on the computer and going up and down.
3. Move your eyes left and right while looking at a panel of vertical black and white stripes.
4. Keep your eyes on a reading meanwhile you move your head.
5. Turn your head to one side and turn your eyes to the opposite side.
6. Pass the ball from one hand to the other, following the movement with your eyes.
7. Walk down a hallway with paintings at eye level, turning your head from side to side.

PROPIOCEPTIVE EXERCISES

1. Play with the Wi-Fit.
2. Balancing on a mat.

VESTIBULAR EXERCISES

1) Rotate with a rotary chair with the head straight and with the head flexed. Turn 10 times to the side and when you stop, fix your gaze until the feeling of dizziness goes down. Repeat on the other side.

2) Play bowling games.

3) Walk on uneven terrain.

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