Therapeutic Modalities

A. Smart movement therapy :

MOTOmed movement is an on-device therapy form similar to normal cycling, which allows for passive, motor-supported and active movements. Even with minimal muscle strength, users can do efficient active training during alternating active-passive training. The MOTOmed movement therapy devices are applied worldwide in neurological, orthopedic and cardiac rehabilitation as well as in geriatrics. Scientific studies underlined the benefits of MOTOmed movement therapy as part of daily therapy or as self-conducted home-based" movement therapy.

Therapeutic goals :

  • Promote walking
  • Reduce the consequences of lack of movement
  • Reduce spasticity
  • Activate residual muscle strength
  • Strengthen the psyche and well-being
  • Counteract fatigue

Indecations :

  • Multiple Sclerosis
  • Stroke
  • Parkinson
  • Traumatic brain injuries
  • Muscular disorders
  • Spastic Paralysis (ICP)
  • Early Mobilization
  • COPD
  • Hemodialysis
  • Intensive care
  • Orthopedics
  • Cancer
  • Diabetes Type 2
  • Dementia/Alzheimer's
  • Hypertension
  • Circulatory Disorders (in the legs)
  • Paraplegia

B. Intermittent Pneumatic Compression :

Intermittent pneumatic compression is a therapeutic technique used in medical devices that include an air pump and inflatable auxiliary sleeves, gloves or boots in a system designed to improve venous circulation in the limbs. In use, an inflatable jacket (sleeve, glove or boot) encloses the limb requiring treatment, and pressure lines are connected between the jacket and the air pump. When activated, the pump fills the air chambers of the jacket in order to pressurize the tissues in the limb, thereby forcing fluids, such as blood and lymph, out of the pressurized area. A short time later, the pressure is reduced, allowing increased blood flow back into the limb. The primary functional aim of the device “ is to squeeze blood from the underlying deep veins, which, assuming that the valves are competent, will be displaced proximally.” When the inflatable sleeves deflate, the veins will replenish with blood. The intermittent compressions of the sleeves will ensure the movement of venous blood. Compression therapy can be utilized to help with the treatment and prevention of many venous and lymphatic issues and assist in performance and recovery during activity. As a treatment measure, it can be prescribed to treat such things as phlebitis, thrombosis, aftercare from surgery, sclerotherapy, aiding achy and heavy feeling legs, varicose veins, spider veins, edema, and leg ulcers.

Effects & Benefits of Compression Therapy :

Graduated compression has many positive effects on the body to both blood flow and the tissues themselves. Below are some of the physiological effects of compression:

1- Blood Flow Effects :

  • Increases venous blood flow (circulation)
  • Decreases venous blood volume (blood pooling)
  • Decreases reflux in diseased superficial and deep veins (minimize and reduce spider and varicose veins)
  • Decreases pathologically elevated venous pressure

2- Effects on Tissue :

  • Decreases elevated edema of the tissue (swelling)
  • Increases drainage of toxic substances like lactic acid
  • Decreases inflammation
  • Sustains reparative processes
  • Improves movement of tendons and joints

C. shock wave therapy :

Shockwave is an acoustic wave which carries high energy to painful spots and myoskeletal tissues with subacute, subchronic and chronic conditions. The energy promotes regeneration and reparative processes of the bones, tendons and other soft tissues.

Acoustic waves with high energy peak used in Shockwave therapy interact with tissue causing overall medical effects of accelerated tissue repair and cell growth, analgesia and mobility restoration.


  • Jumper’s Knee
  • Painful Shoulder
  • Tennis Elbow
  • Heel Spur
  • Insertional Pain
  • Chronic Tendinopathy
  • Medial Tibial Stress Syndrome
  • Calcifications
  • Hip Pain

D. Therapeutic exercises :

Therapeutic exercise is defined as bodily movement prescribed to correct an impairment, improve musculoskeletal function, or maintain a state of well-being. It may vary from highly selected activities restricted to specific muscles or parts of the body, to general and vigorous activities that can return a convalescing patient to the peak of physical condition.

Therapeutic exercises refer to a wide range of physical activities that focus on restoring and maintaining strength, endurance, flexibility, stability, and balance. The goal of therapeutic exercises is to return an injured patient to a fully functioning, pain-free state.

A physical therapist begins by conducting a thorough evaluation of an individual's physical capabilities through both a medical history and physical assessment. The physical therapist then uses his/her knowledge to shape a treatment care plan containing a slowly-progressing exercise program that is appropriate to each individual's needs. The physical therapist monitors progress, assists with some physical movements and continuously modifies the plan as the client recovers.

The first objective of therapeutic exercise is to help the body reduce pain and inflammation. Once this is achieved, the exercise program focuses on regaining range of motion and rebuilding muscle strength and endurance. Exercises that may be included in a therapeutic program include :

  • Strengthening exercises
  • Endurance exercises
  • Flexibility exercises
  • Balance and coordination exercises

E. Cold laser :

Cold Laser Therapy or Low-Level Laser Therapy (LLLT) is a treatment that utilizes specific wavelengths of light to interact with tissue and is thought to help accelerate the healing process. It can be used on patients who suffer from a variety of acute and chronic conditions in order to help eliminate pain, swelling, reduce spasms and increase functionality.

Cold laser therapy can stimulate all cell types including muscle, ligament, cartilage, nerves, etc., so a number of conditions can be treated by cold laser therapy. Some of the conditions that may typically be treated by cold laser therapy include :

  • Arthritis pain
  • Back pain
  • Carpal tunnel syndrome
  • Fibromyalgia pain
  • Knee pain
  • Neck pain
  • Tendonitis
  • bursitis
  • ligament sprains
  • muscle strains
  • Wound healing

F. Continuous passive movement :

A CPM device is a machine that is used to move a joint without the patient having to exert any effort.

Continuous Passive Motion (CPM) devices are used during the first phase of rehabilitation following lower limb joint surgeries or traumas. The CPM device continuously and repeatedly moves the joint through a controlled range of motion.

Daily treatment increases the initially limited movement of the joint and is used to prevent negative effects of joint immobilization such as joint stiffness, swelling, poor articular cartilage nourishment, collagen loss or thromboembolic disease.

The therapy ensures safe exercise throughout the healing and repair process of the tissue by providing passive movement, reduces postoperative pain and minimizes chances of inflammation. CPM also helps increase range of motion and it has a favorable effect on muscle strength. CPM stimulates chondrocyte metabolism which makes it important for joint regeneration processes.