according to Burrascano :
(Must be performed in the order as the capacity of the patient to permit him to do so) :
PHYSICAL THERAPY (if needed) : 1. Here, the role of physical therapy is to prepare the patient for the planned program which will include preferably the physical exercises described below.
2. Relieve the pain and muscle contractions by using the multiple means available, namely : massage, heat, ultrasound, and a range of motion both passive and active. Do not use ice and electrical stimulation unless our office has specifically prescribed. Paraffin bath can be quite useful.
3. Increase mobility, the impetus and strength while protecting damaged joints and weakened, the tendons, ligaments, and teach these techniques to the patient. Use a light weight to a minimum resistance but repeat often the exercises prescribed. Exercises aerobics are not allowed. Allow the patient to progressively realize the gymnastics program described below.
4. Please receive the patient two days per week, but divide these two days in the week ! The EXERCISE will begin with a coach for private management and education careful.
INSTRUCTION AND MANAGEMENT OF PATIENTS
(Instruction will be provided during the initial interview, and repeated each session) : 1. Counsel patients on lesbonnes techniques for performing exercises without omitting the warm-up proper, breathing, joint protection, proper body positioning during exercise and the release and muscle stretching. 2. Please work only one muscle group at a time and do major stretching extended the muscle group worked immediately after each set of exercises before moving on to the category of exercises following. 3. It will lend itself to a serious maintenance at the beginning of each session to report the good and bad effects are felt from the first session, and adjust the therapy according.
PROGRAM
1. Aerobic exercises are not allowed, not even those with mild effects, until improvement of the force.
2. Refurbishment : work to improve your strength and to break the disruptive effects caused by Lyme disease. This is done through exercises applied to the whole body. These exercises include calisthenics* as well as a strength workout, work consisting of repeated movements with the use of light weights. This technique may be carried out during exercises Stretch and Tone*, " "Body Sculpt*", with or without weight machines or using free weights properly used.
3. Each session will last an hour. If the patient can't sustain the effort all the time, change the program to decrease the intensity.
4. The exercises should never be more intense from one day to the other. The patient will be able to start by exercise every 4 or 5 days at the beginning, and as its capabilities increase, he will be able to train more often, but NEVER two consecutive days. Days without sessions should be devoted to rest.
5. This program of rehabilitation of the whole body is required to recover health. It is unacceptable to simply place the patient on a treadmill or an exercise bike (except briefly, as part of the warm-up), a simple work of walking is not valabe not more.