eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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3/2019
vol. 21
 
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abstract:
Review paper

Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine, the College of Family Physicians in Poland and the European Rural and Isolated Practitioners Association regarding the use of simple forms of physiotherapy, including massage and self-massage in primary care, endorsed by the Polish Society of Physiotherapy Specialists

Krzysztof Kassolik
1, 2
,
Elżbieta Rajkowska-Labon
1, 3
,
Iwona Wilk
2
,
Anna Dobrzycka
2
,
Tomasz Tomasik
4, 5
,
Waldemar Andrzejewski
1, 2
,
Marek Kiljański
1, 6
,
Ferdinando Petrazzuoli
7, 8
,
Jean-Pierre Jacquet
9, 10
,
Augusto Simões
11
,
Victoria Tkachenko
12
,
Donata Kurpas
13, 14

1.
Polish Society of Physiotherapy, Poland
2.
Department of Physiotherapy, Academy of Physical Education in Wroclaw, Poland
3.
Department of Physiotherapy, Medical University of Gdansk, Poland
4.
College of Family Physicians in Poland
5.
Department of Family Medicine,Chair of Internal Diseases and Gerontology, Jagiellonian University Medical College in Krakow, Poland
6.
University of Computer Science and Skills, Lodz, Poland
7.
European Rural and Isolated Practitioners Association, Scientific Board
8.
Center for Primary Health Care Research, Department of Clinical Sciences, Lund University, Malmö, Sweden
9.
European Rural and Isolated Practitioners Association
10.
Collège de la Médecine Générale, France
11.
Department of Medical Sciences, Faculty of Health Sciences, University of Beira Interior, Portugal
12.
Department of Family Medicine, Shupyk National Medical Academy of Postgraduate Education Kiev, Ukraine
13.
Polish Society of Family Medicine, Poland
14.
epartment of Family Medicine, Wroclaw Medical University, Poland
Family Medicine & Primary Care Review 2019; 21(3): 277–288
Online publish date: 2019/11/08
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Background
In general practice, dysfunctions within the locomotor system are a recurring health issue. Most frequently, diagnoses and treatments relate to pain syndromes of the backbone, the shoulder girdle or the pelvic girdle. The authors believe that physiotherapy, along with other clinical disciplines, should be regarded as an important factor which influences the effectiveness of the therapeutic process in this area. In primary care, treatment of musculoskeletal disorders – especially at the stage of early clinical symptoms – should incorporate basic physiotherapy methods, e.g., massage, physical procedures, kinesiotherapy and the underrated education of the patient. Restoring appropriate spatial arrangement of tissues provides the right conditions for the regeneration and repair of muscles, ligaments and tendons, although it is a process that requires a long time. Therefore, it can be very important to introduce self-therapy in the form of systematically repeated, easy-to-replicate procedures in the scope of self-massage and self-kinesiotherapy.

Objectives
This paper presents the impact of physiotherapy in treating selected disorders and pain syndromes of the locomotor system with particular attention to the role of massage. Emphasis is placed on the meaning of self-massage in the process of restoring structural balance of tissues. The model of active inclusion of the patient in the treatment process as preparation for self-therapy is presented. This paper aims to justify the need to reorganize health services provided through general practicioners within the National Health Fund network by incorporating physiotherapy in primary care.

keywords:

general practitioner, primary health care, pain

 
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