{"id":990556,"date":"2023-02-14T09:31:45","date_gmt":"2023-02-14T08:31:45","guid":{"rendered":"https:\/\/rotim.hr\/physical-medicine-and-rehabilitation\/"},"modified":"2025-12-04T23:11:18","modified_gmt":"2025-12-04T22:11:18","slug":"physical-medicine-and-rehabilitation","status":"publish","type":"page","link":"https:\/\/rotim.hr\/en\/treatments-and-services\/physical-medicine-and-rehabilitation\/","title":{"rendered":"Physical Medicine and Rehabilitation"},"content":{"rendered":"\t\t
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\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\tPhysical Medicine and Rehabilitation at Polyclinic Rotim\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Physical Medicine and Rehabilitation<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Physical Medicine and Rehabilitation at Polyclinic Rotim is equipped with modern and state-of-the-art equipment, and the team includes physical medicine doctors, orthopedic surgeons, neurosurgeons, and physiotherapists with European certifications for carrying out specialized physiotherapeutic methods.<\/p>

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The approach of physical medicine and rehabilitation includes an individual and comprehensive approach to each patient in the treatment of diseases and injuries of the musculoskeletal system. <\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Our rehabilitation center offers complete rehabilitation of acute and chronic painful conditions of the spine and joints, sports injuries and overuse syndromes, as well as pre-operative and post-operative rehabilitation.<\/p>\n

We are particularly proud of our experience in working with painful conditions of the spine of different etiologies, as well as postoperative rehabilitation after surgical procedures on the spine.<\/p>\n

Renowned football and handball representatives are rehabilitated with us. Professor Kresimir Rotim, as a top neurosurgeon, is a member of the medical team of the Croatian handball and football national teams.<\/p>\n

However, in addition to our famous athletes, frequent patients are also recreational athletes who need the services of pain treatment, physiotherapy, neurosurgery, orthopedics, and radiology.<\/strong><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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The physiotherapy assessment is the first contact with the patient and an integral part of the physiotherapy treatment. <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The physiotherapist’s examination includes a detailed analysis and evaluation of the general condition, posture assessment, and active and passive mobility assessment.<\/p>\n

Assessment also includes all necessary neurological, orthopedic, and functional tests to determine the exact cause of the problem.<\/p>\n

After the assessment, a specific rehabilitation method is applied.<\/strong><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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ELECTROTHERAPY<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Electrotherapy includes a range of treatments that use electrical energy to reduce pain, improve circulation, repair tissue, strengthen muscles, and promote bone growth, leading to improved physical functioning. In our polyclinic, we also use various methods as an auxiliary means in rehabilitation. Among them are therapeutic currents, as well as ultrasound and laser.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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TENS (Transcutaneous electrical nerve stimulation) is based on electroanalgesia. By stimulating A-fiber nerve fibers, C-fiber fibers responsible for transmitting pain in higher levels of the nervous system are inhibited. TENS is applied using small single- or dual-channel devices. When using TENS, patients may feel tingling, but motor stimulation must be avoided.<\/p><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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ELETROSTIMULATION<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Electrostimulation is a procedure for applying electrical impulses to induce muscle contraction, aiming to prevent muscle atrophy. We perform electrostimulation using modern Compex devices that provide various stimulation, muscle trophic improvement training, and relaxation and analgesia options.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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DDS (Diadynamic currents) are low-frequency half-wave or full-wave rectified sine wave currents with a frequency of 50-100 Hz. Their main action is pain relief and active hyperemia. By combining different frequencies and adding low-intensity electricity, more modulation of diadynamic currents is achieved.<\/p><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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IFS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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IFS (Interferential currents) are medium-frequency currents that arise from the intersection of two sinusoidal currents that overlap in intensity, phase, and frequency. Interference occurs in deep tissue. They cause active hyperemia in tissues and have an analgesic and trophic effect.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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FIRSTTX\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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FirstTx is a device designed for the therapy of acute and chronic pain. It uses computer-modulated therapeutic neurostimulation to stimulate natural healing and tissue regeneration mechanisms.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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LASER<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The laser works bio-photostimulating, accelerates collagen synthesis and the formation of granulation tissue, has an analgesic and anti-edematous effect.<\/p>\n

Using laser therapy can be of great benefit in treating many health problems and diseases.<\/p>\n

The laser is often used in physiotherapy to improve circulation, reduce pain and heal injuries. Laser therapy can be used in different ways in physiotherapy. They can be used to improve blood flow, tissue regeneration, and reduce inflammation. Lasers can also be used to reduce pain, relieve stress symptoms, and improve immunity.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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MANUAL THERAPY<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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With manual therapy, we prevent, detect, and eliminate a disturbance in the interrelationships of the structures and functions of the musculoskeletal system with methods of mobilization, manipulation, and massage. In our polyclinic, we use various manual techniques and exercise concepts in the prevention, treatment, and rehabilitation of various painful conditions of the musculoskeletal system.<\/p>\n

We mainly use Maitland’s manual technique, MFR (Myofascial release), Stecco (fascial manipulation technique), Trigger Point Therapy, NDS (Nerve Neurodynamics), DNS (Dynamic neuromuscular stabilization), PNF (Proprioceptive neuromuscular facilitation), CLT (Coordination of locomotor training), Bobath’s concept.<\/p>\n

We emphasize postural reeducation and changing bad movement patterns.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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MAITLAND CONCEPT\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Maitland concept is a manual therapy method characterized by an individual approach from targeted examination to mobilization and manipulation of the spine or limbs. It uses neurodynamic techniques, muscle stretching, and specific adaptive techniques that the patient can apply at home. Maitland manual therapy is particularly helpful in acute painful conditions, postoperative conditions, and various sports injuries that require proper diagnosis and treatment.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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STECCO<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Stecco (fascial manipulation technique) is a scientifically-based technique that involves manual therapy of muscles and fascia. It is used to reduce pain and stiffness, as well as restore muscle balance and control of movement.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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MFR (myofascial release) is a technique that focuses on working with fascia, including deep and superficial fascia and organ fascia. It is a relaxing and painless technique in which the therapist communicates with the tissue beneath the skin of the patient through a specific stretch, finding fascial blockages and relaxing them.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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TRIGGER POINT TERAPHY<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Trigger points are sensitive spots in muscles, tendons, ligaments, joint capsules and skin. They are characterized by local and radiating pain upon pressure depending on the type. Trigger point therapy is performed by stretching the affected tissue and directly relaxing the tense tissue through fine palpation and adequate short-term pressure, reducing the pain and tension of the trigger point and improving blood flow and metabolic processes.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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NDS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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NDS (nerve dynamic technique) is a diagnostic-therapeutic method that identifies whether the pain that occurs is due to pressure on a nerve, and if so, whether that pressure is in the spinal cord or peripheral. After identifying the problem, therapy for the nerve begins with specific exercises for opening, sliding and closing movements. This allows the nerve to be released from pressure and to freely slide, thereby improving blood supply and reducing pain and tingling.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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DNS<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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DNS (Dynamic Neuromuscular Stabilization) is a technique used for a range of musculoskeletal problems, as well as in preventing pain and injuries.<\/p>\n

It is a method that focuses on the deep stabilization of the musculoskeletal system, based on developmental kinesiology of the child in the first year of life.<\/p>\n

Due to its exceptional effectiveness in rehabilitation and injury prevention, as well as in improving athletic performance, this method has become popular in top rehabilitation and sports facilities around the world. The key assumption of DNS is that the position of each joint depends on the stabilizing function of the muscles and coordination of local and global muscles in order to ensure a neutral and centered position of the joints in the kinetic chain.<\/p>\n

By regulating the ideal intra-abdominal pressure, the efficiency of movement is optimized and joint overload is prevented.<\/p>\n

The ultimate goal is to “train the brain” to maintain central control, joint stability, and ideal movement quality.<\/p>\n

Over time, through repetition of exercises, an automatism is created that becomes an integral part of everyday movement and skills.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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PNF<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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PNF (Proprioceptive Neuromuscular Facilitation) is a manual technique used for the assessment and treatment of neuromuscular dysfunction. The therapist analyzes the patient’s movement and facilitates a more economical, purposeful, and functional movement. It is commonly used for people with neurological impairments, but is also an excellent tool in the rehabilitation of musculoskeletal disorders.<\/p>\n

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CLT<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Coordinative Locomotor Training (CLT) is a set of exercises based on the principles of PNF. It involves activating muscle synergies and full-body motor control simultaneously, leading to fast and high-quality results. By applying the CLT concept, the whole-body muscular balance is established, with an emphasis on the part that is beyond normal function, improving joint stability, mobility, strength, and movement coordination.<\/p><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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BOBATH CONCEPT<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The Bobath concept is a therapeutic approach based on relearning normal movement and body posture, aimed at solving problems for people who have difficulties in function, posture, or movement. Every person has the potential to improve their movement, so we choose positions, activities, and techniques that best suit their motor abilities.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Spinal Decompression Therapy (Traction)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Spinal decompression therapy is a non-invasive treatment method which uses mechanical force to carefully stretch the spine. The negative pressure created by decompression reduces pressure on nerves and disks, which encourages faster regeneration and healing, leading to a reduction in pain in the neck, arms, lower back, and legs.<\/p>\n

This type of therapy is used for acute spinal pain, acute nerve inflammation in the spinal cord area, lumboischialgia, cervicobrachial syndrome, intervertebral disk protrusion, pressure on nerve roots, and spinal small joint arthrosis.<\/p>\n

Sophisticated equipment and computer technology are used for this type of therapy, consisting of a specially made table and an electric unit with a computer and a physical therapy program that provides positional therapy and alternating phases of stretching and relaxation.<\/p>\n

By properly positioning the body and alternately stretching and relaxing the intervertebral disk, a vacuum effect is created, leading to mechanical and physiological effects.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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ULTRASOUND<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The therapeutic effect of ultrasound therapy is mechanical, biochemical, physico-chemical, and thermal.<\/p>\n

The therapeutic effect is achieved by increasing tissue temperature in the applied area, improving circulation and metabolism, and increasing tissue elasticity.<\/p>\n

By heating structures near the bone, such as tendon attachments, tendon sheaths, bursae, ligament attachments, and joint capsules, we can influence regenerative processes in chronic, degenerative and inflammatory conditions.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Do you need a physiotherapist consultation, or do you want to start therapy at our polyclinic immediately? <\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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No problem, our individual approach will impress you.<\/p>\n

Leave us your contact information, and we will get back to you as soon as possible.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Physical Medicine and Rehabilitation at Polyclinic Rotim Physical Medicine and Rehabilitation Physical Medicine and Rehabilitation at Polyclinic Rotim is equipped with modern and state-of-the-art equipment, and the team includes physical medicine doctors, orthopedic surgeons, neurosurgeons, and physiotherapists with European certifications for carrying out specialized physiotherapeutic methods. The approach of physical medicine and rehabilitation includes an…<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":990856,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-990556","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/pages\/990556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/comments?post=990556"}],"version-history":[{"count":6,"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/pages\/990556\/revisions"}],"predecessor-version":[{"id":993923,"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/pages\/990556\/revisions\/993923"}],"up":[{"embeddable":true,"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/pages\/990856"}],"wp:attachment":[{"href":"https:\/\/rotim.hr\/en\/wp-json\/wp\/v2\/media?parent=990556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}