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Cascais - Lisbon 

Physical Therapy should only be done by a licenced health professional.

Make sure you are in good hands!

Ask for your health providers license.

It is your right.




A disfunctional pelvic floor can cause:

- Urinary incontinence

- Faecal incontinence

- Sexual disfunction

- Vaginism

- Urinary retention and constipation

- Visceral prolapse

- Etc.


Your physical therapist has an active part in the assessment and treatment of these problems and should always be the first contact health professional before any surgical intervention is contemplated


Your physical therapist:

- Teaches you how your pelvic floor works

- Gives you a specific exercise program

- Helps you to alter some habits (mictional, hygiene, food related, strenuous exercises, etc.)

- When necessary, electrical stimulation and biofeedback can be used as an alternative treatment method.



Pregnancy is a time when mothers  experience many changes in their bodies and first time mothers are often concerned with giving birth and whether or not they are well "equipped" to take care of a newborn baby. In many cases, rehab after pregnancy is also a concern, as is breast-feeding,

post-natal depression, etc.

Ante-Natal Care Classes offer all the answers for future parents and you can rely on your physical therapist to be there for you always.

Topics (Theory and Practise):

- Evolution of pregnancy

- Nutrition during pregnancy

- Medical appointments

- Exercise during pregnancy

- Pelvic floor assessment and exercise

- Resting positions

- Relaxation methods

- Breathing patterns during labour

- Mobilization techniques and massage (with or without your partner)

- Preparing for your baby-what to buy

- Sexuality during pregnancy

- Types of labour and anesthesia

- What to take to the maternity ward

- What happens in the hospital

- Baby care-first approach

- Breast-feeding

- How can your partner/family help

- Post-natal care-introduction.



3 or 4 weeks after birth you may undergo post-natal classes with your baby and partner.

What do you do/learn during the classes?

- Learn about the normal development of your baby

- Baby massage

- Specific re-education of the pelvic floor and abdominal wall

- General exercise program to recover strength, general mobility and your figure (strengthening exercises, stretching, general mobility)

- Back pain- prevention measures and correction of posture

- Information on the correct material do buy for your baby such as: beds, chairs for the car, feeding chairs, outside strollers,

and others

- General postural re-education during activities with your baby and other daily activities

- Solutions for issues related to breast-feeding

- Sexuality after birth

- Relationships: with your  partner/ between siblings/ other members of the family

- Relaxation methods and massage (couple).



The physical therapist has an important role before the patient´s surgery actually takes place. It is important to educate the patient, a biomechanical assessment and preventive work is invaluble due to all the limitations that appear during imobilization periods.

A physical therapist´s intervention in post-operative situations are well known and can be precious. Usually the physio steps in at an early phase unless there have been complications. At this phase the physio assesses and, depending on the type of surgery, uses techniques, which are specific to the profession, can be of help when there is pain and scar tissue, plans gradual and progressive exercise programs, trains daily activities with the patient, collaborates in patient/family and/or helper´s education, can suggest walking aids or others for the patient´s home, supports, etc. What is expected is for the patient to go back to his or her normal life and activities as soon and as safely as possible, with the maximum autonomy and quality of life possible and that he or she regains his or her normal function or even BETTER function in comparison to the pre-operative period.

Every case is different and a physical therapist´s role is personalized and specific for each and every patient.



Back pain is a very common problem. Early intervention by a physical therapist can be invaluable in improving quality of life.

How? What does a physical therapist do?

- Thorough clinical assessment

- Preventive measures

- Postural awareness during daily activities

- Postural Re-education

- What to do when an acute, sudden and incapacitating pain occurs

- Resting positions

- Adaptation of your work place, car seat and home environment

- Alterations in technical and physical workout programs

- Manual therapy

- Electrotherapy

- Specific exercise programs for each patient

- Relaxation methods

- Your physical therapist will advise you to go to a medical specialist or suggest diagnostic clinical examinations whenever necessary.



Balance is the result of several body systems working together: the visual system (eyes), vestibular system (ears) and proprioception (the body's sense of where it is in space). Degeneration or loss of function in any of these systems can lead to balance deficits.


It is not only the elderly that suffer from balance impairment!


Balance impairment often results in falls!


Prevention of falls is fundamental and your physical therapist can help.




- Balance training

- Proprioceptive training

- Improving general mobility

- Suggesting gait support (ONLY when required)

- Making a few changes in your home and your habits (checking your mats and carpets, suggesting forms of support in your bathroom or bedroom, checking your footwear, etc)

- Advising family members or helpers.



Depression, stress-related conditions, long lasting musculoskeletal disorders and anxiety affect millions of people worldwide often having negative consequences on their ability to work and quality of life.

Mental health disorders comprise a broad range of problems with different symptoms. People suffering from mental health problems often have bodily oriented symptoms, representing a major group of patients seeking help from physical therapists.

Ideally, body and mind are to be treated as a unity, physical therapists working at their highest professional standards with human movement as its core.

We know that exercise has positive effects on the brain. Exercise has antidepressant properties and can improve the brain function of the elderly and may even be preventive against dementia.

Scientific American Article



Relaxation techniques are helpful tools for coping with stress and promoting long-term health.


What types of relaxation techniques are there?

Autogenic training: This technique uses both visual imagery and body awareness.The person imagines a peaceful place and then focuses on different physical sensations, moving from the feet to the head. For example, one might focus on warmth and heaviness in the limbs, easy, natural breathing, or a calm heartbeat.

Breathing: In breathing techniques, you place one hand on your chest and the other on your belly. Take a slow, deep breath, inhaling as much air as you can. As you're doing this, your belly should push against your hand. Hold your breath and then slowly exhale.

Progressive muscle relaxation: This technique involves slowly tensing and then releasing each muscle group individually, starting with the muscles in the feet and finishing with those in the head.

Meditation: A person can repeat a single word/phrase or focus attention on thoughts and sensations.


What are relaxation techniques good for?

- Pre-menstrual syndrome

- Pain

- Irritable Bowel Syndrome

- Anxiety

- Infertility

- High Blood Pressure

- High Cholesterol

- Diabetes

- Panic Disorders

- Chronic Tension Headaches

- Fibromyalgia

- Insomnia

- Psoriasis

- Arthritis

- Hyperactivity in Children.



Within the physical therapy profession, manual therapy is defined as a clinical approach utilizing skilled, specific hands-on techniques, including manipulation/mobilization to diagnose and treat soft tissues and joint structures for the purpose of modulating pain; increasing range of motion; reducing or eliminating soft tissue inflammation; inducing relaxation; improving contractile and non-contractile tissue repair, extensibility, and/or stability; facilitating movement; and improving function.



What does a physical therapist do in sports?

- Educates/Advises athletes and patients

- Promotes safe physical activity

- Promotes safe and active life styles

- Gives advise in terms of technical training aspects

- Prevents injuries

- Treats injuries (acute and chronic phases)

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Robb Walters

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