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Post-Traumatic Stress Disorder and Physiotherapy: New Approaches in Treating Physical and Psychological Symptoms
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Journal of Physiotherapy & Physical Rehabilitation

ISSN: 2573-0312

Open Access

Opinion - (2024) Volume 9, Issue 6

Post-Traumatic Stress Disorder and Physiotherapy: New Approaches in Treating Physical and Psychological Symptoms

Vânia Leite*
*Correspondence: Vânia Leite, Department of Physiotherapy, University of Porto, Portugal, Email:
1Department of Physiotherapy, University of Porto, Portugal

Published: 30-Nov-2024 , DOI: 10.37421/2573-0312.2024.9.424

Abstract

Post-Traumatic Stress Disorder (PTSD) is a debilitating mental health condition that often arises after an individual experiences a traumatic event, leading to symptoms such as flashbacks, hypervigilance, emotional numbness, and avoidance. While PTSD is traditionally treated through psychological interventions like cognitive-behavioral therapy (CBT) or medication, recent research highlights the importance of addressing the physical manifestations of the disorder. patients. Techniques like breathing exercises, progressive muscle relaxation, and movement therapy can help reduce physical tension, improve postural control, and regulate the autonomic nervous system, which is often dysregulated in PTSD. By integrating physiotherapy into the treatment plan, patients are provided with holistic care that addresses both the mind and body simultaneously, leading to more effective outcomes

Introduction

Post-Traumatic Stress Disorder (PTSD) is a debilitating mental health condition that often arises after an individual experiences a traumatic event, leading to symptoms such as flashbacks, hypervigilance, emotional numbness, and avoidance. While PTSD is traditionally treated through psychological interventions like cognitive-behavioral therapy (CBT) or medication, recent research highlights the importance of addressing the physical manifestations of the disorder. patients. Techniques like breathing exercises, progressive muscle relaxation, and movement therapy can help reduce physical tension, improve postural control, and regulate the autonomic nervous system, which is often dysregulated in PTSD. By integrating physiotherapy into the treatment plan, patients are provided with holistic care that addresses both the mind and body simultaneously, leading to more effective outcomes. [1]

The connection between physical symptoms and PTSD is complex, with evidence suggesting that trauma can manifest not only as emotional and psychological disturbances but also as somatic issues. PTSD often leads to an overactive fight-or-flight response, causing prolonged muscle tension, increased heart rate, and heightened sensitivity to pain. [2]

Description

One of the primary ways physiotherapy addresses the physical symptoms of PTSD is through manual therapy and soft tissue techniques. Many individuals with PTSD experience chronic muscle tension, especially in the neck, shoulders, and lower back. These muscle groups often become tight and tender due to the body’s prolonged response to stress. Manual therapy, such as myofascial release or trigger point therapy, can target these areas of tension, helping to reduce discomfort and restore normal muscle function. By manually releasing fascial adhesions and relieving muscle tightness, physiotherapists can provide immediate relief for physical pain, which in turn helps reduce overall stress and anxiety. Additionally, joint mobilization and postural re-education can improve alignment, further contributing to the reduction of pain and tension. As patients experience relief from physical symptoms, they may also find it easier to engage in cognitive and emotional processing, making it easier for them to work through the psychological aspects of their PTSD. This integration of physical and psychological healing creates a more comprehensive approach to recovery, addressing both aspects of the disorder that can hinder progress.

Another effective physiotherapy approach in treating PTSD involves the use of breathing exercises and relaxation techniques, which help regulate the autonomic nervous system. The Autonomic Nervous System (ANS), which controls involuntary functions like heart rate and digestion, is often dysregulated in individuals with PTSD, leading to a state of chronic hyperarousal. Physiotherapists can teach patients breathing exercises such as diaphragmatic breathing or paced breathing to activate the parasympathetic nervous system physiotherapy helps regulate the body's stress response, which can have a direct positive effect on a patient's mental health as well.

Conclusion

The integration of physiotherapy into the treatment of Post-Traumatic Stress Disorder (PTSD) represents a significant shift toward a more holistic and comprehensive approach to care. While traditional therapies focus primarily on the psychological aspects of trauma, physiotherapy offers essential interventions that address the physical manifestations of PTSD, such as muscle tension, chronic pain, and poor posture. Techniques like manual therapy, breathing exercises, and movement therapies provide effective means of reducing the physical symptoms of trauma while also helping to regulate the body’s stress response, contributing to overall mental health improvement.

References

  1. Howell, Elizabeth A. "Reducing disparities in severe maternal morbidity and mortality." Clin Obstet Gynecol (2018): 387-399.
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  3. Jeong, Wonjeong, Sung-In Jang, Eun-Cheol Park and Jin Young Nam. "The effect of socioeconomic status on all-cause maternal mortality: A nationwide population-based cohort study." Int J Environ Res Public Health (2020): 4606.
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