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CONTENT: Definition
History
Indication
Contraindication
Precaution
Properties of water
Equipment used in aquatic exercise.
Types of aquatic exercise
DEFINITION: It’s a multi depth immersion pool or tank
that facilitates the application of various
established therapeutic interventions,
including stretching, strengthening, joint
mobilization, balance and gait training and
endurance training.
HISTORY: Aquatic Therapy is emerging science of water and
exercise for physical therapy.
The Aquatic Therapy Source was the pioneer of
the manufacture of underwater exercise machines
since 1987
Machinery designed by the Aquatic Therapy Source
will not break down in water, does not require any
maintenance and requires no special footwear to use
the machines.
INDICATIONS: Improve ROM
Initiate resistance training
Facilitates weight bearing activity.
Provide 3D assess
Initiate functional activity
Minimize risk of injury
Provide relaxation
CONTRA INDICATIONS
Open wound
Water infection
Seizures
Respiratory dysfunction
Kidney disease
Bowel bladder Incontinence
Properties of water Buoyancy : it’s a upward force that work opposite to
gravity.
Clinical Significance:
relative weightlessness and joint unloading
active motion with increased
three-dimensional access to the patient.
Hydrostatic pressure: : it’s a pressure exerted on immersed object.
Clinical Significance:
reduces or limits effusion
centralizes peripheral blood flow.
assists venous return, avoid DVT
The proportionality of depth and pressure allows patients to perform exercise more easily when closer to the surface.
Viscosity : its is friction occuring between
molecules of liquid resulting in resistance to flow.
Clinical Significance
Creates resistance with all active movements.
Increasing the surface area moving through water
increases resistance.
Surface tension : the surface of fluid
act as membrane under tension.
It is measured as a force/unit length.
EQUIPMENT FOR AQUATIC
EXERCISE: Provide buoyant support
Assist balance
Generate resistance to the movement.
COLLARS, RINGS, BELTS.
SWIM BARS
GLOVES, HAND PADDLES, HYDRO TONE BALLS.
FINS AND HYDRO TONE BOOTS.
KICKBOARDS.
:
COLLARS, RINGS,
BELTS.
SWIM BARS
GLOVES, HAND
PADDLES, HYDRO
TONE BALLS
FINS AND HYDRO
TONE BOOTS.
KICKBOARDS.
Types of Aquatic Activities:Balance
exercises
Strengthening
exercises
Marching.
Side leg lift
Back leg lifts
Runner's stretch
Benefits of Aquatic ExercisePsychological:
• Improvement of well-being and
confidence
• Experience success
• Enhance self-image
• Have fun
• Independent mobility
Older Adults—benefits
Exercise Is key for good health and independent
living and Achieve enriched quality of life
Primary goals
reach and maintain a level of fitness,
Improve one’s physical condition
Delay onset of chronic disease
Treatment: Water at least 830 F
Less activity than that for a younger group
Explain safety features before you begin
Lifeguard location
Pool layout
Give permission and suggestions for modifications
Pregnancy—benefits Reduces gravity’s pull on baby
Helps prevent hyperlordosis.
Decreases chance of overheating
Hydrostatic pressure helps prevent edema
Treatment: Water between 78 and 84
0
F
Emphasize proper hydration
Follow ACOG guidelines
Guidelines for exercise
Contraindications for exercise
Careful evaluation
Obesity—benefits Reduces the effect of gravity
Decreases risk factors for heart disease
Hydrostatic pressure assist venous return
Easier to stick with the program Cool environment
Comfortable
Relaxing
Beneficial
Treatment: Limb speed is important to overcome buoyancy
Deep water walking is a great place to start
Give non-rebound option
Emphasize safety.
Arthritis—benefits Osteoarthritis— degenerative changes in the
joints
Rheumatoid arthritis— chronic, destructive disease characterized by joint inflammation
Guideline for the arthritis
Decrease pain
Increase ROM
Maintain joint mobility
Treatment: Don’t exercise when joint is “hot”
Spend twice as long on warm-up
Avoid hard stretches
Gently move every joint in every possible direction
Eliminate bouncing
Ideal water temp. is 86-95o F
Low Back Pain—guidelines Emphasize proper posture
Eliminate bouncing
Strengthen abdominals
Emphasize core stability
Immediately stop any exercise that causes pain
Treatment: Water decreases compression forces on the spine and
other joints
easier to move
strengthen core and back. In the water,
walking on treadmill
leg raises
back stretches
core exercises
squats
Aquatic Therapy for Brain and
Spinal Cord Injuries:
The recovery process long and extremely difficult.
Aquatic environment works well for neuromusclarreeducation and strengthening because water’sbuoyancy allows patients who have restrictedmobility on land to move more freely in thewater.
The increase in movement against the naturalresistance of the water can help improve muscularstrength for patients who are suffering fromweakness and paralysis
increasing core strength and balance is for
improving daily functions. The viscosity and
buoyancy of the water provide support in both the
sitting and standing positions during these activities.
Gait Training: Gait training on the underwater treadmill canhelp patients regain balance, movement and strength Becauseof water’s buoyancy,.
Activities of Daily Living: sit-to-stand, reach, balanceexercises.
Pain Management: Warm water has the ability to increasecirculation and range of motion which in turn reduces jointstiffness and pain while exercising in the water.
Strengthening and Toning: As patients progress through theirrecovery, resistance can be increased through the use of theunderwater resistance jets.
This increases muscle strength and prepares patients forfurther land-based strength training.
Aquatic Therapy for Stroke
patient:
The water's buoyancy allows freedom of movement
it is ideal for individuals who have restricted mobility dueto weakness and paralysis.
Increased muscular strength as movements areperformed against the resistance of the water. Thiscombination of freedom and resistance is very difficult toduplicate in any land-based therapy environment.
The anti-gravity effect of water makes it easier to workwith these movements to increase range of motion andstrength.
Spasticity is a common issue with neurological
injury that can be exacerbated by cold. A warm water
therapy setting minimizes spasticity, facilitates
movement and increases patient comfort
Off-balance falls are slowed due to the water
resistance, which helps with protective response
training. The patient's fear of falling is decreased .
Aquatic exercise can be fun at any age and
size whether you try it on your own for a class.
Jump in. The water's fine!
Thank You
References: Therapeutic exercise 5th edition Carolyn Kisner and
Lynn Allen Colby
Uses of Aquatic Therapy for Spinal Cord Injuries -HydroWorx Blog | HydroWorx Blog
blog.hydroworx.com
Stroke Patient Increases Mobility with Aquatic Therapy - HydroWorx Blog | HydroWorx Blog
blog.hydroworx.co