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PTRS 705 - PT Interventions 2 > Aquatic Therapy > Flashcards

Flashcards in Aquatic Therapy Deck (42)
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1

Aquatic Principles (3)

-Buoyancy
-Hydrostatic Pressure
-Resistance

2

Buoyancy - def (3)

-The upward thrust acting in the opposite direction to the force of gravity
-The more deeply immersed you are in water, the less you weigh
-Allow a reduction in joint compression forces by being weightless

3

Archimedes Principle

A body immersed in a liquid, either wholly or partially, is buoyed up by a force equal to the weight of the liquid displaced by the body

4

Hydrostatic Pressure

The pressure exerted by a fluid at equilibrium due to the force of gravity

5

Benefits of Hydrostatic Principle

-Reduce edema
-Improves circulation
-Evens tactile input
-Improves muscles of inspiration; assists with expiration

6

Resistance - Viscosity/Drag forces

-Creates progression
-Stream line flow vs. turbulence
-Exercises in water should be performed faster to get more resistance

7

Benefits of Resistance

-Improved tone
-Improved endurance
-Improved muscle balance
-Increased time to react

8

What populations benefit from "ideal" temperature

-Prenatal
-Obese
-MS
-Cardiac
-OA
-Fibromyalgia
-Pain

9

Physiological Benefits of Aquatic Therapy (4)

-Circulatory System
-Pulmonary System
-Musculoskeletal
-Renal
-Other

10

Circulatory System effects

-Blood is displaced upward to the chest and into the heart
-Central Blood Volume can improve by 60%
-Cardiac volume increases
-Heart rate is 15% lower than on land

11

Pulmonary System Effects

-Vital Capacity decreases 10% when immersed to the neck
-The total work of breathing increases by 60%, expiratory reserve volumes decrease by 75% during neck immersion

12

Musculoskeletal System Effects

-Extracellular fluid is mobilized
-Reduces swelling more rapidly then bed rest; plus benefit of movement
-Muscles have increased blood supply
-Improved muscle relaxation
-Decreased joint compression

13

Renal System Effects

-Increased urine output
-Increased sodium loss
-Renal response increases with further immersion

14

Other Physiological Responses

-Body temperature changes
-Improved equilibrium due to righting reactions
-Over exertion
-Skin irritation
-Over stimulation of vestibular system

15

Positive Outcomes from Aquatic Therapy (9)

-Balance
-Coordination
-Weight-Bearing
-Muscular Strength/Endurance
-Cardiovascular/Pulmonary
-Pain Management
-Motor Skills
-Psycho Social
-ROM

16

Considerations for Treatment

-Water and Air Temperature
-Humidity
-Water and Air Quality
-Anxiety
-Immersion Time

17

Ai Chi Technique

-Similar to Tai Chi
-Slow movements and deep breathing
-Movements must flow
-Decrease pain, increase balance

18

Ai Chi cont.

-Water depth at shoulder level
-Work the ROM
-Yoga type breathing

19

BackHab

Walking program that uses variety of strides and stretches

20

Bad Ragaz

Method of muscle relaxation
-Resistance
-Endurance
-Elongation
-Relaxation
-ROM

21

Bad Ragaz

Therapist uses physical properties of water to interact with patient
-Passive
-Isometric
-Isotonic
-Isokinetic

22

Burdenko Method

-Water and Land Based Therapy
-Starts in water working on balance and postural awareness

23

Foundations of Burdenko Method (6)

-Balance
-Flexibility
-Coordination
-Endurance
-Speed
-Strength

24

Feldenkrais

-he was recommended for 6 months of bed rest as therapy
-He experimented with small movements while lying in bed
-Childlike movements

25

Hallwick

-Uses games for variety of educational and therapeutic reasons
-Used mainly with Pediatrics and patients with disabilities
-No buoyant aids are used
-Purpose is water freedom

26

Hallwick - 10 point program

-Mental Adjustment
-Disengagement
-Vertical Rotation Control
-Lateral Rotation Control
-Combined Rotation Control
-Mental Inversion
-Balance in Stillness
-Turbulent Gliding
-Simple Progression
-Basic Movement

27

Watsu

-Cradling one-on-one program
-Free flowing nature promotes self-awareness of muscle tension
-Promote relaxation
-Decrease pain

28

Yoga and Pilates

-Activation of trunk
-Proper timing of muscles important in recovery
-Movements are performed throughout entire ROM

29

Arthritis

-Submerge the joint
-Warmer water
-Warm-up to full ROM
-No gripping equipment

30

Asthma

-O2 is okay to tolerance
-Slower warm-up
-Warm humid air is good
-Make sure deep in water