Aquatic Therapy
Definition
Goals and Indications
Ø Facilitate range of motion (ROM) exercise
Ø Initiate resistance training
Ø Facilitate weight-bearing activities
Ø Enhance delivery of manual techniques4
Ø Provide three-dimensional access to the patient
Ø Facilitate cardiovascular exercise
Ø Initiate functional activity replication
Ø Minimize risk of injury or reinjury during rehabilitation
Ø Enhance patient relaxation
Precautions
Ø Fear of water
Ø Neurological Disorders
Ø Seizure
Ø Cardiac Dysfunction
Ø Small Wound and Lines
Contraindication
Ø Incipient cardiac failure and unstable angina.
Ø Respiratory dysfunction
Ø Severe peripheral vascular disease.
Ø Danger of bleeding or hemorrhage.
Ø Severe kidney disease
Ø Open wounds, colostomy, and skin infections such as tinea pedis and ringworm.
Ø Uncontrolled bowel or bladder
Ø Water and airborne infections or disease
Ø Uncontrolled seizures
Physical Properties of Water
1. Buoyancy
2. Hydrostatic Pressure
3. Viscosity
4. Surface Tension
5. Hydrodynamics
6. Thermodynamics
7. Center of Bouyancy
Aquatic Temperature
Cooler Temperature – High Intensity Exercise
Warmer Temperature- Mobility, Flexibility and Relaxation Exercise
*Ambience Temperature should be 3 degrees higher than the water temperature
Aquatic Exercises – 26 to 33 degree Celsius
Aerobic Conditioning – 26 to 28 degree Celsius
Intense Aerobic Conditioning – 22 to 26 degree Celsius
Special Equipment for Aquatic Exercise
Exercise Interventions
Stretching Exercises
Manual Stretching Exercises
1. To increase cervical flexion
2. To increase cervical lateral flexion
3. To increase thoracic/lumbar side bending
4. To increase shoulder flexion
5. To increase shoulder ER
6. To increase shoulder IR
7. To increase hip extension
8. To increase hip ER
9. To increase hip IR
10. To increase knee extension with patient on steps
11. To increase knee extension with patient supine
12. Hamstring stretch
Self Stretching with Aquatic Equipment
1. Shoulder Abduction and Flexion
2. Hip Flexion
3. Knee flexion
4. Knee extension
5.
Strengthening Exercises
Manual Resistance Exercise
1. Shoulder Flexion/Extension
2. Shoulder Abduction
3. Shoulder ER/IR
4. Unilateral Diagonal D2 Flexion/Extension of UE
5. Bilateral Diagonal D2 Flexion/Extension of UE
6. Hip Adduction
7. Hip Abduction
8. Hip Flexion with Knee Extension
9. Hip IR/ER
10. Knee Extension
11. Ankle Motions
12. Ankle Inversion/Eversion
13. Dynamic Trunk Stabilization
Independent Strengthening Exercise
1. Lumbar Spine Strengthening
2. Trunk Strengthening Exercises
Aerobic Conditioning
1. Deep Water Walking/ Running
2. Mid Water Walking/ Running with Immersed Equipment
3. Swimming Strokes
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