PHTY206 Lecture Notes - Lecture 17: Vasoconstriction, Hypotension, Fluid Dynamics

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Aquatic Physiotherapy
Used properly and with thought water can provide the most co‐
operative, most critical and the most variable circumstances for rehabilitation exercise.
With the gaining knowledge of the proper use of water, the day will come when it will be used, as i
t will have to be, as the first step in the rehabilitation of the neurological patient and of the post-
operative orthopaedic patiet. Jaes McMillan 1976
Hydor (water) therapeia (healing)
o Aquatic physiotherapy
Individual; Group; Classes; PEPs
o Water exercise
o Aquatic fitness activities
Aquarobics; Deep water activities
o Swimming activities
Learn to Swim- (people with disabilites) therapeutic swimmming
Aquatic Physiotherapy
o Is a physiotherapy treatment carried out in water where the properties of water are
utilised to achieve specific therapeutic goals.
o It is conducted and supervised by a physiotherapist
o Involves
Individual assessment
Diagnosis
Clinical reasoning skills
Treatment program
Reassessment
Outcome measures
Evidence based practice
Aim of Aquatic Physio
o Rehabilitation
Neuro; M-Sk; cardiopulmonary; psychological
o Maintain function
o Prevent injury
o Individual
o Groups
o Classes
Evidence Based Medicine
o Evidence for effective hydrotherapy
Geytenbeek, Jenny
Physiotherapy 2002; 88: 514-29
34 trials
1984-2001
o Clinical evidence of a moderate quality exists to support the effectiveness of
hydrotherapy treatment on
Pain
Joint ROM
Function
Self-efficacy
Affect
Fitness
Balance
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o Aquatic physiotherapy evidence based practice guide 2008
Jenny geytenbeek
National aquatic physiotherapy group
APA publication
Referenced 250 published papers
Summarised into diagnostic categories
Benefits
o Relief of pain and muscle spasm
o Relaxation
o ROM
o Muscle strengthening
o Fitness and endurance
o Functional activities
o Motivation and water confidence
What conditions
o Arthritic and spinal conditions
o Musculoskeletal injuries neurological disorders
o Chronic pain syndrome
o Peri-operative conditions
o Cardiac rehabilitation
o Psychiatric conditions
o Obstetric conditions
o Burns
Conventional Exercise
o Strengthening
o Mobilising - ROM
o Balancing
o Stabilisation (postural - local/global)
o Stretching
o POSITION - sit, stand, lying, side lying
Buoyancy assist/resist; floats; other equipment
Manual techniques
o Mobilisations
o Soft tissue - massage
o Stretches
Bad Ragaz
o Principles of PNF to rhythmic stabilisations
o Buoyancy used for support - floats
o Physiotherapist provides fixation 1:1
o Self regulating
o Patterns of movement
Halliwick Method
o James MacMillan 1949 - girls school for C.P.
o No equipment of floats - hydrodynamics
o Ten point plan
Mental adjustment
Disengagement
Vertical rotation
Lateral rotation
Combined rotation
Upthrust
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Document Summary

Individual; group; classes; peps: water exercise, aquatic fitness activities, aquarobics; deep water activities, swimming activities. Learn to swim- (people with disabilites) therapeutic swimmming: aquatic physiotherapy. Is a physiotherapy treatment carried out in water where the properties of water are utilised to achieve specific therapeutic goals. It is conducted and supervised by a physiotherapist. Individual assessment: diagnosis, clinical reasoning skills, treatment program, reassessment, outcome measures, evidence based practice, aim of aquatic physio, rehabilitation, neuro; m-sk; cardiopulmonary; psychological, maintain function, prevent injury. Individual: groups, classes, evidence based medicine, evidence for effective hydrotherapy, geytenbeek, jenny, physiotherapy 2002; 88: 514-29, 34 trials, 1984-2001, clinical evidence of a moderate quality exists to support the effectiveness of hydrotherapy treatment on. Fitness: balance, aquatic physiotherapy evidence based practice guide 2008. Jenny geytenbeek: national aquatic physiotherapy group, apa publication, referenced 250 published papers. James macmillan 1949 - girls school for c. p: no equipment of floats - hydrodynamics, ten point plan, mental adjustment, disengagement, vertical rotation.

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