PHTY206 Lecture Notes - Lecture 17: Vasoconstriction, Hypotension, Fluid Dynamics
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 patiet. Jaes 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
find more resources at oneclass.com
find more resources at oneclass.com
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
find more resources at oneclass.com
find more resources at oneclass.com
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.