Aquatic exercises

Richi Lapsiwala

CONTENT: Definition

History

Indication

Contraindication

Precaution

Properties of water

Equipment used in aquatic exercise.

Types of aquatic exercise

What Is 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

PRECAUTIONS Fear of water

Neurological disorder

Seizures

Cardiac dysfunction

Open wounds

Property of water:

Property of water

Buoyancy

Viscosity

Surface tension

Hydrostatic pressure

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.

Percentage of weight bearing

at various immersion depth:

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.

•Pregnancy

•Obesity

•Arthritis

•Low back pain.

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