SPECIAL AQUATERAPEUTIC METHODS ON A FOUR LIMB PARALISED HEINE–MEDIN PATIENT

SPECIAL AQUATERAPEUTIC SPECIAL AQUATERAPEUTIC METHODS ON A FOUR LIMB METHODS ON A FOUR LIMB

PARALISED PARALISED HEINE–MEDIN PATIENTHEINE–MEDIN PATIENT

EDINA SZIRÁKI – PTEDINA SZIRÁKI – PTBUDAPEST, HUNGARYBUDAPEST, HUNGARY

AQATIC THERAPEUTIC AQATIC THERAPEUTIC METHODSMETHODS

Halliwick and Water Specific Therapy Halliwick and Water Specific Therapy (WST)(WST)

Bad Ragaz Ring Method (BRRM)Bad Ragaz Ring Method (BRRM) Relaxation in water (Watsu, Ai-chi, Jahara)Relaxation in water (Watsu, Ai-chi, Jahara) Aerob conditioning (aquafitness, aquastep)Aerob conditioning (aquafitness, aquastep)

The patientThe patient

C. Erzsébet 50 years old C. Erzsébet 50 years old femalefemale

Infected with polio in Infected with polio in 1958 1958

Her four limb became Her four limb became plegic/paralizedplegic/paralized

For 44 years practically For 44 years practically sitting in a wheelchair, sitting in a wheelchair, presently in an electronic presently in an electronic oneone

Living in a country side, Living in a country side, with her parents, sister and with her parents, sister and nefewsnefews

Altough she is strongly Altough she is strongly restricted in her self care, restricted in her self care, her left hand (fingers, her left hand (fingers, wrist) is working, so in wrist) is working, so in sitting position she is able sitting position she is able to eat the prepared food, to eat the prepared food, drink, wash her teeth, drink, wash her teeth, comb, do make-upcomb, do make-up

Sitting 10-14 hours a day, Sitting 10-14 hours a day, able to move one place to able to move one place to the other only with the other only with wheelchairwheelchair

Due to her situation, the wheelchair:Due to her situation, the wheelchair: She felt like a passive She felt like a passive

puppetspuppets altough warm-supported altough warm-supported

enviroment (her family) enviroment (her family) helping her and she was try helping her and she was try to be an active part as much to be an active part as much as she can; she felt like an as she can; she felt like an „end fellow”, in stand by „end fellow”, in stand by positionposition

Isolated, enervaticIsolated, enervatic

More often had neck More often had neck sprain, back and hip painsprain, back and hip pain

- hip-spine OA , - hip-spine OA , discopathia C-L, scoliosisdiscopathia C-L, scoliosis

- myalgia- myalgia Joint-muscle contracturesJoint-muscle contractures GI-problems, high blood GI-problems, high blood

pressurepressure According the pressure, her According the pressure, her

skin became roughskin became rough

Treatment methodsTreatment methods

Twice a year 2 -3 weeks complex reumatological Twice a year 2 -3 weeks complex reumatological treatment in spa enviromenttreatment in spa enviroment

Since 1997 during her hospital stay 3 times a week Since 1997 during her hospital stay 3 times a week aquatic therapy, 3-5 x subaqual massage, 3x aquatic therapy, 3-5 x subaqual massage, 3x exercise on dryland, electrotherapyexercise on dryland, electrotherapy

This year after her 3 weeks treatment in April, This year after her 3 weeks treatment in April, once in every 2 weeks 1 hour aquatic therapyonce in every 2 weeks 1 hour aquatic therapy

In subaquatic enviroment: floating, relaxation, In subaquatic enviroment: floating, relaxation, joint movement facilitation and stabilisation, joint movement facilitation and stabilisation, increasing muscle power(isometric), functional increasing muscle power(isometric), functional movement, swimming (Halliwick, BRRM) movement, swimming (Halliwick, BRRM)

The effect of the regular aquatic The effect of the regular aquatic therapy:therapy:

She reborn in body and mind as well:She reborn in body and mind as well:- free (!!!), painfree free (!!!), painfree MOVEMENTS MOVEMENTS become possible, become possible,

under her controll as wellunder her controll as well- Improved posture, stability of sitting (rough skin Improved posture, stability of sitting (rough skin

marks…)marks…)- Mucle tone, power improved, that makes her care much Mucle tone, power improved, that makes her care much

easiereasier- Reduced painReduced pain- Self-esteem, unbelievable energies – for 5 years she is Self-esteem, unbelievable energies – for 5 years she is

one of the mouth and foot painter artist, one of the mouth and foot painter artist, - CREATE, WORKING…CREATE, WORKING…

Thank you for your attention!