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Hydrotherapy_students

Hydrotherapy_students

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Published by Thaisha Valdes

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Published by: Thaisha Valdes on Feb 27, 2011
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05/25/2013

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HYDROTHERAPY

HYDROTHERAPY
• Hydrotherapy is one of the oldest forms of therapy • Hydrotherapy involves treatment of one individual • Aquatic therapy is the treatment of more than one patient at a time

PHYSICAL PRINCIPLES AND PROPERTIES OF WATER • BUOYANCY “ A force that works in the opposite direction of gravity” – feeling of weightlessness – affected by body density. and vital capacity of the lungs . postural alignment.

.CENTER OF BUOYANCY Functionally similar to center of balance • COB is located in the chest region • Point when body is underwater • Defined as the location on the human body that needs to be maintained within a (BOS) to establish and maintain an upright posture • Buoyancy devices or floatation devices can be used to help a patient maintain their COG within the BOS an maintain an upright position.

Center of Gravity • Functionally similar to COB • Refers to point when body is out of water • Located anterior to sacral vertebrae .

Hydrostatic pressure • Hydrostatic pressure . • Pressure increases 0.433lb/in2 for each foot of depth.“ pressure exerted by water on an object immersed in the water” • Pascal’s Law: “pressure of a liquid is exerted equally on an object at a given depth & object will experience pressure that is proportional to the depth of immersion. • assists venous flow .

Hydrostatic pressure con’t • • • • decreases heart rate helps control inflammation Centralization of peripheral blood flow Hydrostatic pressure is proportional to depth of immersion therefore: exercises are easier to perform closer to the surface .

SPECIFIC GRAVITY • It is the weight of a particular substance compared with the weight of an equal volume of water. • Also known as relative gravity or relative density • Affected by the density of an object • Objects closer to H2O specific gravity of 1.0 will float • “THE SKINNY” – THE MORE MUSCLE MASS/BONE THE MORE YOU SINK – THE MORE ADIPOSE TISSUE THE MORE YOU FLOAT .

Specific Gravity con’t • How would specific gravity affect ones ability to exercise in water? .

VISCOSITY • VISCOSITY . • Water has higher viscosity than air but less than that of oil. so its easier to move through air than water. then oil.The measure of frictional resistance caused by cohesive forces between the molecules of liquid • Resistance is created by viscosity of the fluid and is influenced by the speed of movement through it. .

easy to exercise • increase resistance by increasing the lever arm • increase resistance by increasing the surface area .How can we use this? • increase resistance by increasing the speed • water has a low viscosity.

1 degree • Since water has a higher thermal capacity than air.Specific Heat • The amount of heat in calories. needed to raise the temperature of 1 gram. . there is greater heat loss in H2O as compared to air at the same temp.

• Cautious with obese patients. because their adipose tissue acts as as insulator .Specific Heat • Heat loss is greater in water than out in the air • Cooler water is best for long periods of exercise • Warm water for shorter periods of ex.

• Laminar flow. the surface area and direction of movement of immersed object.HYDROMECHANICS • Refers to movement through water – It is a function of velocity of movement. • Turbulence :product of several forces acting on an object immersed in water. • Frontal resistance: as body moves through water creates a positive pressure Fig. drag & resistance forward movement all act on the body moving the water. 5-2 .

Using inappropriate temp selection could decrease effectiveness of treatment and cause adverse response. can elevate pain thresholds and act decrease muscle spasms.Water Temperature • Therapeutic warmth: 94 deg F (34.4 deg C) This is appropriate for performing Ther. • Benefits: Acts as superficial heating. Ex’s. 5-3 . Refer to Fig.

EQUIPMENT • HIGH BOY • EXTREMITY ( are the smallest ones) • LOW BOY (full body tanks) – Turbines: mix air & water to provide agitation & turbulence to water • HUBBARD TANK (whirlpool tanks) • POOLS / AQUATIC THERAPY .

. therefore this is ideal for early interventions for many musculoskeletal and neurological conditions.Therapeutic Aquatic Pools • Vary in depth and size • Water temp ranges from 86deg F to 94deg F • Goals for this can be the same as Land therapy goals • Main idea: Water eliminates gravity.

INDICATIONS • • • • • • • • • BURNS WOUND CLEANING WOUND HYDRATING STAINS/ SPRAIN BUOYANCY ASSIST MS PATIENT RELAXATION / ANALGESIA BANDAGE REMOVAL INCREASED CIRCULATION .

CONTRAINDICATION • • • • • • • • SPLIT THICKNESS GRAFT LESS THAN 3-5 DAYS FULL THICKNESS GRAFT LESS THAN 7 -10 DAYS CELLULITIS EDEMATOUS TISSUE PATIENT INTOLERANCE SYNCOPE HIGH/LOW BP ETOH ON PATIENTS BREATH .

AND CLEANING • TUBS AND TURBINES MUST BE CLEANED AFTER EACH USE • TURBINES MUST ALSO BE CLEANED SEPERATELY FOR ADEQUATE CLEANING • ACCREDITATION COMMITTEES SET STANDARDS • CULTRURES NEED TO BE TAKEN AT PERIODIC SCHEDULED TIMES .CLEANING • HOSPITAL AND CLINICS HAVE PROTOCOLS FOR INFECTIOUS CONTROL.

• Physiological effects of water are the same as other heat and cold modalities • Additional points – Immersion: causes arterioles/ capillaries to dilate. this will cause the BP to drop • Consequence is fainting .

60 inches of water will reduce by 5 12% of that of dry land .Therapeutic Pool • Exercise – Softens impact – Most exercises can be performed in the pool – Reduced weight bearing.

Benefits • • • • • • Relaxation Circulation ROM Strength Improve gait Improve coordination .

Disadvantage • • • • • • Pools can be contaminated Costly Cleaning is time consuming/ costly Fall precautions Skin irritations Drowning .

The End .

• Next Week • Diathermy and Ultraviolet .

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