Aquatic exercises

1. Aquatic exercise Richi Lapsiwala

2. CONTENT: Definition History Indication Contraindication Precaution Properties of water Equipment used in aquatic exercise. Types of aquatic exercise

3. What Is AQUATIC EXERCISE?

4. 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.

5. 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.

6. INDICATIONS: Improve ROM Initiate resistance training Facilitates weight bearing activity. Provide 3D assess Initiate functional activity Minimize risk of injury Provide relaxation

7. CONTRA INDICATIONS Open wound Water infection Seizures Respiratory dysfunction Kidney disease Bowel bladder Incontinence

8. PRECAUTIONS Fear of water Neurological disorder Seizures Cardiac dysfunction Open wounds

9. Property of water:

10. 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.

11. 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.

12. 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.

13. Surface tension : the surface of fluid act as membrane under tension. It is measured as a force/unit length.

14. Percentage of weight bearing at various immersion depth:

15. EQUIPMENT FOR AQUATIC EXERCISE: P rovide buoyant support A ssist balance G enerate resistance to the movement. COLLARS, RINGS, BELTS. SWIM BARS GLOVES, HAND PADDLES, HYDRO TONE BALLS. FINS AND HYDRO TONE BOOTS. KICKBOARDS.

16. : COLLARS, RINGS, BELTS. SWIM BARS GLOVES, HAND PADDLES, HYDRO TONE BALLS FINS AND HYDRO TONE BOOTS. KICKBOARDS.

17. Types of Aquatic Activities: Balance exercises Strengthening exercises Marching. Side leg lift Back leg lifts Runner's stretch

18. Benefits of Aquatic Exercise Psychological: Improvement of well-being and confidence Experience success Enhance self-image Have fun Independent mobility

19. Some conditions in which aquatic therapy can be used as a treatment aid: Older adults. Pregnancy Obesity Arthritis Low back pain.

20. 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

21. Treatment: Water at least 83 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

22. Pregnancy—benefits Reduces gravity’s pull on baby Helps prevent hyperlordosis. Decreases chance of overheating Hydrostatic pressure helps prevent edema

23. Treatment: Water between 78 and 84 F Emphasize proper hydration Follow ACOG guidelines Guidelines for exercise Contraindications for exercise Careful evaluation

24. 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

25. Treatment: Limb speed is important to overcome buoyancy Deep water walking is a great place to start Give non-rebound option Emphasize safety.

26. 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

27. 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 86-95 o F

28. Low Back Pain—guidelines Emphasize proper posture Eliminate bouncing Strengthen abdominals Emphasize core stability Immediately stop any exercise that causes pain

29. 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

30. Aquatic Therapy for Brain and Spinal Cord Injuries: The recovery process long and extremely difficult. Aquatic environment works well for neuromusclar reeducation and strengthening because water’s buoyancy allows patients who have restricted mobility on land to move more freely in the water.   The increase in movement against the natural resistance of the water can help improve muscular strength for patients who are suffering from weakness and paralysis

31. 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.

32. Gait Training:  Gait training on the  underwater treadmill  can help patients regain balance, movement and strength Because of water’s buoyancy ,. Activities of Daily Living:  sit-to-stand , reach, balance exercises. Pain Management:  Warm water has the ability to increase circulation and range of motion which in turn reduces joint stiffness and pain while exercising in the water. Strengthening and Toning:  As patients progress through their recovery, resistance can be increased through the use of the underwater resistance jets . This increases muscle strength and prepares patients for further land-based strength training.

33. Aquatic Therapy for Stroke patient: The water's buoyancy allows freedom of movement it is ideal for individuals who have restricted mobility due to weakness and paralysis . Increased muscular strength as movements are performed against the resistance of the water. This combination of freedom and resistance is very difficult to duplicate in any land-based therapy environment. The anti-gravity effect of water makes it easier to work with these movements to increase range of motion and strength .

34. 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 .

35. 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

36. References: Therapeutic exercise 5 th 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