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Questions and Answers
What is the effect of warm water temperatures of about 95.9°F (35.5°C) on the cardiovascular system?
What is the effect of warm water temperatures of about 95.9°F (35.5°C) on the cardiovascular system?
- Vasoconstriction
- Decreased blood pressure
- Vasodilation (correct)
- Increased heart rate
Which physiological response occurs during the dive reflex when immersed in water?
Which physiological response occurs during the dive reflex when immersed in water?
- Increased respiratory rate
- Vasodilation of peripheral blood vessels
- Bradycardia (correct)
- Increased cardiac output
What water temperature is considered cold and can cause vasoconstriction?
What water temperature is considered cold and can cause vasoconstriction?
- Around 90°F (32.2°C)
- Between 80°F and 85°F (26.7°C - 29.4°C)
- Above 95.9°F (35.5°C)
- Below 80.6°F (27°C) (correct)
What happens to localized circulation when warm water is applied?
What happens to localized circulation when warm water is applied?
The dive reflex involves shunting blood to which of the following?
The dive reflex involves shunting blood to which of the following?
Which of these is not a direct effect of cold water immersion on the cardiovascular system?
Which of these is not a direct effect of cold water immersion on the cardiovascular system?
What physiological effect results from the immersion of the entire body except the head in water?
What physiological effect results from the immersion of the entire body except the head in water?
What is a systemic effect observed with the application of hydrotherapy?
What is a systemic effect observed with the application of hydrotherapy?
What is the effect of immersion in warm or hot water on heart rate during exercise?
What is the effect of immersion in warm or hot water on heart rate during exercise?
What is the preferred method for assessing cardiovascular stress while exercising in water?
What is the preferred method for assessing cardiovascular stress while exercising in water?
What should be done to limit effects on the cardiovascular system when entering cold water?
What should be done to limit effects on the cardiovascular system when entering cold water?
How does full-body immersion in water impact respiratory function?
How does full-body immersion in water impact respiratory function?
What happens to the vital capacity when immersed up to the neck in water?
What happens to the vital capacity when immersed up to the neck in water?
What physiological change is NOT associated with sudden immersion in cold water?
What physiological change is NOT associated with sudden immersion in cold water?
Which statement regarding hydrostatic pressure during water immersion is true?
Which statement regarding hydrostatic pressure during water immersion is true?
What should individuals with cardiovascular deficits avoid when entering water?
What should individuals with cardiovascular deficits avoid when entering water?
What is one of the primary benefits of water buoyancy for patients with arthritis?
What is one of the primary benefits of water buoyancy for patients with arthritis?
How does buoyancy particularly help obese patients during exercise?
How does buoyancy particularly help obese patients during exercise?
What has recent research indicated about weight loss in obese individuals when comparing water and land exercises?
What has recent research indicated about weight loss in obese individuals when comparing water and land exercises?
In aquatic training, how does water resistance affect patients with musculoskeletal and neurological diseases?
In aquatic training, how does water resistance affect patients with musculoskeletal and neurological diseases?
Which of the following conditions is NOT typically indicated for aquatic therapy?
Which of the following conditions is NOT typically indicated for aquatic therapy?
Why is aquatic exercise recommended for improving fitness in obese patients?
Why is aquatic exercise recommended for improving fitness in obese patients?
What aspect of aquatic training is similar to land-based training?
What aspect of aquatic training is similar to land-based training?
What is the definition of aquatic therapy?
What is the definition of aquatic therapy?
Which patient group benefits from aquatic therapy specifically due to reduced incidence of asthma during water-based exercises?
Which patient group benefits from aquatic therapy specifically due to reduced incidence of asthma during water-based exercises?
How does aquatic therapy assist older adults specifically?
How does aquatic therapy assist older adults specifically?
What specific benefit does hydrostatic pressure in deeper water provide for patients with cardiopulmonary disease?
What specific benefit does hydrostatic pressure in deeper water provide for patients with cardiopulmonary disease?
What findings were noted in the systematic review regarding therapeutic pools for rheumatoid arthritis management?
What findings were noted in the systematic review regarding therapeutic pools for rheumatoid arthritis management?
Which group of patients have reported improvements from aquatic exercise programs specifically after total joint replacements?
Which group of patients have reported improvements from aquatic exercise programs specifically after total joint replacements?
What effect do aquatic exercise programs have on individuals with lower limb osteoarthritis?
What effect do aquatic exercise programs have on individuals with lower limb osteoarthritis?
In what way can athletes specifically benefit from utilizing water in their training?
In what way can athletes specifically benefit from utilizing water in their training?
Patients with inadequate orofacial control can work on which specific skills through hydrotherapy?
Patients with inadequate orofacial control can work on which specific skills through hydrotherapy?
What benefit does aquatic therapy provide to patients with hypersensitivity disorders?
What benefit does aquatic therapy provide to patients with hypersensitivity disorders?
Which condition is NOT a contraindication for aquatic therapy?
Which condition is NOT a contraindication for aquatic therapy?
Why should patients with bleeding avoid immersion hydrotherapy?
Why should patients with bleeding avoid immersion hydrotherapy?
What precaution should be taken for patients with a history of aspiration?
What precaution should be taken for patients with a history of aspiration?
Which group is advised against using aquatic therapy for safety reasons?
Which group is advised against using aquatic therapy for safety reasons?
What is a potential risk of aquatic therapy for individuals who have ingested alcohol?
What is a potential risk of aquatic therapy for individuals who have ingested alcohol?
For which respiratory condition is aquatic therapy NOT recommended?
For which respiratory condition is aquatic therapy NOT recommended?
Patients with which cardiac condition should avoid full-body immersion?
Patients with which cardiac condition should avoid full-body immersion?
Which patient condition requires careful monitoring of water and air temperature during treatment?
Which patient condition requires careful monitoring of water and air temperature during treatment?
What is the recommended time a patient should be free of bowel and bladder accidents before entering pool therapy?
What is the recommended time a patient should be free of bowel and bladder accidents before entering pool therapy?
Why is it important to cover open wounds with waterproof dressing during hydrotherapy?
Why is it important to cover open wounds with waterproof dressing during hydrotherapy?
Which factor is a risk associated with patients experiencing impaired thermal sensation?
Which factor is a risk associated with patients experiencing impaired thermal sensation?
What should be done for patients with anxiety regarding water before starting therapy?
What should be done for patients with anxiety regarding water before starting therapy?
In which condition is close monitoring necessary during hydrotherapy sessions?
In which condition is close monitoring necessary during hydrotherapy sessions?
What is a potential effect of spending too much time in a pool for patients with dry skin or rashes?
What is a potential effect of spending too much time in a pool for patients with dry skin or rashes?
What is a primary consideration when treating patients with cardiovascular issues during hydrotherapy?
What is a primary consideration when treating patients with cardiovascular issues during hydrotherapy?
Flashcards
Warm water effect on blood vessels
Warm water effect on blood vessels
Warm water temperatures (95.9°F/35.5°C) cause blood vessels to widen (vasodilation), increasing local circulation.
Cold water effect on blood vessels
Cold water effect on blood vessels
Cold water temperatures (below 80.6°F/27°C) cause blood vessels to narrow (vasoconstriction), decreasing local circulation.
Dive reflex
Dive reflex
A set of cardiovascular responses triggered when the face or body is immersed in water, leading to slower heart rate (bradycardia), narrowed peripheral blood vessels (vasoconstriction), and blood shunting to vital organs.
Hydrotherapy and circulation
Hydrotherapy and circulation
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Hemodynamics
Hemodynamics
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Hemodynamic effects of hydrotherapy
Hemodynamic effects of hydrotherapy
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Hydrotherapy for medical management
Hydrotherapy for medical management
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Hydrotherapy precautions
Hydrotherapy precautions
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Effect of full body immersion on breathing
Effect of full body immersion on breathing
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Impact of neck-level water immersion on respiratory capacity
Impact of neck-level water immersion on respiratory capacity
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Expiratory Reserve Volume (ERV)
Expiratory Reserve Volume (ERV)
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Vital Capacity (VC)
Vital Capacity (VC)
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Increased work of breathing due to water immersion
Increased work of breathing due to water immersion
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Venous blood shift
Venous blood shift
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Hydrostatic pressure
Hydrostatic pressure
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Increased circulation in the chest cavity
Increased circulation in the chest cavity
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Buoyancy
Buoyancy
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Water Resistance
Water Resistance
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Resisted Exercise in Water
Resisted Exercise in Water
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Assisted Exercise in Water
Assisted Exercise in Water
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Aquatic Therapy
Aquatic Therapy
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Indications for Aquatic Therapy
Indications for Aquatic Therapy
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Contraindications for Aquatic Therapy
Contraindications for Aquatic Therapy
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Advantages of Aquatic Therapy
Advantages of Aquatic Therapy
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Aquatic therapy for exercise-induced asthma
Aquatic therapy for exercise-induced asthma
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Aquatic therapy for older adults
Aquatic therapy for older adults
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Aquatic therapy for balance problems
Aquatic therapy for balance problems
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Aquatic therapy for cardiopulmonary issues
Aquatic therapy for cardiopulmonary issues
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Aquatic therapy for rheumatoid arthritis
Aquatic therapy for rheumatoid arthritis
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Aquatic therapy for osteoarthritis
Aquatic therapy for osteoarthritis
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Aquatic therapy for chronic low back pain
Aquatic therapy for chronic low back pain
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Aquatic therapy for athletes
Aquatic therapy for athletes
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Hypersensitivity disorders and aquatic therapy
Hypersensitivity disorders and aquatic therapy
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Aquatic therapy for pregnant women
Aquatic therapy for pregnant women
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Bleeding and hydrotherapy
Bleeding and hydrotherapy
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Incontinence and hydrotherapy
Incontinence and hydrotherapy
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Infectious diseases and hydrotherapy
Infectious diseases and hydrotherapy
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Contraindications: Tracheostomy, seizures, epilepsy
Contraindications: Tracheostomy, seizures, epilepsy
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Respiratory compromise and hydrotherapy
Respiratory compromise and hydrotherapy
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Alcohol consumption and hydrotherapy
Alcohol consumption and hydrotherapy
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Catheters and hydrotherapy
Catheters and hydrotherapy
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Cognitive impairments and hydrotherapy
Cognitive impairments and hydrotherapy
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Tetraplegia/high paraplegia and hydrotherapy
Tetraplegia/high paraplegia and hydrotherapy
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Open wounds and hydrotherapy
Open wounds and hydrotherapy
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Skin conditions and hydrotherapy
Skin conditions and hydrotherapy
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Impaired thermal sensation and hydrotherapy
Impaired thermal sensation and hydrotherapy
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Thermal regulation and hydrotherapy
Thermal regulation and hydrotherapy
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Bowel and bladder accidents and hydrotherapy
Bowel and bladder accidents and hydrotherapy
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Study Notes
Physiological Effects of Hydrotherapy
- Hydrotherapy involves using water for treatment and exercise, impacting various bodily systems.
- The effects depend heavily on water temperature.
- Warm water causes vasodilation, increasing localized blood flow.
- Cold water causes vasoconstriction, reducing localized blood flow.
- The dive reflex occurs with full or face-only immersion in water, causing bradycardia and peripheral vasoconstriction.
- Immersion in warm/hot water elevates heart rate.
- Body temperature-matched immersion has a neutral impact.
- Exercise in water may not accurately reflect cardiovascular stress.
Cardiovascular System (Hemodynamics)
- Hydrotherapy's effects on cardiovascular functioning include local changes in circulation and systemic influences on cardiac function.
- Varying water temperatures directly influence local blood flow via vasodilation or vasoconstriction.
- Cold water causes localized vasoconstriction.
- Conversely, warm water results in vasodilation.
- Immersion affects blood flow distribution, redistributing it between peripheral areas and central regions (hypervolemia).
Respiratory System
- Immersion affects respiratory function, increasing the work of breathing.
- Immersion of the upper body reduces expiratory reserve volume (by 50% approximately) and vital capacity (by 6-12%).
- Hydrostatic pressure on the chest wall impacts lung expansion.
- Water immersion causes increased work of breathing and can lead to exercise-induced asthma.
- However, the absence of pollen, hydrostatic breathing support and high humidity counteract these issues.
Renal Function
- Water immersion increases urinary output, particularly sodium and potassium excretion.
- This is because hydrostatic pressure changes blood volume distribution and consequently affects ADH and aldosterone levels.
- This can be useful for those with edema/hypertension or kidney conditions.
Musculoskeletal System
- Buoyancy reduces weight-bearing on joints, relieving discomfort in conditions like arthritis and bone injuries.
- Immersion significantly decreases the stress on weight-bearing joints of an individual, potentially allowing for exercise with less pain/trauma.
- In water, obese individuals experience even greater relative buoyancy which decreases joint stress even more.
- Water-based exercises can thus be beneficial to obese individuals while still achieving similar weight loss results as exercises on firm ground.
- Water buoyancy can help those with muscle and joint issues, aiding rehabilitation.
- Velocity, specifically, is used in assisted or resisted exercise. If the motion and water flow are aligned, the resistance aids the exercise. In cases of musculoskeletal or neurological disease, water can be used to increase muscle strength and support movement.
Aquatic Therapy Content
- Aquatic therapy encompasses exercises and treatments performed in water for numerous wellness purposes including relaxation, physical rehabilitation, fitness, and therapeutic benefits.
- Various conditions are suitable for aquatic therapy.
Indications
- Aquatic therapy is commonly used to treat exercise-induced asthma (especially in children).
- It's also suited to children, the elderly, individuals with neurological conditions, and those with cardiovascular or pulmonary concerns.
- Other indications include orthopedic issues, after-surgery recovery, athletes, orofacial issues and pregnancy.
Contraindications
- Active bleeding, bowel/bladder incontinence, and infectious diseases are crucial contraindications.
- Those with uncontrolled seizures/epilepsy and significant respiratory issues (less than 1 liter vital capacity) should not use full body immersion therapy.
- Cardiac instability, poor thermal regulation, and excessive alcohol consumption are also contraindicated.
- Psychological issues such as fear/anxiety relating to water should be taken into account. Specific conditions such as open wounds, cognitive issues, spinal cord trauma (tetra or paraplegia) or skin conditions may also mean it is inappropriate.
Advantages
- Aquatic exercises improve numerous aspects of health including relaxation and circulation, and can improve mobility, muscle strength, gait, vestibular balance, sleep capacity, psychological status and quality of life.
- Can be gentler to joints and bones, especially helpful to individuals with musculoskeletal issues or conditions such as arthritis.
- Often combined with therapeutic movement (exercise) can be effective in conditions requiring physiotherapy.
- Water helps reduce pain, spasticity and improves ROM (range of motion).
Disadvantages
- Hydrotherapy facility costs.
- Difficulty balancing thermoregulation.
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