Aquatic Exercise PowerPoint PDF

Aquatic Exercise Foundations of Interventions Objectives By the end of this presentation you will: Understand the properties of water as it relates to aquatic exercise Identify the goals and indications for aquatic exercise Apply exercise interventions in the aquatic environment...

Aquatic Exercise Foundations of Interventions Objectives By the end of this presentation you will: Understand the properties of water as it relates to aquatic exercise Identify the goals and indications for aquatic exercise Apply exercise interventions in the aquatic environment to patient care Review the Infographic on Aquatics Precautions Contraindications Buoyancy Viscosity chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https:// Hydrostatic Pressure aquaticpt.org/files/2024%20Aquatics%20Infographic.pdf What Happens To Your Body? Depth of Immersion Thermodynamics Fluid Dynamics Exercising Aquatic Exercise Water-based exercises that utilizes the water for rehabilitation purposes Aquatic Physical Therapy is the evidence-based and skilled practice of physical therapy in an aquatic environment by a PT or PTA under the direction of a PT. Aquatic Physical Therapy includes but is not limited to treatment, rehabilitation, prevention, health, wellness and fitness of patient/client populations in an aquatic environment with or without the use of assistive, adaptive, orthotic, protective, or supportive devices and equipment. Kisner & Colby 8th ed http:// Goals and Indications for Aquatic Exercise Enduran ROM Strength ce Function Pain al Relief Mobility  The Clinical Principles of Water and The Impact On Clinical Care Clinical Significance: Buoyancy Reduces the relative body weight and load on joints Clinical Significance Useful in early mobilization or weightbearing restrictions Provide resistance to strengthen muscles Body composition will impact buoyancy Depth = Weight Buoyancy Variable Modification Position/ Water Equipment Direction Depth Buoyancy Assisted Buoyancy Supported Condition Specific Buoyancy Consideratio Resisted ns Check Your Knowledge A pt is PWB 40% on the RLE. The PT wants to work on walking freely in the pool. How deep would you want to immerse the pt in the pool? A. C7 B. Xiphoid C. Pubic D. This is contraindicated given the WB restriction Check Your Knowledge Which movement is: Buoyancy Assisted? Buoyancy Resisted? Buoyancy Supported?  Clinical Significance: Hydrostatic Pressure Fluids exert pressure in all directions Greater depths lead to greater hydrostatic pressure Depth = Pressure Check Your Knowledge What are at least three clinical benefits of increased pressure caused by submersion?  Clinical Implications: Viscosity Viscosity creates resistance to movement Through increased surface area With active movement at increased velocity Increased proprioceptive feedback and postural awareness Area = Resistance Speed = Resistance Check Your Knowledge A patient is 3.5 months s/p biceps rupture repair and is working on resistance training. The PT uses an aquatic dumbbell for 3x10 bicep curls and the patient says it is too easy. How can the PT progress the exercise to make it more challenging? A. Resistance training is not appropriate for this patient so stop now! B. Decrease the diameter of the dumbbell to allow for greater buoyancy support C. Increase the speed of the motion  Clinical Significance: Surface Tension An extremity that moves through the surface performs more work than if moved under the water Moving Through = Resistance Surface Area = Resistance Clinical Significance: Fluid Dynamics/ Hydromechanics Laminal Turbule Drag Flow nt Flow Resistance with changes in direction, speed, surface area, movement, etc Clinical Significance: Thermodynamics Water conducts heat 25x faster than air and a body immersed in water has difficulty dissipating heat Cool Neutral Warm to Hot Temperature Temperature Temperature (78.8-85.1 F) (92.3-95.9 F) (96.8-105.8 F) Vigorous/ aerobic Relaxation exercise TYPICAL MS, POOL Cardiac spasticity, rehab, SCI, heat fibromyalgi intolerance a Implementing Aquatic Exercise Always monitor vitals (HR, RR) Ensure proper warm-up and build up and if there is a cardiopulmonary compromise limit the session to 20 minutes max Use equipment to support your goals of intervention Ensure patient safety Aquatic Exercise in a PT Plan of Care Goal-directed and guided by function Aquatic exercise is a different means for achieving the same goals Likely a part of a treatment plan with coordinated land-based function Group exercise can be beneficial Summary A thorough history is essential in determining indications, precautions, and contraindications for aquatic physical therapy Aquatic therapy is an effective intervention for a wide variety of patient populations including patients with cardiovascular, musculoskeletal, and neuromotor impairments from pediatrics through geriatrics The physical properties of water (hydrostatic pressure, buoyancy, viscosity) as well as appropriate water temperatures must be considered when designing an effective aquatic therapy intervention For Your Reference Kisner & Colby 8th ed Chapter 9: Aquatic Exercise (pg. 302-332)