Tuesday, 28 May 2013 13:25

Case Report: Aquatics & Alzheimer's

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AT appears to be effective for a number of neurological and musculoskeletal disorders, and it may be more effective than land-based physiotherapy in some cases. It is still unclear why AT is so beneficial, but there is speculation that the aquatic environment might recalibrate sensory inputs in cognitively impaired patients.

aquatic therapy hip swing

 

Ann E. Rahmann, BPhty, Division of Physiotherapy, University of Queensland, St Lucia, Qld, 4072 Australia; Sandra G. Brauer, PhD; Jennifer C. Nitz, PhD

 

Abstract
Rahmann AE, Brauer SG, Nitz JC. A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial.

 

Objective
To evaluate the effect of inpatient aquatic physiotherapy in addition to usual ward physiotherapy on the recovery of strength, function, and gait speed after total hip or knee replacement surgery.

 

Design
Pragmatic randomized controlled trial with blinded 6-month follow-up.

 

Setting
Acute-care private hospital.

 

Participants
People (n=65) undergoing primary hip or knee arthroplasty (average age, 69.6±8.2y; 30 men).

 

Interventions
Participants were randomly assigned to receive supplementary inpatient physiotherapy, beginning on day 4: aquatic physiotherapy, nonspecific water exercise, or additional ward physiotherapy.

 

Main Outcome Measures
Strength, gait speed, and functional ability at day 14.

 

Results
At day 14, hip abductor strength was significantly greater after aquatic physiotherapy intervention than additional ward treatment (P=.001) or water exercise (P=.011). No other outcome measures were significantly different at any time point in the trial, but relative differences favored the aquatic physiotherapy intervention at day 14. No adverse events occurred with early aquatic intervention.

 

Conclusions
A specific inpatient aquatic physiotherapy program has a positive effect on early recovery of hip strength after joint replacement surgery. Further studies are required to confirm these findings. Our research indicates that aquatic physiotherapy can be safely considered in this early postoperative phase.

 

Published by Archives of Physical Medicine and Rehabilitation

Aquatic physical therapy can be used as an adjunct to, or instead of, land-based physical therapy to enhance motion in early stages after orthopedic surgery, particularly for rotator cuff repair, TKR, THR, and post-ACL reconstruction and does not increase the risk of wound-related adverse events.

The use of applied weight on the affected limb can reduce unwanted limb flotation on the paretic side during aquatic treadmill walking.

The outcomes of this case report demonstrate the successful improvement of gross motor function and gait in a 3-year-old child with SMA when utilizing aquatic therapy as a modality.

This randomized control trial from Australia indicates that aquatic physiotherapy can be safely considered in the early postoperative phase of THR surgery.

In this paper, the Sogang University biomedical assist robot is utilized as a testbed. The proposed controller calculates joint torques equivalent to the buoyant and drag forces.

In this pilot study, physiotherapy protocols produced improvement in postural stability in PD that was significantly larger after aquatic therapy.

In patients who have primary unilateral knee arthroplasty, as rehabilitation visits increased there was a direct association to improved interlimb weight-bearing symmetry when squatting to 60 degrees, say authors of an article in American Journal of Physical Medicine & Rehabilitation

Friday, 23 November 2012 15:34

Aquatic Exercise and COPD

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This randomized clinical trial from Brazil evaluates the impact of low-intensity water and floor exercises on COPD.

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