Hydrotherapy for Children with Cerebral Palsy: Difference between revisions
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'''Original | '''Original Editors '''- [[User:Eoin McNamee|Eoin McNamee]] | ||
'''Top Contributors''' - | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} </div> | ||
</div> | == Description == | ||
== Description | |||
'Hydrotherapy' also known as 'Aquatic Therapy' involves therapeutically immersing the body in water where the physical properties of altered density and gravity, | 'Hydrotherapy' also known as '[https://www.physio-pedia.com/Aquatherapy Aquatic Therapy]' involves therapeutically immersing the body in water where the physical properties of altered density and gravity, hydrostatic pressure, buoyancy, viscosity and thermodynamics can be used to promote physiological change<ref>Becker BE. Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications.PM&R; 2009,1;9:859-72</ref>. The buoyancy and turbulence of water facilitates weight relief and ease of movement during rehabilitation to promote safe movement exploration, strengthening, and functional activity training<ref>Morris DM, Aquatic Rehabilitation for the Treatment of Neurologic Disorders .In: Cole AJ and Becker BE. Comprehensive Aquatic Therapy. 2nd edition. Philadephia: Butterworth Heinemann, 2004. p151-175.</ref>. <br> | ||
== | == Benefits == | ||
Hydrotherapy is indicated in children with cererbal palsy. The main | Hydrotherapy is indicated in children with cererbal palsy. The main benefits of aquatic therapy are: | ||
* | *Water provides resistance in all planes and directions | ||
*Encourages a wider range of movement and opposition | *Encourages a wider range of movement and opposition | ||
*Alleviates stress and tension | *Alleviates stress and tension | ||
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== References == | == References == | ||
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[[Category:Cerebral Palsy]] | |||
[[Category:Paediatrics]] | |||
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Latest revision as of 16:36, 26 September 2023
Original Editors - Eoin McNamee
Top Contributors - Eoin McNamee, Sweta Christian, Candace Goh, Ines Musabyemariya, 127.0.0.1, Naomi O'Reilly, WikiSysop, Kim Jackson, Amanda Ager and Chelsea McleneDescription[edit | edit source]
'Hydrotherapy' also known as 'Aquatic Therapy' involves therapeutically immersing the body in water where the physical properties of altered density and gravity, hydrostatic pressure, buoyancy, viscosity and thermodynamics can be used to promote physiological change[1]. The buoyancy and turbulence of water facilitates weight relief and ease of movement during rehabilitation to promote safe movement exploration, strengthening, and functional activity training[2].
Benefits[edit | edit source]
Hydrotherapy is indicated in children with cererbal palsy. The main benefits of aquatic therapy are:
- Water provides resistance in all planes and directions
- Encourages a wider range of movement and opposition
- Alleviates stress and tension
- Reduces pain and tension in muscles and joints
- Protects against injury
- Improves cardiovascular conditioning since the heart pumps more blood per beat when body is submerged in water
- Decreases post exercise discomfort
Safety Considerations and Outcome Measures[edit | edit source]
Absolute Contra-indications [3]
- Acute vomiting / diarrhoea
- Medical instability
- Chlorine / Bromine allergy
- Resting angina
- Shortness of breath at rest
- Uncontrolled cardiac failure
- High BMI limiting exit from pool
Relative Contra-indications
- Acute illness
- Irradiated skin
- Known aneurysm
- Open infected wounds
- Poorly controlled epilepsy
- Unstable diabetes
- Exercise dependent O2 demand increases
Outcomes should be meaured in dimensions outlined by the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) [4].
Common motor function meaures utilised in Aquatic Therapy research: [5]
- Gross Motor Function Measure (GMFM)
- Paediatric Evaluation of Disability Inventory - functional skills
- Dynamometer - muscle strength
- Energy Expenditure Index (EEI) - energy efficiency
- 3/5/6 minute walk tests
- Timed up and Go (TUG)
- Vital Capacity
- Goniometry - range of movement
- Ashworth Scale - spasticity
Swimming based measures:
- Aquatics Independence Measure
- Water Orientation Test-Alyn 2 (WOTA)
Social function measures:
- PEDI - social function domain
- Pictoral scale of perceived competence
- Canadian Occupational Performance Measure
Key Evidence[edit | edit source]
Administered correctly, aquatic therapy can:
- Improve muscle tone
- Increase core strength
- Enhance circulation
- Improve cardiovascular functioning
- Improve flexibility
- Increase endurance
- Extend range of motion
- Reduce muscle spasticity
- Elevate metabolism
- Reduce sleep disturbances
- Relieve joint stress
- Improve muscle tone
- Increase stability
- Decrease pain and discomfort
Resources[edit | edit source]
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References[edit | edit source]
- ↑ Becker BE. Aquatic Therapy: Scientific Foundations and Clinical Rehabilitation Applications.PM&R; 2009,1;9:859-72
- ↑ Morris DM, Aquatic Rehabilitation for the Treatment of Neurologic Disorders .In: Cole AJ and Becker BE. Comprehensive Aquatic Therapy. 2nd edition. Philadephia: Butterworth Heinemann, 2004. p151-175.
- ↑ Aquatic Therapy Association of Chartered Physiotherapists. Guidance on Good Practice in Aquatic Physiotherapy. United Kingdom: Aquatic Therapy Association of Chartered Physiotherapists; 2015. Available from: http://atacp.csp.org.uk/guidance-good-practice-aquatic-physiotherapy-2015
- ↑ World Health Organisation. The International Classification of Functioning, Disability and Health for Children and Youth (ICF–CY), 2007.
- ↑ Jorgić B, Dimitrijević L, Lambeck J, Aleksandrović M, Okičić T, Madić D. EFFECTS OF AQUATIC PROGRAMS IN CHILDREN AND ADOLESCENTS WITH CEREBRAL PALSY: SYSTEMATIC REVIEW. Sports Science. 2013 [cited 2016 Oct 21];5(2):49–56. Available from: http://www.sposci.com/PDFS/BR0502/SVEE/04%20CL%2009%20BJ.pdf.
