Aqua Therapy - Class 5 Flashcards

1
Q

benefits of aqua therapy

A

allows for NWB or limited WB

promotes relaxation

decreases muscle spasms

increases ROM

improves circulation

efficiency in respiratory system & CO

lowers edema and lactate it muscle

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2
Q

who can benefit from aqua therapy

A

joint pain and stiffness

muscle spasms

back pain

OA/RA

fibromyalgia

lymphedema

systemic lupus erythematosis

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3
Q

why aquatic intervention

A

facilitate ROM

initiate resistance training

facilitate WB activities

allow use of manual techniques

facilitate CV exercise

initiate fxnal activity replication

minimize risk of injury or re-injury

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4
Q

minimize risk of injury or re-injury

A

enhance pt relaxation

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5
Q

precautions/contraindications

A

fear of water

neurological disorders

respiratory disorders

cardiac dysfxn

open wounds and lines

rashes

active infections

incontinence/menstruation

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6
Q

physical property #1

A

buoyancy

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7
Q

buoyancy

A

archimede’s principle

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8
Q

Archimedes’ principle

A

an immersed body experiences upward thrust equal to the volume of liquid displaced

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9
Q

clinical significance of buoyancy

A

provides pt w/ relative weightlessness and joint unloading

allows resistance to movement

body comp affects buoyancy

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10
Q

WB w/ immersion –> buoyancy

A

C7 –> 10%

xiphoid process –> 33%

ASIS –> 50%

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11
Q

buoyancy variable 1

A

position and direction of movement

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12
Q

position and direction of movement

A

activities in the water can be

assisted

supported

resisted

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13
Q

buoyancy variable 2

A

water depth

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14
Q

water depth

A

cam be altered to change the amount of assistance or resistance

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15
Q

buoyancy variable 3

A

lever arm length

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16
Q

lever arm length

A

can be adjusted to change the amount of assistance or resistance

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17
Q

buoyancy variable 4

A

equipment can increase the amount of assistance or resistance

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18
Q

physical property 2

A

hydrostatic pressure

19
Q

hydrostatic pressure

A

occurs on immersed portions of body

20
Q

clinical implications of hydrostatic pressure

A

increased pressure reduces or limits effusion

assists w/ venous return

induces bradycardia

centralized peripheral blood flow

21
Q

physical property 3

A

viscosity

22
Q

viscosity

A

friction occurring b/w the molecules of liquid

resulting in resistance to flow

23
Q

what increases surface area

A

using a plow

24
Q

physical property 4

A

thermodynamics

25
Q

water retains heat _______ time greater than air

A

1000

26
Q

water has a

A

increased ability to transfer heat energy

27
Q

what does this property do –> thermodynamics

A

makes the use of water in rehab very versatile

28
Q

cold plunge tanks

A

10-15 C

62-67 F

29
Q

public and competitive pools

A

27-29 C

79-81 F

30
Q

therapy pools

A

27-35 C

86-94 F

31
Q

hot tubs

A

37.5-41 C

97.5-101 F

32
Q

thermoneutral

A

34 C

93F

33
Q

designing a aquatic program

A

safety

pool care

34
Q

what should we choose for an aquatic program

A

appropriate water temp

appropriate depth

appropriate equipment

35
Q

exercise for mobility impairment –> considerations

A

force of buoyancy

available ROM at joint

direction of desired motion

need for any flotation or weighted equipment

progress simple ROM exercises

use lever arm length and buoyant equipment

36
Q

progress simple ROM exercises

A

toward activity limitations and disabilities

37
Q

use lever arm length and buoyant equipment

A

increase or decrease the amount of assistance from the buoyancy

38
Q

muscle strength, power and endurance impairments (1)

A

principles and progressions are the same on land

resistance is influenced by surface area and speed

leg and trunk stabilizers are necessary to counter many UE movements

traditional swimming strokes complement LE dominant exercises

39
Q

muscle strength, power and endurance impairments (2)

A

shallow water running can be an excellent CV conditioning exercise

CV endurance can be increased by relying on principles of overload and progression same as in land - based programs

activity must be sufficient intensity and duration

deep-water activities are better for individuals with WBing limitations

40
Q

balance impairment

A

ideal environment for balance training

variety of activities can be performed

loss of balance is slowed dramatically

allows for increased rxn time

41
Q

aquatic rehab to treat activity limitations

A

as pt improves….

any impairments must be addressed concurrently

as normal mechanics improve…

42
Q

as pt improves

A

modify activities to emphasize activity limitations

43
Q

as mechanics improve

A

decrease water levels to replicate land-based environments involving more gravity