Aquatic Flashcards
Archimedes principle
Lessened force of gravity, increased venous return, = larger stroke volume, DECREASED HR in water
Hydrostatic pressure
Increases with depth of water, causing compression and increasing blood return to the heart and other organs DECREASING HR
Partial Pressure of Oxygen in water
Enhanced while immersed. SAME ventilation produces greater O2 saturation..
Dive reflex
Reduced HR & BP with facial submersion (body only too sometimes, ice cold water)
What is thermoneutral?
93-95 degrees F. Above this dec ability of body to dissipate heat.
Convection
requires movement of water across skin or movement of body through water to occur
Conduction
Occurs due to physical contact between water and the body
Radiation/Evaporation
Exchange of thermal energy between the body and the air.
Weight Bearing immersion to groin
25% reduction
Weight Bearing immersion to midtrunk
25-50% reduction
Weight Bearing immersion to clavicle
50-75% reduction
Slow Walking immersion to ASIS
75% of normal
Slow Walking immersion to midtrunk
50-75% of normal
Slow Walking immersion to clavicle
50% of normal
Slow Walking immersion to above clavicle
25% of normal
Fast Walking immersion to midtrunk
75% of normal
Fast Walking immersion deeper than xiphoid process
less than 50% of normal
Fast Walking immersion deeper than C7
less than 25% of normal
WB walking vs standing
WB walking is much higher than standing static at same level.
Pain
Can decrease pain, and increase ROM (pain esp in pts with RA)
Hydrostatic pressure
Increases with depth of water, causing compression and increasing blood return to the heart and other organs DECREASING HR
Proprioception
somatosensory input increases more by moving an object through a viscous liquid, may contribute to better proprioception
Halliwick
James McMillan = founder, ppl to maintain balance control in the water/teach to swim. 1:1 ratio. (cannon ball/windmill from squat)
4 phases of Halliwick
Mental adaptation to being in water
Restore balance from all positions in water
Inhibit unwanted movement and remain stable in water
Swim from stabilized position
Contraindications to aquatic therapy in very warm water
Fever Uncontrolled epilepsy Severe Cardiac Conditions Very high or low BP OPen wounds Limited Vital capacity (
Ai Chi
Tai Chi in the water. Jun Konno. Relaxation and exercise. Deep breathing, coordination, comfortable in water.
Aquatic Feldenkrais
Moshe Feldenkrais . Pool temp 86-94 degrees, depth chest height. Pelvic clock.
Bad Ragaz
Knupfer - PNF in the pool with floaties. Therapist holds fixed point and patient attempts to move that fixed point. 92-98 deg pool. 3-4 ft deep.
Watsu
Howard Dull. Movement through water against the body or body parts result in drag effect. Therapist stabilizes one part of the body and uses drag effect to stretch. rotational movements. Warm water. release pain and stress.
Jahara
Warm water body work. Off shoot of Watsu. Utilizes “third arm”, flotation device.
Task simulation
Walking, transfers