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Musculoskeletal I (second exam/practical) > Aquatic PT > Flashcards

Aquatic PT Flashcards

1
Q

What are the main controlling variables of buoyancy available in aquatic PT?

A
  • Position or direction of movement in the water
  • Water depth
  • Lever arm length
  • Flotation or weighted equipment use
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2
Q

What 2 movements are buoyancy assisted, and which is resisted?

A 
Assisted:
- Movement towards surface
- Movements parallel to bottom of pool
Resisted:
- Movements towards bottom of pool
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3
Q

How does shallow water affect resistance/ support?

A

Less support.

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4
Q

How does deeper water affect resistance/ support?

A
  • More support

- Increased frontal resistance

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5
Q

What 4 factors alter resistance?

A
  • Velocity of movement
  • Surface area
  • Water depth
  • Direction of movement
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6
Q

Does peripheral blood flow increase or decrease with an increased immersion depth?

A

Decrease

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7
Q

Does vital capacity increase or decrease with an increased immersion depth?

A

Decrease

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8
Q

Does heart volume increase or decrease with an increased immersion depth?

A

Increase

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9
Q

Does intrapulmonary blood volume increase or decrease with an increased immersion depth?

A

Increase

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10
Q

Does right atrial pressure increase or decrease with an increased immersion depth?

A

Increase

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11
Q

Does left ventricular end-diastolic volume increase or decrease with an increased immersion depth?

A

Increase

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12
Q

Does stroke volume increase or decrease with an increased immersion depth?

A

Increase

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13
Q

Does cardiac output increase or decrease with an increased immersion depth?

A

Increase

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14
Q

Does heart rate increase or decrease with an increased immersion depth?

A

Decreases or is unchanged

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15
Q

What is the major change physiologically between land and water therapy?

A
  • Increased cardiac loading due to hydrostatic pressure
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16
Q

What factors must be considered when examining a patient for aquatic therapy?

A
  • Full land-based examination
  • Basic safety (ability to enter water, comfort, etc)
  • Precautions (cardiac history, etc)
  • Contraindications
17
Q

What is the most common therapeutic use of buoyancy?

A

Facilitate ROM

18
Q

What needs to be stable for UE movements?

A

Leg and trunk stabilizers

19
Q

What type of training is water an ideal environment for? Why?

A

Ideal for balance training due to slowing of loss of balance, allowing for an increased reaction time.

20
Q

Describe an aquatic balance activity for single leg stance phase of gait.

A
  • Stand in single leg stance in chest deep water
  • Hold position with trunk, hips, knees, and ankles in alignment
  • Attempt to hold as long as possible until form is lost or pain begins
  • Bring arms in towards chest to make more difficult
21
Q

How can water level be used to make aquatic therapy more difficult?

A
  • Decrease water level as patient progresses
22
Q

What types of functional activities can be done in water?

A
  • Lifting
  • Carrying
  • Reaching
  • Walking
  • Pushing
  • Etc
23
Q

What are 8 contraindications to aquatic PT?

A
  • Uncontrolled seizures
  • Unstable angina
  • Uncontrolled diabetes
  • Bowel incontinence with diarrhea, no stool program
  • Open wounds or bleeding without dressing (including menstruation without internal protection)
  • Tracheotomies until healed
  • Acute flare-up active joint inflammation (RA. hemophilia)
  • Orders for NPO(nothing by mouth)
  • DVT without anticoagulation therapy or filter
24
Q

What are some precautions for aquatic therapy?

A
  • Bowel incontinence with firm stools
  • Communicable disease
  • Autonomic dysreflexia
  • Sensitivity to disinfection chemicals
  • Sensitivity to heat/ humidity
  • Rashes, skin conditions with flaking or open areas
  • Orthostatic hypotension
  • Hydrophobia
  • Combative or uncooperative patient
  • Poor cognition
  • Dependence in ambulation
  • Controlled seizures, exercise induced angina, controlled diabetes
  • Open wounds with dressing
  • Immune suppression
  • Chemotherapy
  • Dialysis

Musculoskeletal I (second exam/practical) (7 decks)

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