Aquatic Therapy

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Aquatic Therapy
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Therapeutic Consideration

• Accommodating Resistance matching patient applied
  force or effort
• Variable Resistance with change of speed or
  velocity
• Strengthening exercises unrestricted in direction
• Buoyancy to Increase ROM
• Cooperative Movement of UE LE
• Cardiorespiratory Fitness
• Early Restoration of Joint Mobility
• Hydrostatic Forces effecting edema and tactile
  sensation
• Turbulence/Hydrodynamic Forces-Drag

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Precaution To Aquatic Therapy

• Fever
• Cardiac failure
• Vital capacity less than 1500 cm3
• Excessive high or low blood pressure or does not
  adjust to fluid loss
• Urinary infection
• Incontinence
• Open wounds
• Uncontrolled epilepsy
• Infectious disease
• Ling infection
• Impaired temperature regulation
• Fragile skin

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• Strengthen muscles and protects joints.
• Isometric, Isokinetic, Variable, Mobilizing
• Improves psychological emotional outlook

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Aquatic-Based Rehabilitation and Training for the
Shoulder Thein Thein
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Aquatic-Based Rehabilitation and Training for the
Shoulder Thein Thein
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Aquatic Plyometric Training Increases Vertical
Jump in Female Volleyball Players

• PT department University of Maryland Eastern
  Shore
• Eccentric loading limited compared to land based
  plyometrics although concentric have increased
  loading
• 6 wks APT x2/wk in addition to traditional
  pre-season
• Control teammates X2/week flexibility training
  and traditional pre-season
• Warm-up jogging APT included power skips,
  spike approaches, single and double leg bounding,
  continuous jumping for height, jump squats and
  depth jumps. Encouraged to perform in an
  explosive manner and with maximal effort.
• Isokinetics Peak Torque 60 180 deg/sec
  Vertical Jump were increased above control
• No reports injuries

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Effects of aquatics resistance training on
neuromuscular performance in healthy women

• Medicine and Science in Sports Medicine -Tapani
  Poyhonen Finland
• 24 healthy women 34.2 y/o /- 3.9 healthcare
  workers
• Study effects of 10 week aquatic resistance
  training on neuromuscular performance and muscle
  mass measuring
• peak torque isometric isokinetic 60/180
  deg/sec, surface EMG quadriceps hamstrings,
  lean tissue cross-sectional area (LCSA) as
  measure by CT scan
• 5-8 min warm up aqua jogger 30-45 min resistance
  training and 5 cool down
• Repe3ated one leg knee extension-flexion sitting,
  repeated extension -flexion standing,
  reciprocating extension-flexion in sitting, hip
  extension-flexion with knee extended in standing
  or kicking alternating at each training session
• Instructed to perform with maximal effort for
  highest possible velocity with verbal
  encouragement
• Differing sized boots for resistance and varying
  set, reps and rest through 10 week progression.
• Showed improved torque, neural activation and
  LCSA

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