DOCSLIB.ORG

Aquatic Therapy: a Viable Therapeutic Recreation Intervention

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Aquatic Therapy: a Viable Therapeutic Recreation Intervention Aquatic Therapy: A Viable Therapeutic Recreation Intervention Ellen Broach and John Dattilo This paper presents a review of the literature concerning the effects of aquatic therapy utilizing swimming and exercise activity to improve function. Based on the literature, aquatic therapy appears to have numerous psychological and physical benefits. Research studies support the belief that participation in an aquatic therapy program can provide individuals with a realistic solution for maintaining physical fitness and continuing to achieve rehabilita- tion goals while engaging in enjoyable leisure pursuits. Implications of aquatic therapy to leisure generally and therapeutic recreation more specifically are highlighted. KEY WORDS: Aquatic Therapy, Swimming, Water Exercise, Therapeutic Recreation Aquatic therapy, utilizing swimming and improve functioning of all major muscle exercise activity to improve function, is be- groups without the impact that is unavoid- lieved to have beneficial consequences for able in land based physical exercise (Cam- physiological and psychological well-being pion, 1985). (Campion, 1990; Davis & Harrison, 1988; Physiological improvements achieved Hurley & Turner, 1991; Skinner & Thom- through involvement with aquatic therapy son, 1989). Hurley and Turner (1991) sug- have been documented in studies of individ- gested that for many individuals with disabil- uals who have multiple sclerosis (Gehlsen, ities the buoyancy as well as the increased Grigsby, & Winant, 1984), cystic fibrosis resistance and warmth of water creates an (Edlund, 1980), arthritis (Danneskiold- environment for exercise which is more con- Samsoe, Lyngberg, Risum, & Telling, 1987), ducive to achieving treatment goals than ex- orthopedic impairments (Skinner & Thom- ercise conducted on land. In addition, exer- son, 1989), cerebral palsy (Harris, 1978; cise achieved through aquatic therapy may Smith, 1985) and asthma (Haung, Veiga, Ellen Broach is a doctoral student and John Dattilo is a Professor in the Department of Recreation and Leisure Studies at the University of Georgia. Third Quarter 1996 213 Sila, Reed, & Hines, 1989). Furthermore, the restorative properties of spas, warm baths psychological benefits of participants in and the sea since the 5th century BC. Greeks aquatic therapy have been identified to in- and Romans recognized the value of the clude improved mood (Berger & Owen, warm water as an adjunct to their sporting 1992; Berger, Owen, & Man, 1993), en- activities and aquatic activity for rehabilita- hanced self-esteem and body image (Bene- tion of individuals with paralysis (Campion, dict & Freeman, 1993; Wright & Cowden, 1990). More recently, aquatic therapy has 1986), and decreased anxiety and depression been provided in the United States in swim- (Stein & Motta, 1992; Weiss & Jamieson, ming pools and therapeutic pools since 1989). In addition to physiological and psy- World War I (Reynolds, 1976). Aquatic ther- chological benefits, aquatic therapy may apy has been described as activity in the wa- promote the development of swimming as a ter based on hydrodynamic principles for lifetime leisure skill which helps maintain therapeutic purposes (Campion, 1990). The health and contributes to happiness (Beau- literature concerning use of water as a me- douin & Keller, 1994; Johnson, 1988; Pega- dium for therapy has been written by various noff, 1984; Smith, 1992; Tsukahara, Toda, individuals practicing in aquatics, including Goto, & Ezawa, 1994). therapeutic recreation specialists, physical Although various issues abound in the therapists, occupational therapists, massage general area of aquatics, from concerns re- therapists, physiotherapists, medical doctors, garding water temperature (Campion, 1990; sport psychologists and exercise physiolo- Franchimont, Juchmes, & Leccomte, 1983) gists. to qualifications of practitioners using the Aquatic therapy (Johnson, 1988), hydro- aquatic medium in therapy (Campion, 1990; therapy (Campion, 1990), water therapy Smith, 1992), the general consensus reported (Smith, 1992), swimming therapy (Campion, in the literature is that aquatics is a viable 1990), water exercise (Danneskiold-Samsoe, medium that has potential to enhance quality Lyngberg, Risum, & Telling, 1987) and wa- of life for people with disabilities. Based on ter physiotherapy (Smith, 1992) are some of the findings reported in the literature, aquatic the phrases used in the literature describing therapy appears to be an intervention that the use of the water for therapeutic benefits. can be used by therapeutic recreation spe- The term "hydrotherapy" is presented pri- cialists to promote psychological and physi- marily in literature published in Great Britain ological improvement while facilitating in- and ' 'aquatic therapy'' seems to be the domi- dependence in swimming and water exer- nant phrase used in the United States. For the cise. purpose of this paper, the phrase "aquatic This paper begins with a definition of therapy" is used to include water exercise "aquatic therapy" and the issue of swim- and swimming as modes of prescribed activ- ming as therapy as discussed in the literature. ity used as rehabilitation/habitation to Subsequently, physiological, psychological, achieve goals of improved physiological, and leisure activity implications are ad- psychological, psychosocial and/or life ac- dressed. Implications for aquatic therapy de- tivity function under the supervision of indi- livered in community settings by therapeutic viduals qualified and competent in its tech- recreation specialists are presented as well. niques and utilization. Therapeutic recre- The paper concludes with recommendations ation specialists should be familiar with for the practice of therapeutic recreation. intervention strategies and benefits of aquatic therapy. An understanding of the po- Description of Aquatic Therapy tential of aquatic therapy to enhance an indi- Aquatic therapy has a long-established vidual's leisure lifestyle may be useful in and documented history. People have sought justifying treatment programs. 214 Therapeutic Recreation Journal The techniques of aquatic therapy vary. Physiological Implications Some popular interventions include Bad Ra- Although techniques such as Watzu, and gaz (Boyle, 1981) (employing the principles Bad Ragaz are discussed in the literature, of proprioceptive neuromuscular facilitation swimming and non-swimming water exer- using active and passive techniques for cise were the only mediums found to be ex- strengthening, muscle re-education and amined in the research literature. The physi- trunk elongation); Watsu (Dull, 1993) cal benefits of activity performed in the wa- (applying the moves of Zen Schiatsu to facil- ter may include relief of pain (Guillemin, itate decreased tension and improved psy- Constant, Collin & Boulange, 1994; Lan- chological well being); deep and shallow wa- gridge & Phillips, 1988; Woods, 1989), de- ter ambulatory exercise and therapeutic creased spasticity and increased relaxation swimming commonly implemented using (Davis & Harrison, 1988), improved bone the Halliwick Method (Campion, 1985) or density (Benedict & Freeman, 1993; Tsuka- Sequential Swim Techniques (Carter, LeCo- hara et al., 1994), improved pulmonary func- ney, & Dolan, 1994) which inherently facili- tion (Haung et al., 1989; Whitley & Schoene, tates normal patterns of movement and pos- 1987), strengthened muscles (Gehlsen, Grig- ture (Neurodevelopmental Treatment). The sby, & Winant, 1984), improved endurance use of passive or active water exercise and (Burke & Kennan, 1984; Danneskiold- swimming as therapeutic media are technical Samsoe, Lyngberg, Risum, & Telling, 1987; processes that require the ability to teach Edlund, 1980; Edlund et al., 1986; Routi, swimming as well as understand the hydro- Troup, & Berger, 1994; Wright & Cowden, dynamics of the water and the implications 1986), and improved range of motion and and contraindications associated with use of increased circulation (Peganoff, 1984). The the water for therapy (Association of Swim- following is a review of articles describing ming Therapy, 1992). the physical benefits of aquatic therapy. Although swimming is considered to be a component of aquatic therapy in this paper, Decrease Pain for some individuals it is seen as a recreation Although water exercise and swimming activity not in the realm of aquatic therapy are commonly mentioned as recommended (Davis & Harrison, 1988). Some prac- forms of treatment for lower back pain titioners consider aquatic therapy as limited (Campion, 1990; Johnson, 1989; J^evin, to passive or active exercise techniques in 1991; Meyer, 1990; Siracusano, 1984; Skin- the water, while Campion (1985) and others ner & Thomson, 1989), it is a treatment mo- believe that swimming is an integral part of dality which has limited scientific research aquatic therapy, and is essential to the over- basis and reports in the back pain literature. all rehabilitation of some individuals. Nu- One study conducted by Guillemin, Con- merous examples of the benefits of swim- stant, Collin, and Boulange (1994), assessed ming when used in aquatic therapy are pre- the effects of spring water treatment on sented in the literature (Bar-Or & Inbar, chronic low-back pain by comparing a ran- 1992; Benedict & Freeman, 1993; Edlund, domly selected group of 50 people undergo- 1980; Haung et al., 1989; Johnson, 1988; ing an aquatic therapy program to 52 ran- Langridge & Phillips, 1988; Peganoff, domly selected people not receiving aquatic 1984).
Load more

Recommended publications
  • PTA 101 Overview of Aquatic Therapy (NCHPAD) Source
    PTA 101 Overview of Aquatic Therapy (NCHPAD) Source: https://www.nchpad.org/223/1943/Aquatic~Therapy2 Aquatic Therapy The Standards and Steering Committees of the Aquatic Therapy and Rehabilitation Industry Certification define aquatic therapy and rehabilitation as: "The use of water and specifically designed activity by qualified personnel to aid in the restoration, extension, maintenance and quality of function for persons with acute, transient, or chronic disabilities, syndromes or diseases." Definition of Hydrotherapy Hydrotherapy is the use of water by external applications, either for its pressure effect or as a means of applying physical energy to a tissue. The term often refers to the use of water in wound management, such as whirlpool baths, but can be used interchangeably with the term, "aquatic therapy". Definition of Adapted Aquatics Adapted aquatics are techniques that emphasize swimming skills modified or adapted to accommodate individual abilities. Usually used with people with disabilities, adapted aquatics focuses on skills including pool entry and exit and swimming skill development. It should also encompass community referral. Indications for Aquatic Therapy Disorders Limited Range of Motion Weakness Poor Motor Coordination Pain Spasticity Perceptual / Spatial Problems Balance Deficits Respiratory Problems Circulatory Problems Depression/Poor Self-Esteem Cardiac Diseases Joint Replacement Motor Learning Orthopedic Injuries / Trauma Obesity Prenatal Neurological (MS) Osteoporosis Rheumatology (Arthritis / Fibromyalgia) Aquatic Therapy Techniques Ai Chi Created by Jun Konno of Japan, Ai Chi is a combination of deep breathing and slow broad movements of the arms, legs, and torso, using concepts of T'ai Chi, Shiatsu, and Qigong. Ai Chi is performed standing in shoulder-depth water with an ideal pool temperature of 88F to 96F.
    [Show full text]
  • Aquatic Rehabilitation
    Aquatic Rehabilitation Matt McGraw MS, ATC, PES, CES March 2, 2019 Overview • History of Aquatic Rehabilitation • Principles of Water • Aquatic Therapy Techniques • Contraindications and Precautions • Indications and Advantages • Things to think about History of Aquatic Rehab • Early Civilizations - early 20th Century • Belief that hot springs/spas provided therapeutic and medicinal value • Social activity • Hot air/water and cold plunge • Limited use of submerged exercise History of Aquatic Rehab • 1830: Vincenz Priessnitz • Combined cold water with exercise to strengthen ill patients • Dr. Winternitz • Researched varying water temps on sick patients • U.S. treatment modality during smallpox outbreak for Neurological Rehab • 1913: Dr. Charles Leroy Lowman • 1924: Hubbard Tank History of Aquatic Rehab • 1930’s Underwater PT with Physical Exercise in Warm Water • 1937: Dr. Lowman • Technique of Underwater Gymnastics: A Study in Practical Application • Dr. Rebekah Wright: Mental Diseases • 1960’s and 70’s: Space Age • 1980’s: American Physical Therapy Association • Aquatic Therapy and Rehabilitation Institute Aquatic Therapy Today • Used to Improve • Balance • Coordination • Weight Bearing • Strength • Endurance • Pain management • ROM • Motor Control • Circulatory Function Principles of Water • Buoyancy • Archimedes' principle: • Buoyant force on an object submerged in a fluid is equal to the weight of the fluid that is displaced by the object • 50% Umbilicus • 60% Xiphoid process Principles of Water • Benefits include: • Increase: • Decrease: • Supports weak muscles • Joint compressive forces • Enhance flexibility while weight bearing • ROM • Stress on connective tissue • Easier to handle patient • Fear of falling • Changes the • Blood pooling Biomechanical Stress Principles of Water • Hydrostatic Pressure (HP): Water exerts a pressure of 22.4 mm Hg/ft of water depth equally in all directions.
    [Show full text]
  • Effects of a Metronome on Functional Outccomes in Aquatic Therapy
    EFFECTS OF A METRONOME ON FUNCTIONAL OUTCCOMES IN AQUATIC THERAPY VERSION NUMBER: 5 VERSION DATE: 11/14/2018 ID# AultmanRA2018.10.AF NCT number: NCT03801772 PRINCIPAL INVESTIGATOR: Andrew Daniel Fomich Physical Therapy - Aultman Tusc 330-363-6215 [email protected] PROTOCOL TITLE: Effects of a Metronome on Functional Outcomes in Aquatic Therapy PRINCIPAL INVESTIGATOR: Andrew Daniel Fomich Physical Therapy - Aultman Tusc 330-363-6215 [email protected] VERSION NUMBER: 5 VERSION DATE: 11/14/2018 1.0 BACKGROUND INFORMATION AND RATIONALE ○ Introduction Physical therapy patients experiencing musculoskeletal pain often lack effort and consistency when performing aquatic exercises. Studies have shown that the use of acoustic stimuli, such as music and the beeps of a metronome, improve performance and efficiency in runners. However, it has not been determined if the use of a metronome can improve the outcomes of patients participating in aquatic physical therapy. ○ Relevant Literature and Data In 2012, one of two adults in the United States were diagnosed with musculoskeletal conditions. In the same year, 25.5 million people lost an average of 11.4 days of work due to back and neck pain. (1) The benefits of aquatic therapy make it well suited for the treatment of musculoskeletal conditions. These benefits include decreased weight bearing, the thermal and compressive effects of water on the body, and less cardiovascular stress during exercise. (2) In a 2008 study it was demonstrated that the use of acoustic pacing device can improve consistency and performance during and between exercise sessions in an aquatic environment among runners(3) Studies have also shown that an aquatic exercise program can improve strength and function among varied age groups.(4,5) However, what isn’t known is if the use of an acoustic pacing device, such as a metronome, can improve the outcomes of patients in an aquatic therapy program.
    [Show full text]
  • The Properties of Water and Their Effect on Aquatic Therapy
    The Properties of Water and Their Effect on Aquatic Therapy Leslie Erin Korel Physical Therapy Program, University of Delaware The use of water as a treatment mizing muscle atrophy (Levin, Psychological changes may be form dates back to ancient times 1991). At the other end of the the result of the physical effects with the Greeks and Romans. Even spectrum, persons who are ex- listed in Table 1, or perhaps the Hippocrates advocated hydro- tremely arthritic or debilitated feeling of hope that comes from therapy. Today water is used by can take advantage of the buoy- being able to do things one could therapists in the form of a tradi- ancy and warmth of water to di- not do before, even if only in the tional whirlpool treatment or as an minish the degenerative effects water (Routi et al., 1994). exercise medium. Almost any ex- of disease or injury, maintain ercise can be adapted to water by range of motion, and improve Pertinent Properties taking into account the force prin- flexibility and overall condition of Water ciples that apply to water: density, (Levin, 1991). buoyancy, moment of force, hy- There are six properties of water drostatic pressure, viscosity, and Physiological that must be understood in order cohesion. Adaptations to develop a water program that will Current hydrotherapy began yield the specific effects a therapist : in the form of submersion of the The effects of exercise and the is looking for (Collender, 1995) injured extremity in either cold or warmth of water, ideally 80 to 1. Relative density warm baths. Then agitation was 92 OF, work together to produce a 2.
    [Show full text]
  • Halliwick-Based Aquatic Assessments : Reliability and Validity
    International Journal of Aquatic Research and Education Volume 2 Number 3 Article 4 8-1-2008 Halliwick-Based Aquatic Assessments : Reliability and Validity Ruthy Tirosh Alyn Hospital Pediatric and Adolescent Rehabilitation Center, Jerusalem, Israel, [email protected] Michal Katz-Leurer Alyn Hospital Pediatric and Adolescent Rehabilitation Center, Jerusalem, Israel Miriam D. Getz Kibuzzim College of Education Follow this and additional works at: https://scholarworks.bgsu.edu/ijare Recommended Citation Tirosh, Ruthy; Katz-Leurer, Michal; and Getz, Miriam D. (2008) "Halliwick-Based Aquatic Assessments : Reliability and Validity," International Journal of Aquatic Research and Education: Vol. 2 : No. 3 , Article 4. DOI: https://doi.org/10.25035/ijare.02.03.04 Available at: https://scholarworks.bgsu.edu/ijare/vol2/iss3/4 This Research Article is brought to you for free and open access by the Journals at ScholarWorks@BGSU. It has been accepted for inclusion in International Journal of Aquatic Research and Education by an authorized editor of ScholarWorks@BGSU. Tirosh et al.: Halliwick-Based Aquatic Assessments : Reliability and Validity International Journal of Aquatic Research and Education, 2008, 2, 224-236 © 2008 Human Kinetics, Inc. Halliwick-Based Aquatic Assessments: Reliability and Validity Ruthy Tirosh, Michal Katz-Leurer, and Miriam D. Getz Purpose: To investigate the reliability and validity of 2 aquatic functional- assessment tests (Water Orientation Test of Alyn 1 and 2: WOTA1, WOTA2) for evaluating adjustment and functional ability in the aquatic environment based on the Halliwick concept. Methods: Thirty-two children with disabilities participated in the reliability study. Thirty-three other children participated in the validity study, which tested the correlations between the WOTA total score and motor performance on land.
    [Show full text]
  • Aquatic Physical Therapy for Parkinson's Disease
    Vol.2, No.4, 102-107 (2013) Advances in Parkinson’s Disease http://dx.doi.org/10.4236/apd.2013.24019 Aquatic physical therapy for Parkinson’s disease Talita Gianello Gnoato Zotz1*, Eliani Arruda Souza2, Vera Lúcia Israel3, Ana Paula Cunha Loureiro4 1Physical Therapy Department, Federal University of Paraná, Matinhos, Brazil; *Corresponding Author: [email protected] 2Physical Therapy Clinic, Curitiba, Brazil 3Physical Therapy Department, Federal University of Paraná, Curitiba, Brazil 4Department of Physical Therapy, School of Health and Biosciences Pontifical Catholic, University of Paraná, Curitiba, Brazil Received 11 June 2013; revised 2 August 2013; accepted 13 August 2013 Copyright © 2013 Talita Gianello Gnoato Zotz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT a chronic and progressive disturbance of the nervous system, more specifically the ganglions of the base and One of the predominant effects of PD is altera- eventually resulting in abnormal posture and involuntary tion of motor skills, which leads to compromised movements [2]. posture and physical balance. Aquatic physical The knowledge about the possible factors in the phy- therapy, performed in a heated pool, can serve siopathology of PD also demands an inevitable investi- as one of intervention alternatives for PD carri- gation of the pertinent questions about natural aging of ers. Aim: To analyze the effects of the Halliwick the human being. And these investigations can also lead Concept hydrotherapy in acquisition of motor to further development of a repertoire of preventive phy- skills in Parkinson’s disease (PD) patients.
    [Show full text]
  • The Effect of 12-Week Passive Aquatic Bodywork on Sympathovagal Balance of Obese Youth
    Journal of Education and Training Studies Vol. 6, No. 2; February 2018 ISSN 2324-805X E-ISSN 2324-8068 Published by Redfame Publishing URL: http://jets.redfame.com The Effect of 12-Week Passive Aquatic Bodywork on Sympathovagal Balance of Obese Youth Ertan Tufekcioglu1, Mustafa Sait Erzeybek2, Fatih Kaya3, Goksel Ozan4 1Physical Education Department, King Fahd University of Petroleum & Minerals, Saudi Arabia 2Department of Physical Education and Sports, Dumlupinar University, Turkey 3Department of Physical Education and Sports, Faculty of Education, Erzincan University, Turkey 4ASFA Foundation for Education, Istanbul, Turkey Correspondence: Mustafa Sait Erzeybek, Department of Physical Education and Sports, Dumlupinar University, Turkey. Received: December 28, 2017 Accepted: January 18, 2018 Online Published: January 29, 2018 doi:10.11114/jets.v6i2.2963 URL: https://doi.org/10.11114/jets.v6i2.2963 Abstract Background: Obesity has been identified as a global epidemic that is associated with numerous comorbidities such as type 2 diabetes, hypertension, cancer, cardiovascular disease. We have investigated the effects of Watsu® therapy and Immersion on HRV parameters of obese male subjects. Methods and Results: Volunteer 34 obese subjects with BMI above 30 without any other chronic health issues were included (age, 18.30±.31, height, 166.02±29.60, BMI, 36.54±5.96). Randomized controlled trial was conducted with Watsu and Immersion protocols whereas control group received no therapy in water or on land for 12 weeks. A baseline HRV was recorded 5 minutes in four different circumstances. Polar H7 heart rate sensor and digital standardized HRV signal processing software were used to record the R-R intervals in millisecond.
    [Show full text]
  • Review the Halliwick Concept: Toward a Collaborative Aquatic
    Review Αναζητήσεις στη Φυσική Αγωγή & τον Αθλητισμό Τόμος 13 (2), 65 – 76 Δημοσιεύτηκε: Οκτώβριος 2015 Inquiries in Sport & Physical Education www.pe.uth.gr/emag Volume 13 (2), 65 - 76 Released: October 2015 ISSN 1790-3041 The Halliwick Concept: Toward A Collaborative Aquatic Approach Kokaridas, D1., & Lambeck, J2 1Department of Physical Education and Sports Sciences, University of Thessaly, Trikala, Hellas 2Faculty of Kinesiology and Rehabilitation Science, KU Leuven, Belgium Abstract The purpose of this article is to present a contemporary picture of the Halliwick Concept– from Water Spe- cific Therapy (WST) to the Ten-Point-Program (TPP) - and to identify potential areas of further development by proposing a collaborative approach using the Halliwick Concept. The authors acknowledge differences in phi- losophies of both WST and TPP, and propose that the Halliwick Concept can serve as a key organizing frame- work within any aquatic program that, depending on its therapeutic, educational or recreational goals, can im- pact the entire scope of adapted water activities. The article discusses common Halliwick Concept principles through which aquatic personnel could collaborate in the future using a common philosophy and terminology to achieve mutual goals. Key words: Halliwick Concept, Water Specific Therapy, adapted aquatics, aquatic therapy Corresponding address : Dr, Dimitrios Kokaridas University of Thessaly, Department of Physical Education & Sport Science 42 100, Karies, Trikala, Hellas e – mail: [email protected] Επισκόπησης Η Έννοια Haliwick: Προς Μια Συνεργατική Προσέγγιση στο Νερό Κοκαρίδας Δημήτριος1, & Lambeck, J2 1ΤΕΦΑΑ, Πανεπιστήμιο Θεσσαλίας 2Τμήμα Κινησιολογίας και Αποκατάστασης, KU Leuven, Βέλγιο Περίληψη Ο σκοπός του άρθρου είναι να παρουσιάσει την τρέχουσα συνολική εικόνα της έννοιας Halliwick – από την Water Specific Therapy (WST) έως το Ten-Point-Program (TPP) – και να αναγνωρίσει περιοχές περαιτέρω ανά- πτυξης προτείνοντας μία συνεργατική προσέγγιση χρησιμοποιώντας την έννοια αυτή.
    [Show full text]
  • Effectiveness of Aquatic Therapy on Increasing Range of Motion and Decreasing Pain in the Rehabilitation of Patients with Shoulder Pathologies: a Systematic Review
    Effectiveness of Aquatic Therapy on Increasing Range of Motion and Decreasing Pain in the Rehabilitation of Patients with Shoulder Pathologies: A Systematic Review David Kearney, SPT Ryan Lumia, SPT Evan Siegel, SPT Scott Szemenyei, SPT Peter Leininger, PT, PhD, OCS 1 Definitions ● Aquatic therapy (AT): The use of water to facilitate the application of established therapeutic interventions, including stretching, strengthening, joint mobilization, balance and gait training, and endurance training1 ● Rotator Cuff Repair (RCR): Surgical intervention to repair one or more damaged or torn tendons of the shoulder girdle musculature ● Shoulder Impingement Syndrome (SIS): Pain and/or weakness with elevation of the shoulder joint, where the supraspinatus tendon becomes compressed between the head of the humerus and the coracoacromial arch2 2 Overview ● Background ● Limitations ● Purpose ● Discussion ● Methods ● Clinical Relevance ● PRISMA ● Future research ● Sackett Level ● Acknowledgements ● Results ● Reference ● Conclusions 3 Background ● Common causes of shoulder pathologies ○ Tendon inflammation ■ Rotator cuff tears ■ Tendonitis ■ Bursitis ○ Impingement ○ Instability ■ Dislocation/subluxation ○ Osteoarthritis ○ Fracture ○ SLAP tear ○ Adhesive capsulitis 4 Background cont. RCR3 Shoulder Impingement4 ● Incidence: >250,000 repairs per year ● Incidence: 44-65% of all shoulder pain complaints ● Affects >40% of US population over 60 ● Surgical Options years of age ○ Open ● Surgical Options ○ Arthroscopic decompression ○ Open ● Other treatment options
    [Show full text]
  • LCD for Outpatient Physical and Occupational Therapy Services (L29833) Contractor Information Contractor Name NHIC, Corp
    LCD for Outpatient Physical and Occupational Therapy Services (L29833) Contractor Information Contractor Name NHIC, Corp. Contractor Number 14102 Contractor Type MAC - Part B LCD Information LCD ID Number L29833 LCD Title Outpatient Physical and Occupational Therapy Services Contractor's Determination Number AMA CPT / ADA CDT Copyright Statement CPT codes, descriptions and other data only are copyright 2009 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. Current Dental Terminology, (CDT) (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright by the American Dental Association. © 2002, 2004 American Dental Association. All rights reserved. Applicable FARS/DFARS apply. CMS National Coverage Policy Language quoted from Centers for Medicare and Medicaid Services (CMS). National Coverage Determinations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the policy. NCDs and coverage provisions in interpretive manuals are not subject to the Local Coverage Determination (LCD) Review Process (42 CFR 405.860[b] and 42 CFR 426 [Subpart D]). In addition, an administrative law judge may not review an NCD. See Section 1869(f)(1)(A)(i) of the Social Security Act. Unless otherwise specified, italicized text represents quotation from one or more of the following CMS sources: Title XVIII of the Social Security Act (SSA): Section 1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim Sections 1861(g), 1861(p), 1861(s)(2) and 1862(a)(14) of Title XVIII of the Social Security Act define the services of non-physician practitioners.. Section 1862(a)(1)(A) excludes expenses incurred for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.
    [Show full text]
  • Aquatic Therapy: a Valuable Intervention in Neurological and Geriatric Physiotherapy
    Aquatic Therapy: a valuable intervention in neurological and geriatric physiotherapy. A narrative review. Sanne Lambeck1, Johan Lambeck2 1Physiotherapist, Sint Maartenskliniek in Ubbergen/Nijmegen, Netherlands . 2Physiotherapist, Association IATF in Valens, Switzerland. [email protected] , Linkedin *This article has been published in Dutch in the Nederlands Tijdschrift voor Geriatriefysiotherapie, December 2020 under the title: Hydrotherapie, een waardevol middel binnen de neurologische en geriatrische fysiotherapie”. Contents: Quotes Abstract Introduction Increase cerebral blood volume during immersion Training aerobic capacity Anti-inflammatory and neurotrophic effects Neuroplasticity Executive functions Balance skills and fall prevention Priming effect of aquatic therapy Summary References Quotes ... hydrostatic pressure and heat affect cerebral vascular function ... ... only 30 to 50% of the speed is required to have a comparable energy consumption ... ... exercise in water is an important stimulus for angiogenesis ... ... water is an anti-inflammatory environment, with positive neurotrophic effects ... Abstract Aquatic therapy has long been a valuable resource that we should not lose sight of. There are also many interesting developments in this form of therapy, also well justified for the neurological and geriatric patient. Training of fall prevention, aerobic capacity and influencing neuroplasticity (and the associated (anti) inflammatory processes and cognitive tasks), using the possibilities offered by aquatic therapy, will
    [Show full text]
  • The Halliwick Method (PART ONE) by Dr. Fran Stanat and Johan Lambeck
    The Halliwick Method (pmror.m) By Dr Fran Stanatand Joban Lambech disobililiesfior wouldbe kno*n m rhe Europebeoon lo work w,A McMilon |o Aher his relurnhonr militoryduv in Hol|wictPhilosophy lFiguío rl Thisphi oppi rhe merhodwith therrclients. Thrr world wor [, JomesMcMillon l]913 - losophy@s bosedon Generolsystem loid Ée ÍoundorionÍor fieropeuricopplico- 1994)woseoger lo rerumeporl,c poiion in Thory {o pre-worhoLirtic opprooch lo llon. ThefieÍopeul,c opplicoton oÍthe Ten compêtiiiveswimmino. McMillon oLricllv monoqemqroÍoborl ond opeiorionolized Poinr Proorum wo5 de,eloDed in Bod reolizedrhor his odlimihd h s dbiir Ë wilhospects oÍ Íluidmechonics, neuropsy- Rosoz,S;izerlond ond collà rhe woter compeieH 5olhr;olive wos to helpyouth clology,psychology, pedosogy o"d sroup Specilic ExercisêSyslem or the Logic leornto eniovthe octiviv he so deorlv dynomi.s.The ÍesL,li wos o psychosen5ory Approoch to Exercisein lhe Woter l*"d. !" ïé beqon*oikinq wih laól ;obr leominssrrdr,esy collà rheHolli\"kl swimclubs. he r<lized ihere w:os on obun TênPoinr Prosrom {Fisure 21. Ihe Holliwick Philo5ophy donceol coochesond inslructorslo work ïhe Hollwi(k Philosophyis lhe (orne. wiA oblebodied children ond odolescenrs. Figurr 2 sroneoÍ rhe HolliwickMèÈod. lFiqurel) Theoooortuniv forchildren with di50biliiies Wirhour firm to be;;ÍirÍrom worer ThêHolliwict l0 PointProorcm o undenrondinoond io..l- 3p,orrswo, noro'qif menttc the philorcphy,rhe methodsimply oble So,wiÈ o lons.+ondinsond períon r.T;rol-Adt*,oi,*..-í,l'"",riffi- (ommilment Dilen€ogemenr b<omesonolher swlm inrhuclion re€hnique. ol ic swimmino,McMillon, premi*wos *ho sbdiedfluid mechonic;,ser our ro 2. So€itlol RolElionConhol McMillon'sIint weryoneis developo mehod to t<ch swimminoro 3.
    [Show full text]