Cold water can cause vasoconstriction which will help stop the blood from running into an area of acute injury.1 A systematic review by Waller , Lambeck , and Daly, composed of thirty-seven aquatic therapy studies with one thousand and seven participants, and picked seven of those studies and used McGill Pain Questionnaire, Oswestry Disability Index, the number of work days lost from low back pain, and subjective assessment scale for pain to measure the outcomes. The SIGN 50 and PEDro scale assessment forms were used to assess the methodological quality. The results showed that aquatic therapy has a beneficial effect on low back pain, but, is no better than any other intervention.8 This study demonstrated that aquatic therapy can be beneficial …show more content…
Children with disabilities can have a variety of problems, including cardiovascular problems, neuromotor impairments, hypotonicity, and hypertonicity. Children with disabilities can range from autism, cerebral palsy, Down syndrome, deaf, blind, hemiplegia, quadriplegia, and paraplegia.12 An A-B study design was done on sixteen children with a disability either from autism, cerebral palsy, Down syndrome, and other motor disabilities did aquatic therapy two times a week for fourteen weeks. Outcomes were measured by isometric muscle strength, half-mile walk/run, motor skills, timed floor to stand, and the 3-meter test.12 The results showed significant improvements in the half-mile run/walk, but not for motor skills or strength. The study shows aquatic therapy does help with strengthening the cardiovascular system in children with disabilities. 12 I found another study done on land-based aerobic exercises with cerebral palsy children, land-based progressive resistance exercises with children with cerebral palsy, and aquatic exercises with cerebral palsy children. The results showed improvements in respiratory function, flexibility, gait, gross motor function, and muscle strength.13 The conclusion of the study showed, aquatic exercise is a great type of exercise for children with cerebral palsy because the water reduces joint loading, and allows them to participate more in aerobic and strength exercises …show more content…
Six participants had land-based exercises, and twelve participants did a combination of land-based and aquatic exercises. The study outcome was measured by the Western Ontario Rotator Cuff scores and the range of motion measure.14 The results showed that aquatic therapy improved range of motion measures at pre-surgical, three weeks, six weeks, twelve weeks, and post-surgical. 14 The Study proved land-based and aquatic physical therapy exercises after rotator cuff repair is a good therapeutic intervention. Burmaster, Eckenrode, and Stiebel did a case study on one participant with an arthroscopic rotator cuff repair. The outcomes were measured by Penn Shoulder Score, Disability Index, and the Shoulder Pain. The participant did physical therapy sessions three times a week with eight land-based sessions and ten aquatic sessions. The participant pain level at rest was at four out of ten in the initial evaluation, and with activity nine out of ten. The results showed the shoulder range of motion and strength increased over the study.15 Also, the pain at a resting level went to two
Many factors like patients age, symptoms, size of the tear, and nature of onset (traumatic or degenerative) are responsible for determining the prognosis of the physical therapy treatment 9. Since it’s a partial thickness tear of the rotator cuff, the non-operative treatment is reasonable unlike, a full thickness tear where surgery will be required to treat the patient 9. The patient shows symptoms of moderate irritability without significant functional deficit which makes him a good candidate for conservative treatment 10. The pain reported by the patient is 6/10 so the patient participates well in physical therapy exercise to increase shoulder strength, and flexibility. There was a study done from Finland which asserted that physical therapy alone can produce results which are equal to those produced by arthroscopic surgery and open surgical repair in cases of rotator cuff tears 11. In this case, with three weeks of physical therapy the patient has showed a decrease in pain and reported it as 4/10 on pain rating scale and showed improvements in abduction (140̊) and external rotation (65̊). The MMT for shoulder abduction was 4-/5 and external rotation is still same as
This case involved a 53 year old man who sustained a significant tear of his rotator cuff while playing baseball. He underwent surgical repair and was given a referral for physical therapy. The referral was to begin passive ROM 3 times per week for 2 weeks then initiate a supervised home program of active exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month. 2 weeks after surgery, he had his first PT visit in a sports medicine clinic that was managed by an athletic trainer (ATC).”
When comparing rotator cuff tears from the common people and athletes, they are much more common when a person is physically active in sports. An injury in the rotator ...
The gym help people with cerebral palsy since the muscles of those are greatly affected by their condition, exercise can help improve flex ability, muscl...
The effects of multiple disabilities are often both multiplicative and interactive. Cerebral Palsy is a disability that originates from damage to the central nervous system, but which is often accompanied by sensory, communication, orthopedic, learning and cognitive abilities. The complex nature of cerebral palsy is related to differences in causation and the nature and degree of motor involvement. In this paper, Cerebral Palsy will be defined and described, followed by discussion of conditions that frequently occur with this disability. A description of the impact of cerebral palsy on physical and communication development will also be discussed.
Chronic lower back pain is a major health disorder in the world today (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). It can cause many physical, mental, and emotional problems on the victim (Mendelson, Selwood, Kranz, Loh, Kidson, Scott, 1983). Many people find their work so unbearably painful that they often have to stay home. Others experience depression, inactivity, and social isolation (Kaplan, Sallis, Patterson). Treatments range from the conventional methods such as medication and surgery to the alternative or unconventional methods such as acupuncture. However, only a small percentage of low back pain patients have the type of condition for which surgery can be used so acupuncture is becoming more popular (Lehmann, Russell, Spratt, 1983).
Based on the medical report dated 9/22/16, the patient presents for right shoulder pain. It was noted that the patient is over 5 months status post right shoulder arthroscopic superior capsular reconstruction for nonrepairable rotator cuff tear. The patient continues to complain of significant shoulder pain with any overhead activity. Pain keeps him up at night. He is very distressed by his pain. Musculoskeletal examination notes that the right shoulder has an active forward elevation to 100 degrees with pain and guarding beyond going any further with forward passive motion up
Target groups and populations who can benefit from aquatic therapy include, but are not limited to individuals with: arthritis and/or osteoarthritis, multiple sclerosis, cystic fibrosis, orthopedic impairments, cerebral palsy, asthma, as well as poor self-esteem and body image (Broach & Dattilo, 1996).
Weiner, S.S. & Nordin, M. (2010). Prevention and management of chronic back pain. Best Practice & Research Clinical Rheumatology, 24, 267-279. http://dx.doi:10.1016/j.berh.2009.12.001
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
da Silveira Sarmento, G., Pegoraro, A. N., & Cordeiro, R. C. (2011). Aquatic physical therapy as a treatment modality in healthcare for non-institutionalized elderly persons: a systematic review. Einstein (16794508), 9(1), 84-89.
* Aquatic Therapy or Hydrotherapy (dog pool and underwater treadmill)is excellent for improving strength, muscular endurance, cardio, range of motion, agility, psychological well-being and reducing pain.
Currently, the Athletic Training Educational Competencies do not specifically mention working with individuals who have intellectual disabilities, autism, or specific physical disabilities. Consequently, there is a growing need for more ATs who are knowledgeable about the special needs of athletes with disabilities. The professional preparation of ATs should include curricular content that is specific to athletes with disabilities and clinical experiences that provide opportunities to work with athletes with disabilities. Participation of ATs and athletic training students in community activities and events that involve athletes with disabilities should be encouraged in order to properly prepare for the special considerations associated with special needs athletes.
In conclusion, Bintzler was correct in her statement, “Aquatic therapy is used as a technique to better a person's life physically, socially, physiologically or psychologically.” Not only what goes on in the water during a swimming or aquatic therapy session is inviting to all disabled people, but the assists available to them such as flotation devices, pool lifts, and stair systems (NCPAD.org) make swimming irresistible. After continuos success in the water, the disabled person will reach a new level of confidence that will eventually translate out of the water in his daily life. Moreover, he will be able to live a more confident, pain free life due to swimming therapy’s ability to empower a disabled person physically and mentally.
Recreation and Leisure activities are in a high critical dimension of quality of life for everyone, including people with developmental disabilities. Sadly, many of those who are disabled are still limited to segregated recreation and leisure choices for any reason or another. Some people will confine themselves to opportunities which include trying a new variety of activities in different settings with different people; here some of the factors that can be affecting: Age, Gender, Sexual Orientation, Racial and Ethnic identity, and Socioeconomic status.