Professional Documents
Culture Documents
application
Initially used for relaxation
History of Hydrotherapy
ordinary containers are not as therapeutic as
clinical containers such as whirlpools and
Hubbard Tanks with agitating turbines
The weight density of a material is the weight of a given volume unit of the material
divided by that volume unit. An example is that a 1 cubic foot volume of water weighs
62.4 pounds. The density of water is then 62.4 pounds per cubic foot.
Clinical Significance
Buoyancy
Reduces the stresses on immersed weight bearing
joints
Clinical Significance
Provides an additional source of resistance for
exercise training in the water if the part is moved
downward against buoyancy
Clinical Significance
The center of buoyancy
(COB) will lie in a vertical
line, if the COB falls
outside of the BOS then
the body will shift to try
to maintain an upright
position
Clinical Significance
Relative Density
Floating versus not floating
Floating requires NO physical effort,
Can dispel fears about the water
The body will easily be supported by the
water
It will be easier to maintain an upright
posture in water
Clinical Significance
Hydrostatic pressure
Pressure will be experienced as a
body is immersed in water
Chest expansion will be more
difficult
If the vital capacity is less than 1500cc
Use floatation devices and extreme
caution
resistance to movement
in water than on land
Less drag
Treadmills
Bicycles
Ploughs
Sleds
Stair climbers
Parachutes
Ski simulators
Water temperature
Difference between skin and water temperature
Extent of immersion in the water
Duration of treatment
Weight, age, general condition of the patient
Movement of the patient
Fear of water or ability to swim
Availability of classes
Hydrotherapy
Cold water immersion
(55-65oF)
Vasoconstriction
Increased muscle tone
Increased heart rate
Increased blood
pressure
Involuntary shivering
Hydrotherapy
Removal from cold water
Peripheral vasodilation
Eyrthema
Decreased blood pressure
Hydrotherapy
Hot water immersion (98-104oF)
Local application
Sedative effect
Relief of muscle guarding or spasm
Hydrotherapy
Hot water immersion (98-104oF)
Large body surface immersion
Increased
body temperature
Circulatory rate
Metabolic rate
Oxygen consumption
Heat elimination
Heart rate
Hubbard Tank
Hydrotherapy Equipment
Components
Tanks
Sealed, durable, cleanable, appropriately sized for
the application
Have water mixing valves with temperature
gauges
Have some form of water drainage system
Hydrotherapy Equipment
Turbines
Adjustable
Height
Air intake
Turbulence
Angle for turbulent flow
Hydrotherapy Equipment
Patient Supports
Transfers
Lifts
Gurneys
Ramps and submersible
wheelchairs (aquatic
pool)
Hydrotherapy Equipment
Patient supports
For transfers
Seats
(Submersible)
Swivel chairs
(Submersible)
Hydrotherapy Equipment
Extremity tanks
Stainless steel or
fiberglass
Mobile or fixed
Small areas of the
body
Hands, feet, elbows,
ankles
Hydrotherapy Equipment
high boy
Stainless steel or fiberglass
Mobile or fixed
Knees, hips (?), backs (?)
Hydrotherapy Equipment
low boy
Stainless steel
Fixed
Knees, hips (?),
entire LE
Hubbard Tank
Fixed
Whole body
immersion
Shaped like an
angel
May have a central
trough and parallel
bars for ambulation
Patient Preparation
Appropriately attired
Clean
Prepared for treatment
No
Dressings
External catheters
IV in upper extremity
Patient Preparation
Prepared for treatment
If indicated
Vital signs
Monitored and stable
Care of Equipment
Cleaning
Before immersion
Tank
Turbine (inside and outside)
Support devices in the water
Support devices outside of the water
Floor is DRY
Care of Equipment
Additives
for the prevention of foam
For cleaning
For the prevention of the spread of disease
Non-specific debridement
Decrease muscle guarding
Increase ROM
Decrease hyper-sensitivity
Decrease pain
Promote relaxation
Promote gravity free, buoyancy rich environment
for therapeutic exercise
and a tracheotomy
Precautions to Hydro/Aquatics
Hypertension (high blood
pressure)
Control length of
exposure and
temperature of the
water
Fear of water
Monitor closely
Use flotation devices