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How Does Aqua Hydrotherapy Treatment Work? I Physio Centre

aqua hydrotherapy treatment
aqua hydrotherapy treatment
Back & Neck Pain, Neurological Conditions, Pre-Post-Surgical Conditions, Sports Injuries, Synapse Physiotherapy, Work Desk Injuries​

Aquatic therapy encompasses treatments and exercises conducted in water to facilitate physical rehabilitation, relaxation, fitness, and therapeutic benefits. It is widely embraced across all age groups with various disabilities or disorders, offering numerous advantages.

Within aquatic therapies, warm water promotes muscle relaxation and peripheral circulation. Water resistance enhances muscle strengthening, while the alleviation of gravitational forces and joint pain facilitates the performance of range of motion or stretching exercises. Furthermore, regular swimming can improve respiratory functions and thoracic mobility. Swimming has been found to enhance pulmonary functions, aerobic capacity, and quality-of-life parameters in patients with AS (ankylosing spondylitis).

Physiotherapists often integrate aqua hydrotherapy into rehabilitation programs. The water offers a secure, low-risk, and supportive training environment, especially beneficial for older individuals participating in fitness programs without worry of falling. This enhances client satisfaction and adherence to hydrotherapy exercises. Furthermore, the social atmosphere of the sessions often amplifies the therapeutic benefits.

Properties of Water 

Hydrostatic pressure 

Hydrostatic pressure plays a crucial role in aquatic therapy, representing the static force exerted by water against a person or object. This force also generates the upward thrust we know as buoyancy, which significantly influences therapeutic exercise. For instance, during standing hip abduction, buoyancy assists the limb, while returning to neutral position requires increased hip adductor force to overcome buoyancy. Thus, buoyancy can act both as an aid and a resistance.

Moreover, hydrostatic pressure enhances heart efficiency by aiding venous return and applies compression to joints, muscles, and soft tissue, facilitating swelling reduction and lymphatic drainage. Buoyancy unloads the body, with greater depth of submersion leading to reduced gravitational effect on body weight. A basic breakdown of buoyancy’s unloading effect relative to body weight includes: waist deep – 50%; chest deep – 75%; neck deep – 90%.

 

The conditions helps by hydrotherapy 

Chronic pain 

Hydrotherapy is recommended as a course of treatment for various chronic pain conditions. It helps to promote normal movement, increase muscle length, and enhance muscle strength and control. Conditions such as fibromyalgia, complex regional pain syndrome, and longstanding musculoskeletal issues can benefit from hydrotherapy.

Hydrotherapy is particularly effective for chronic pain because it addresses multiple symptoms simultaneously. It offers several key benefits. First, heat stimulates thermo-receptor nerves, thus relieving pain and increasing soft tissue extensibility. Additionally, heat promotes fluid movement within the body’s joints and induces muscle tissue relaxation, thereby calming the mind. Next, buoyancy reduces direct pressure on joints as the body floats in water, resulting in less pain and enabling freer movement. This effect can be adjusted easily by changing water depth. Finally, water resistance provides gentle yet variable resistance according to movement speed, aiding in improving muscle tone and strength. Moreover, the constant resistance of the surrounding water stabilizes movements, boosting confidence in pain-free movement without the risk of injury.

Neurological conditions

For individuals with neurological conditions, hydrotherapy offers opportunities to perform activities that may be challenging on dry land. It can also help reduce muscle spasms in severe traumatic brain injury patients and enhance strength in various neurological conditions.

The warm water in hydrotherapy sessions facilitates increased movement by reducing joint stiffness, normalizing muscle tone, and promoting muscle relaxation, collectively contributing to pain relief. Water also offers resistance, aiding in the strengthening of weak muscles. Additionally, the buoyancy effect of water enables passive stretching. Furthermore, water provides a safe environment for practicing balance and walking, and it enhances ease of handling for physiotherapists. Moreover, buoyancy decreases weight bearing, allowing for easier walking. 

Cardiovascular condition

In cardiovascular and pulmonary conditions, hydrotherapy aids in improving muscular and cardiopulmonary endurance, particularly in the elderly or in rehabilitation following chronic heart failure or respiratory disease exacerbations.

Musculoskeletal injuries

Musculoskeletal injuries, whether from sports or aging, can be improved with hydrotherapy. Commonly treated conditions include osteoarthritis, rheumatoid arthritis, ankle sprains, muscle tears, and low back pain.

Water offers a unique and supportive environment for muscle and joint rehabilitation, providing numerous benefits. The buoyancy effect experienced in water reduces the weight that bones, muscles, and joints have to bear, while the heating effect helps decrease swelling, increase blood flow, and alleviate pain. This combination creates an ideal medium to aid in your return to full function.

Moreover, water provides accommodating resistance, meaning that the resistance increases with the speed of movement. This feature is especially advantageous in musculoskeletal injuries as it reduces the risk of excessive resistance. In hydrotherapy, you can experience this concept firsthand and practice common functional movements relevant to your daily life.

By varying the depth, you can gradually increase the amount of body weight borne by the affected joint. Once mastered, these skills can be transitioned to land-based functional exercises. Hydrotherapy is particularly effective in the early stages of lower limb rehabilitation, before full weight bearing is feasible. Starting a hydrotherapy program early in the rehabilitation process helps preserve joint range of motion and facilitates a smoother recovery journey.

Post-operation

Hydrotherapy accelerates recovery for patients undergoing back, abdominal, or lower limb surgeries, aiding joint movement and muscle strength. It is beneficial for clients recovering from surgeries like anterior cruciate ligament surgery, Colles’ fracture reduction, and lower limb joint replacements.

The buoyancy from the water alleviates stress on weight-bearing joints, providing patients who are unable to bear weight with an opportunity to do so much earlier without concern for exacerbating their injuries. Additionally, the resistance offered by water can be utilized to build strength, with the level of effort modulated by the individual through adjustments in speed. Furthermore, the warmth of the water aids in relaxing tight muscles, facilitating easier range of motion exercises and reducing pain sensation. This combination of factors makes water-based therapy an effective and comfortable option for rehabilitation.

Pediatric condition

In pediatric care, hydrotherapy is commonly used for children with neurological or orthopedic conditions, or post-surgery. Conditions such as Rett syndrome, cerebral palsy, spina bifida, infantile spinal muscular atrophy, and post-surgery recovery can benefit from hydrotherapy.

Children often find water-based rehabilitation more enjoyable than traditional land-based methods. The playful environment of the pool makes exercise enjoyable, leading to greater enthusiasm and participation. Consequently, children are more willing to engage in water-based exercises, resulting in improved compliance with their rehabilitation regimen.

How long for a session

The duration of a hydrotherapy appointment typically varies depending on client tolerance and therapy objectives, but it usually lasts between 45 to 90 minutes.

What happens during the first session

During your initial hydrotherapy session, your therapist will ensure your safe entry into the pool. They may utilize aquatic equipment such as floats, paddles, or pool noodles to aid in exercises or provide additional resistance. The session may take place in shallow or deep water depending on your therapy goals.

How many session is needed

The number of hydrotherapy sessions required depends on factors such as your diagnosis, the severity or chronicity of your injury, your medical history, and other considerations. Hydrotherapy sessions often complement in-clinic therapy well and can effectively help achieve therapy goals.

Hydrotherapy plays a crucial role in physiotherapy by offering effective rehabilitation and pain relief through water-based treatments. Synapse Physiotherapy provides tailored hydrotherapy sessions, harnessing the benefits of water to enhance mobility, reduce pain, and improve overall well-being. With specialized expertise, we ensure patients receive personalized care to achieve optimal outcomes in their recovery journey.

 

Share This :

Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Introducing aqua hydrotherapy treatment in KL | Synapse

Synapse Physiotherapy

Introduction

Hydrotherapy, also known as aquatherapy, encompasses activities carried out in the water to aid in rehabilitation and recovery, particularly following intense training or significant injuries. This therapeutic approach has roots dating back thousands of years and involves engaging in exercises in warm water. Widely recognised as a favored treatment for individuals with neurologic and musculoskeletal conditions [3], hydrotherapy facilitates the practice of coordinated and balanced movements, providing an effective means for rehabilitation and recovery.



Physiotherapists frequently incorporate aqua hydrotherapy treatment into rehabilitation. Water provides a secure, low-risk, and supportive training environment, making it particularly advantageous for older individuals seeking to participate in fitness programs without concerns about falling. This contributes to high levels of client satisfaction and adherence to hydrotherapy exercises. Additionally, the therapeutic benefits are often amplified by the social atmosphere of the sessions.

Physical properties of water 

Water possesses various physical characteristics: encompassing mass, weight, density, relative density, buoyancy, hydrostatic pressure, surface tension, refraction, and reflection.The following are the physical properties laws of water that the physiotherapist should understand: 

 

Buoyancy 

 

Buoyancy is the upward force encountered, acting in opposition to gravity. In water, a submerged body undergoes the influence of two conflicting forces. Stable equilibrium is achieved when the weight of the floating body matches the weight of the displaced liquid, and the centers of buoyancy and gravity align in the same vertical line. 

Hydrostatic pressure 

According to Pascal’s law, when a fluid is at rest, its pressure is evenly distributed on all parts of an immersed body at a specific depth. This pressure correlates with the fluid’s density and depth, leading to increased pressure. Consequently, exercises conducted beneath the water’s surface, where heightened pressure can be utilised, are more effective in reducing swelling.

The hydrostatic pressure exerted externally induces a peripheral decrease in Blood Pressure (BP) and a rise in BP in and around the heart. This dynamic can pose challenges for individuals with conditions such as Chronic Heart Failure (CHF) and Coronary Artery Disease (CAD), necessitating careful consideration. The depth of immersion directly influences the extent of changes in the mentioned factors. 

Surface tension

When under tension, the surface of the fluid acts as a membrane. The key significance of this characteristic lies in its close correlation with the size of the object. Consequently, exerting force to move an object or body part above the water demands more effort compared to moving it below the surface. Devices such as floaters can be employed to facilitate these movements 

Viscosity

Viscosity refers to the resistance to flow resulting from friction between the molecules of a liquid. This resistance is directly influenced by the viscosity of the liquid through which the movement occurs. Consequently, the crucial observation here is that resistance increases proportionally with the velocity of movement, as well as with the surface area of the item or body part in motion. 

 

Benefit 

Hydrotherapy creates a gravity-eliminated environment that enhances joint range of motion, further augmented by the stimulating effects of water flow providing sensory input.

Traditionally considered as a supplementary approach to exercise, hydrotherapy has gained broad acceptance in the treatment of acute painful conditions such as rheumatoid arthritis, complex regional pain syndrome, and postoperative pain.

 

 

The advantages of water exercises encompass the elimination of gravity, the positive influence of buoyancy, increased muscle relaxation, and reduced joint compression. The buoyancy of water decreases the effective weight of the patient proportionally with increasing depth. An example would be standing in chest-deep water reduces weight-bearing loads to 40% of total body weight. By eliminating the effects of gravity through floating, water exercises may gradually introduce increased tissue loads by adjusting the therapy depth. Water viscosity provides resistance equal to the force exerted by the patient, with resistance varying according to the speed of movement.

 

Clinically, patients report reduced pain levels during passive and active range of motion, as well as strengthening exercises in water. Water exercises allow for closed kinetic chain activities when pain or weight-bearing precautions limit land-based therapy. Additionally, water exercise is often perceived as less strenuous compared to the same exercises performed on land. Studies have demonstrated sustained benefits, showing a reduction in pain and improved function in patients participating in hydrotherapy for up to three months after therapy initiation.

 

 Hydrostatic forces also have been demonstrated to enhance venous return, improve stroke volume and cardiac output, and induce reflexive bradycardia (Stanos et al.). 

Contraindication

Hydrotherapy is contraindicated in the presence of the following conditions: severe organic deficiency, severe brain impairment, senile deterioration, individuals with multiple sclerosis, open wounds, active infection, altered sensation, hydrophobia, heat or cold intolerance, and poor balance.

 

Techniques in hydrotherapy 

WATSU method 

Also known as ‘water Shiatsu,’ WATSU® is a fusion of Aquatherapy and Shiatsu. It involves stretching the body in the comforting and buoyant environment of warm water. Beyond its physical benefits, WATSU® places significant emphasis on the mental aspect of therapy. This method induces a profound sense of relaxation and tranquility, alleviating muscle tension and promoting the stimulation of all body systems and organs by enhancing the flow of energy 

Bad Ragaz Ring method 

The Bad Ragaz Ring technique is an aquatic treatment approach rooted in proprioceptive neuromuscular facilitation. Employing floating rings positioned at the neck, pelvis, knees, and/or ankles, this method supports the patient in a vertical supine position. Utilising water at a temperature of 33 degrees Celsius, the Bad Ragaz Ring technique involves resistive exercises that enhance both strength and mobility. It is essential for the patient not to exert significant force, allowing the therapist to apply the necessary pressure. For optimal results, the Bad Ragaz Ring technique should be integrated with complementary strategies aimed at enhancing engagement and exertion. One such approach is the Halliwick method. 

Feldenkrais Method

This method promotes teaching individuals about the quality of their movements and how to move effortlessly with ease and efficiency. 

Burdenko Method 

It is an integrated land-water therapy approach that develops balance, coordination, flexibility, endurance, speed, and strength using the same methods as professional athletes. The water-based therapy uses buoyant equipment to challenge the center of buoyancy in vertical positions, exercising with movement in multiple directions, and at multiple speeds ranging from slow to fast 

Who needs aqua therapy?  

Hydrotherapy, the therapeutic use of water, offers a range of benefits that cater to various individuals. People grappling with musculoskeletal conditions, such as arthritis or joint pain, often find relief in the buoyancy of water, which reduces impact on joints during exercises. Rehabilitation patients recovering from surgery or injury can benefit from hydrotherapy, leveraging water’s support and resistance for a gradual and effective recovery of strength and mobility. Those dealing with chronic pain, including conditions like fibromyalgia or lower back pain, may experience alleviation as the warmth of water relaxes muscles. Athletes incorporate hydrotherapy, including ice baths and warm water immersion, for post-exercise muscle recovery and inflammation reduction. Hydrotherapy’s relaxing effects make it valuable for managing stress and anxiety. Individuals with circulatory problems may find improvement through contrast baths, while those with respiratory conditions can benefit from steam baths or saunas. Prenatal water activities and warm baths are recommended for pregnant women seeking relief, and elderly individuals appreciate the gentleness of hydrotherapy on aging joints

Frequently Asked Questions (FAQs)

1. What is Aqua Hydrotherapy, and how does it aid in rehabilitation and recovery?

Aqua Hydrotherapy, also known as hydrotherapy or aquatherapy, involves engaging in exercises in warm water to facilitate rehabilitation and recovery. At Synapse Physiotherapy, this therapeutic approach is designed to harness the benefits of buoyancy, hydrostatic pressure, and water’s physical properties for effective rehabilitation following intense training or significant injuries.

2. What are the physical properties of water and how do they contribute to Aqua Hydrotherapy?

Water possesses unique physical characteristics, including buoyancy, hydrostatic pressure, surface tension, and viscosity. These properties play a crucial role in Aqua Hydrotherapy, providing a gravity-eliminated environment that enhances joint range of motion, muscle relaxation, and sensory input. Understanding these properties allows physiotherapists to tailor treatments for maximum effectiveness.

3. What are the benefits of Aqua Hydrotherapy, and who can benefit from it?

Aqua Hydrotherapy offers a gravity-eliminated environment, positively influencing buoyancy, muscle relaxation, and joint compression. It benefits a diverse range of individuals, including those with musculoskeletal conditions like arthritis, postoperative pain, chronic pain (e.g., fibromyalgia), athletes for muscle recovery, and individuals with circulatory or respiratory conditions. It is also valuable for stress management and prenatal care.

Conclusion

In conclusion, hydrotherapy emerges as a versatile and beneficial approach for various health conditions, ranging from musculoskeletal issues to stress management. Recognising its efficacy, Synapse Physiotherapy proudly offers hydrotherapy services. Our dedicated therapists are well-equipped to guide you through personalised hydrotherapy sessions, ensuring a tailored approach to meet your specific needs and health goals. Whether you are seeking relief from pain, recovering from an injury, or simply aiming to enhance your overall well-being, our team is committed to providing expert guidance and support throughout your hydrotherapy journey. Trust in Synapse Physiotherapy to harness the healing power of water, promoting your physical and mental well-being through specialised and caring hydrotherapy services.

Produced by MYSense

References

Stanos, Steven, et al. “Chapter 73 – PHYSICAL MEDICINE APPROACHES to PAIN MANAGEMENT.” ScienceDirect, W.B. Saunders, 1 Jan. 2009, www.sciencedirect.com/science/article/abs/pii/B9781416048367000730. Accessed 29 Jan. 2024.

Share This :

Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.