hydrotherapy lecture 4 activity in water n.
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  1. HYDROTHERAPYLECTURE 4:-ACTIVITY IN WATER Activity in water is usually for two reasons : To exercise and / or to swim . Games and activities that are fun and interest to develop the skills required. There is a marked tendency among those working with disabled persons to use hoists, ramps and special wheeled chairs to get disabled swimmers into and out of the water. All mechanical means of entry and exit place the disabled in a stablt position , the disabled should be enabled to participate in as normal manner as possible. A method of entry and exit should be devised and developed so the integration of disabled persons –whether children or adults- into normal life is desired, in water, this is essential.

  2. HYDROTHERAPY / RECREATION BALANCE AND ANALYSIS:- All participants in activity in water must learn to creat and control the patterns of rotation –vertical and lateral –as well as a combined rotation ensures the safety of the patient . The following table indicate the most likely rotation to occur in various conditions and therefore the rotation(s) to be taught first

  3. In assessing the individual for group work the Ph. Th. Considers the person,s : - Condition. - Age. -Attitude. - Mobility. • -Need for support or assistance in water. Oxford Scale For Muscle Power Modified For Water This scale is provided for water but it is limited to the assessment of muscles which retain little power but good range of movement.

  4. The scale of muscle power on land is graded from 0 to 5, with 0 equalling no contraction and 5 as normal. In water the scale commences at 1 and continues to 5 but it must be recognized that grade 5 in water is not normal as such function cannot be tested in there.In addition to adding floats at grades 4 and 5 the lever arm can be lengthened.

  5. 1= Contraction with buoyancy assisting. 2= Contraction with buoyancy counterbalanced. 2 + = Contraction against buoyancy. 3 = Contraction against buoyancy at speed. 4 = Contraction against buoyancy and light float. 5 = Contraction against buoyancy and heavy float.

  6. MUSCLE TONE:- Measurement of muscle tone is a complex procedure and may take many forms ranging from simpler processes to complicated methods. In water where warmth and support tend to alter the tonal state, such measurement becomes more difficult, so Ph.Th. should asses tone on land first. Reassessment should take place in each treatment session.

  7. BREATHING CONTROL:- Whether dealing with adults or children it is important to assess their breathing control . On land, Ph. Th. Checks the ability to blow out and once in the water the level at which this can be achieved is assessed. Is the person able to blow regularly onto the water, beneath the surface or exhale through the nose under the water or hum? Humming is the acceptable alternative when exhalation through the nose is difficult.

  8. RECORDING:- Detailed recording of hydrotherapy treatments is as important as documentation of other treatments. The following items should be included:- The length of the treatment. The temperature of the water. The depth used. The ex., patterns included in the programme. Any progressions of the ex. Any improvements in the patient,s condition and activity. Individual and/ or group treatment.