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AQUA THERAPY | HYDROTHERAPY | AQUA PLAY

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Celeste Tobias

on 4 July 2014

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Transcript of AQUA THERAPY | HYDROTHERAPY | AQUA PLAY

WHAT IS AQUA THERAPY?
AQUA THERAPY

is utilizing the unique
properties of the water to
rehabilitate

patients after injury or those with chronic
illness.

AQUA THERAPY

18 BENEFITS OF AQUA THERAPY FOR ADHD CHILD:

Give close attention to detail and avoid careless
mistakes
Sustain attention on tasks or play activities
Listen when spoken to directly
Follow through on instructions and finish school
work or chores
Organize tasks and activities
Engage in tasks that require sustained mental
effort
Keep track of things necessary for activities

STATISTICS OF SPECIAL KIDS
Ignore extraneous stimuli
Remember daily activities
Control movement of hands or feet or control squirming
Stay seated
Minimize inappropriate running or climbing
Play quietly
Control constant activity
Control excess talking
AQUA THERAPY CAN BE DONE:
1.
INDIVIDUAL SESSIONS
- Used until there are
improvements on:








1.
Introduction
What is WATER THERAPY
Statistics of Children with disabilities in the Philippines
2.
Benefits of Water Therapy for Children with Special Needs
ADHD (ATTENTION DEFICIT HYPERACTIVITY DISORDER)
CEREBRAL PALSY
DOWN SYNDROME
AUTISM SPECTRUM DISORDERS
3.
Setting Up Facility for Aquatic Therapy Sessions
4.
Actual Techniques and Equipments Used in the Philippines
2.
GROUP SESSIONS

SPECIAL SKILLS ARE BEING
TARGETED
WORK WITH THERAPIST AND
ENGAGE WITH THEIR GROUP
MATES
SHARE TOYS AND EQUIPMENTS
COOPERATIVE PLAY
COMPETITIVE PLAY
ATTENTION SPAN
CONCENTRATION
IMPULSE CONTROL
FRUSTRATION TOLERANCE
ABILITY TO FOLLOW INSTRUCTIONS
SELF-CONFIDENCE

SURVIVAL SKILLS
PROPULSION SKILLS
ADHD (ATTENTION DEFICIT HYPERACTIVITY DISORDER)
INATTENTION

HYPERACTIVITY
IMPULSIVITY
Control blurting out answers
Stand in line and take turns
Participate into conversations
and games without
interrupting or intruding
CEREBRAL PALSY
BRAIN
DISORDERS OF
MOVEMENT
LONG-TERM CONDITION
CAN BE TREATED, NOT CURED
DOES NOT GROW WORSE
NOT FATAL
NOT CONTAGIOUS

DISTURBANCES OF VOLUNTARY MOTOR FUNCTION
PARALYSIS
EXTREME WEAKNESS
INVOLUNTARY
CONVULSION
LACK OF COORDINATION
NOT INHERITED
MAY HAVE VISION
HEARING
INTELLECTUAL
IMPAIRMENT

WHEN IS AQUA THERAPY ADVISED?
NO SPECIFIC AGE REQUIREMENT
CAN BE USED EVEN IF THE CHILD CAN'T SWIM
WHO PROVIDES AQUA THERAPY?
PHYSICAL/OCCUPATIONAL THERAPISTS WHO
MET REQUIREMENTS TO PROVIDE THERAPEUTIC SERVICES

THOSE WITH AQUATIC THERAPY CERTIFICATION
BENEFITS TO THE CP CHILD:
Range of Motion and Tone Management
􀁹Breath control and respiration for health and speech
􀁹Freedom of movement unlike any other environment
􀁹 Independence
􀁹 Motor planning
􀁹 Social skills
􀁹 Life long fitness and leisure activity
ASSISTED WALKING
COMMON ACTIVITIES OF CP CHILD WITH THERAPIST:
USE FLOTATION DEVICE
ARM STRENGTHENING
BREATH CONTROL
DOWN SYNDROME
chromosomal disorder that results in the presence of an additional third chromosome 21, also referred to as trisomy 21.
EXPERIENCE DEVELOPMENTAL DELAYS
MILD TO MODERATE IMPAIRMENTS
HEALTH ISSUES BEYOND THE USUAL CHILDHOOD ILLNESSES
PRONE TO MORE INFECTIONS
PHYSICAL CHARACTERISTICS:
FLATTENED FACIAL PROFILE
SLANTED EYES
SINGLE CREASE ACROSS THE PALM
BENEFITS OF AQUA THERAPY TO A CHILD WITH DS

Improved muscle tone
Breath control & respiration
for health and speech
Social skills
Life‐long fitness & leisure activity
Obesity prevention

DEVELOPMENTAL MILESTONES
SITTING
CRAWLING
WALKING
BUILDING STRENGTH
AND
ENDURANCE
AUTISM SPECTRUM DISORDER
Autistic disorder
Asperger’s syndrome


INCLUDES
(National Institute of Mental Health(NIMH), 2008; Tomchek et al., 2010)

Pervasive Developmental Disorder-Not Otherwise Specified
Neurobiological and developmental disorders
Occurs within the first
years of life
Continues throughout the lifespan
(American Psychiatric Association(APA), 2000; Autism Speaks, 2009)
LACK OF APPROPRIATE GAZE/JOYFUL EXPRESSION
CHARACTERISTICS OF CHILDREN WITH AUTISM SPECTRUM DISORDER
Lack of interest or engagement with others
Failure to develop relationships with peers
Rely on consistency and routine
May have persistent, intense, and sometimes obsessive preoccupation with a topic or object
Stereotypical behaviors
deviant motor patterns
wiggling, arm flapping, body rocking and toe walking
normal language with slight deficits in tone or articulation
severe cases may have no speech
Speech may be delayed until 5 to 9 years of age
Repetitive movements
6 BENEFITS OF AQUA THERAPY FOR ASD
SUITABLE FOR SENSORY ISSUES
Autistic children are easily distracted
over or under react to stimuli
temperature of the water is important
warm water provides safe environment and hydrostatic pressure
substantial increase in tolerating touch following aquatic therapy.
PHYSICAL /HEALTH BENEFITS
REDUCES SPASTICITY
RELAXES MUSCLES
IMPROVES POSTURE & COORDINATION
DECREASES HYPERACTIVITY
IMPROVED SLEEP
BETTER EATING HABITS
3. Social Skills

learn to engage with therapist and groupmates
promotes self-esteem
fosters positivity
4. Cognitive Improvements

helping to facilitate neurodevelopmental growth
attention span
concentration
impulse control
frustration tolerance
ability to follow instructions
Time and Task Completion
IMPROVED RESPONSE TO VERBAL CUES
Familiarity with

BETTER SWIMMING SKILLS
AWARE OF SURROUNDINGS
Water Safety
Pediatric aquatic therapy
which facilitates the acquisition of developmental milestones
improves fitness skills
improves social skills and
allows the child to develop a life‐long leisure
skill

SETTING UP A FACILITY FOR AQUA THERAPY
ADAPTING AN EXISTING FACILITY
UTILIZE WHAT
YOU HAVE
ALTER WHAT
YOU HAVE
PROVIDE
EQUIPMENTS
PLAN ON BUILDING A NEW FACILITY
UTILIZE WHAT YOU HAVE
Ability to manipulate water
temperature‐ desired temp:
85-90 degrees
􀁹
Utilize existing water depths –
1 foot to 4 feet deep
Use your stairs
ALTER WHAT YOU HAVE
WATER DEPTHS
MAKE THE POOL MORE SHALLOW
PROVIDE EQUIPMENTS
Flotation
Compression Vest (i.e. Wet Vest)
Wrist/Ankle Weight
􀁹Flow‐through mat


Leg floats
Balls
􀁹Toys
MANUFACTURED POOLS
WITH BUILT-IN
FEATURES
MADE OF FIBERGLASS OR STAINLESS STEEL SHELL
USUALLY SMALLER
FIXED DEPTH
AREA
CUSTOM BUILT POOLS
GENERALLY LARGER
NO BUILT-IN FEATURES
WATER DEPTH: 1-4 FT
SHELF (TEACHING POD)
LOTS OF STEPS
TEMPERATURE CONTROL
HEATERS USED FOR POOLS
PERIMETER EDGES
Conventional perimeters
Stainless steel gutters
Skimmers
Concrete

More inviting
edges

Importance of finger grip
For wall walking
ENTRY
Common choices:
􀁹 Paint
􀁹 Plaster
􀁹 Metal panels
􀁹 Fiberglass
􀁹 Vinyl lined
􀁹 Tile
􀁹


COATINGS & TEXTURES
Ramps
Zero‐depth
entry
Lifts
Stairs
Transfer
tiers
Transfer
walls
Important choice given tactile
response of kids
LIGHTING

Create pleasant, warm and inviting area
• Indirect lighting
• Reduce “hot spots”/ point sources
• Natural light‐ but avoid glare

LIGHTING TYPES
􀁹 Fluorescent‐ small areas, smaller watts,
energy efficient, good color
􀁹 Metal Halide‐ larger areas, higher watts,
good lighting
Air Quality‐
􀁹 Humidity:‐ 50‐60% relative humidity
Comfort of patrons
Protect structures and equipment

If Humidity is high - Uncomfortable
- Prone to corrosion
If Humidity is low - Swimmers are cold
- Harder to maintain pool temperature




􀁹
Temperature‐
Air temp. 2 degrees warmer than water

􀁹 Fresh Air Circulation‐
Therapy pools ‐ 4 to 6 air changes per
hour (with mechanical cooling)
NOISE CONTROL
COMMON METHODS
CEILINGS
WALLS
PERFORATED CEILINGS
USE OF BANNERS OR BAFFLES
USE OF ACOUSTICAL BLOCKS
WALL PANELS
SURROUNDING AREAS OF THE POOL
SPECTATOR AREAS - PLACE IN COOLER LOCATION
PRIVATE RESTROOMS / CHANGING ROOMS
PRIVATE OFFICE FOR THERAPISTS & PATIENTS
Full transcript