4 minute read
The benefits of using hydro/aquatic therapy to treat neurological conditions
At Askham Rehab, we use hydrotherapy, or aquatic therapy as it is more commonly referred to, to treat a range of neurological conditions including acquired and traumatic brain injuries, spinal cord injuries, and multi-trauma injuries.
In accordance with Aquatic Therapy Association of Chartered Physiotherapists, which states the use of hydrotherapy should be specifically tailored for an individual to maximise function, our purpose-built pool is used as a part of our residents’ rehabilitation programmes, concentrating on a range of physical, physiological and psychosocial neurological deficits. We pride ourselves on providing hydrotherapy to every resident or outpatient that indicates the need for it, with sessions being incorporated into their weekly timetable for therapy and activities.
TAKING THE FIRST STEPS
Before beginning their rehabilitation journey with us, residents are invited to attend an initial assessment, where our aqua therapist asks them questions about their condition. Mutually agreed SMART (Specific, Measurable, Attainable, Relevant, and Time-Bound) goals are then set and the resident would be prescribed to a treatment programme specific to their needs.
WHAT WE OFFER
Our heated pool, which is maintained at the optimum temperature of 35.5°C, with an ambient air temperature of 31°C, has ladder access and a tracking hoist to allow access to a wide-range of residents and out-patient users. The facilities are completely user-friendly, with level access changing rooms and facilities that are suitable for all, including wheelchair users. There are also the extended options of different lighting and a massage pump to allow for true relaxation.
The pool is used for single user occupancy with two trained staff members, and sessions are completely designed around the individual and their needs. Users often comment that their pain disappears and that they can move more freely and feel relaxed. Our hydrotherapy offering is further enhanced by one of our therapists who is currently progressing through to become an accredited aqua therapist, following the completion of her foundation training programme.
THE BENEFITS OF HYDROTHERAPY
Utilising the properties of water can provide pain relief and the reduction of muscle spasm. The warmth of the water helps suppress the sympathetic nervous system and stimulates the skin sensory nerve endings. There is also a reduced effect of gravity due to the support of buoyancy in the water, allowing for ease of movement, joint range and flexibility.
Improved strength and endurance is also achieved in water as it helps to work muscles in different planes and in ways that often can’t be replicated on dry land. Such properties include the viscosity, weight and density of the water, and force of buoyancy. Water also produces resistance through negative pressure from turbulence and a drag effect.
Users also experience enhanced balance, coordination and posture while being unencumbered, with the support of buoyancy and weight-bearing in various positions. The Metacentric effect can be further challenged with assistance or resistance given to the different movements. Furthermore, cardiovascular fitness is improved due to the hydrostatic pressure gradient of the water providing assistance to the circulation.
The hydrostatic pressure gradient also enhances blood and exudate fluid circulation which has a positive effect on oedema. The reduction in swelling can ease the ability to move more freely.
Wellbeing benefits include enhanced relaxation through the water’s hypnotic effects. Due to its temperature being thermo-neutral, the pool has a positive effect on reducing pain, allowing people to be more independent and enjoy the freedom it may provide.
The general benefits of exercising in a hydrotherapy pool include;
Improved cardiovascular and respiratory function Improved neuromuscular and physical performance Improved posture and appearance Relief of tension Stimulation of mental activity Increased general feeling of health and wellbeing Delaying of the ageing process
COVID-19 RESTRICTIONS
Due to the coronavirus pandemic, we had to close the hydrotherapy pool to our users, but since last summer our Clinical Lead has been able to run sessions for the residents. The pool will soon be reopening for out-patients too, which we are very much looking forward too as we see hydrotherapy as a real asset in treating neurological conditions. ■
She comes, and I make my bed with her... I’ve got back to doing it by myself and that corresponds to independance. Without fail every morning it has become routine.
The whole point of rehab is getting back to normal, I want to be able to do everything.
Anything is possible.
Neuro Occupational Therapy
Clinical excellence and expert knowledge
Specialist Occupational Therapy and Vocational Rehabilitation Services for people with brain injury and neurological conditions.
