Aquatic Physical Therapy Report, PHYSICAL THERAPY DOCTORATE
Aquatic Physical Therapy Report, PHYSICAL THERAPY DOCTORATE
Aquatic Physical Therapy Case Report
Pilot Study to Investigate the Effect of a 10-Week Aquatic Exercise Program on Individuals With High Levels of Disability Due to Multiple Sclerosis
Sames, Carol PhD; DeBlois, Amy PT, DPT, NCS
The Journal of Aquatic Physical Therapy: January/April 2021 - Volume 29 - Issue 1 - p 2-13
doi: 10.1097/JAPT-D-20-00008
Abstract
Background and Purpose:
Research has suggested that a properly designed and implemented aquatic exercise (AE) program can improve physiological function and quality-of-life (QOL) outcomes in individuals with minimal disability levels due to multiple sclerosis (MS). Minimal research has investigated AE in individuals with higher levels of disability. The purpose of this study was to investigate a 10-week AE program on walking speed and QOL outcomes, specifically the effect of fatigue, in individuals with higher levels of disability due to MS, at an Expanded Disability Status Scale (EDSS) score between 5.0 and 6.5.
Methods:
Fifteen females and 4 males with relapsing-remitting MS, mean age 46.4 years ± 10.0, EDSS score 5.9 ± 0.4, and disease duration 10.4 years ± 6.5. The AE group was individually modified and performed 3 times per week for 45 minutes at a rating of perceived exertion of 11 to 13 for 10 weeks. Prior to and upon completion of structured AE intervention, subjects performed the following tests: Multiple Sclerosis Functional Composite (MSFC), Multiple Sclerosis Quality of Life Inventory (MSQLI), and 25-ft Water Walk Test.
Results:
Improvement in the MSFC (P = .001) was noted in all 3 MSFC components: 25-ft Water Walk Test (P = .020), 9-Hole Peg Test (P = .006), and Paced Auditory Serial Addition Test (P = .005). Improvements in the following subtests of the MSQLI were noted: SF-36 (36-Item Short Form Health Survey) physical and mental component summary (PCS, P = .006) (MCS, P = .009); Modified Fatigue Impact Scale (P = .006); Pain Effects Scale (P = .006); Perceived Deficits Questionnaire (P = .003); and Mental Health Inventory (P = .040).
Discussion and Conclusions:
Results suggest that a 10-week AE program for individuals with MS improved walking speed, arm function, memory, mental health, and generic QOL and reduced fatigue, pain, and perceived cognitive impairment in individuals with moderate to severe disability without adverse symptoms.
Aquatic Physical Therapy Case Report
Rehabilitation of a Patient with a Supraspinatus Tear by Aquatic Therapeutic Home Exercises
Palmer, Simone L.
Journal of Aquatic Physical Therapy: November 1998 - Volume 6 - Issue 2 - p 24-27
Abstract
Purpose:
To describe the successful, non-surgical rehabilitation of MRI-documented rotator cuff tear.
Subject:
A 78 year-old, Caucasian female sustained a right supraspinatus tear status-post head-on motor vehicle collision.
Methods:
An orthopedic physical therapy evaluation was performed including three baseline measures prior to exercise prescription. An aquatic exercise program was instructed for independent, daily home application. In total, the patient was monitored for ten sessions at clinic. Exercises were progressed over a period of 3 ½ months.
Results:
Upon interval retesting of baseline measures, the affected right shoulder complex demonstrated improvement in joint mobility, muscle and grip strength. In a two-year follow-up, patient demonstrated overhand crawl stroke leading with previously debilitated shoulder.
Conclusions:
Shoulder surgery was not a required intervention to return patient to pre-morbid status. Future clinical studies are recommended to explore non-surgical rehabilitation of rotator cuff tears by aquatic physical therapy.
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