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Hydrotherapy for Spinal Cord Injury- Benefits and Techniques

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Hydrotherapy is an aquatic therapy. It is a safe and effective way to help those with spinal cord injury to regain mobility and improve their quality of life.

Medically reviewed by

Mohammed Wajid

Published At April 27, 2023
Reviewed AtApril 27, 2023

Introduction:

Injuries to the spinal cord can be devastating and affect a person’s quality’s life. Hydrotherapy is a form of physical therapy in a pool, hot tub, or other body of water. It involves various exercises, stretches, and movements performed in the water to help improve strength, flexibility, and overall health. Water has a unique power to heal. Through aquatic therapy, individuals with spinal cord injury can regain strength, flexibility, and a sense of well-being. In this article, we will explore the benefits of aquatic therapy for spinal cord injury patients and how it can be a powerful tool to aid their recovery. In addition, we will discuss different aquatic therapy techniques that can help to improve the quality of life for those with spinal cord injuries.

What Is Hydrotherapy?

  • Hydrotherapy, also known as aquatic therapy, is a form of physical therapy that uses water to improve balance, strength, endurance, coordination, and mobility. It is particularly beneficial for those who have suffered from spinal cord injuries, as it offers many benefits that cannot achieve through traditional methods.

  • Hydrotherapy helps promote circulation, reduce swelling, and build muscle strength. In addition, the buoyancy of the water supports patients as they perform exercises, which allows for more complex movements with less risk of injury.

  • Hydrotherapy is typically administered in a pool or hot tub filled with warm water. The therapist may use various tools to help facilitate movements, such as foam noodles, paddles, and medicine balls. Hydrotherapy aims to help patients increase their range of motion and strength while helping to reduce their pain and discomfort.

  • The main benefit of hydrotherapy for those with spinal cord injuries is that it provides support to the body while allowing the patient to exercise without fear of further injury or pain. By using the buoyancy of the water, patients can move more freely and with greater ease than on land. Additionally, the heat of the water helps relax muscles and reduce stiffness, making it easier for them to perform exercises.

  • In addition to providing physical benefits, hydrotherapy can also benefit mental and emotional health. Studies have shown that aquatic therapy can help reduce stress and anxiety and improve mood and social interactions. Spending time in the water can also be a fun way for patients to enjoy physical activity and build confidence.

What Are the Healing Properties of Water?

Water has long been used for healing, and recent research shows that aquatic therapy is a powerful tool for those with spinal cord injury (SCI). Not only does aquatic therapy provide physical rehabilitation, but it also helps to improve mental health and reduce stress.

Aquatic therapy is especially beneficial for people with SCI because the water reduces the body’s weight, decreasing the impact of gravity on the body. Therapists often use specially designed underwater treadmills, buoyancy belts, and other equipment to aid rehabilitation. These tools allow for greater control over exercise intensity and duration, making them especially useful for those with SCI. Therapists may also incorporate therapeutic activities such as stretching, massage, breathing exercises, and relaxation techniques into aquatic therapy sessions. Finally, the calming effects of water can help to improve mental health. Studies have found that floating in water can reduce anxiety and depression while also increasing feelings of well-being. As such, aquatic therapy can be a great way to help manage symptoms of psychological distress that often accompany SCI.

What Are the Conditions Treated With Hydrotherapy?

  • Neck pain.

  • Sports injuries.

  • Head injuries.

  • Spinal injuries.

  • Postoperative orthopedics.

  • Rheumatic Arthritis.

  • Multiple sclerosis.

  • Trauma.

  • Arthritis.

  • Stroke.

  • Pre and post-natal exercises.

Above are the some conditions treated with hydrotherapy

What Are the Benefits of Hydrotherapy For Spinal Cord Injuries?

Hydrotherapy has been studied extensively as a potential treatment for spinal cord injury (SCI). The research has demonstrated that hydrotherapy can provide various benefits for SCI patients, including improved balance and coordination, reduced pain, and improved mobility. Water has several inherent benefits that promote mobility following spinal cord injury. These properties include buoyancy (the ability to float), viscosity (movement resistance), and hydrostatic pressure (water pressure on the body).

Due to these properties of water, there are many benefits to hydrotherapy for spinal cord injury survivors:

1. Improved Mobility: Hydrotherapy provides a low-impact exercise that allows individuals with spinal cord injury to work on their range of motion and strengthens their muscles without putting too much strain on their bodies. It can help to improve the individual’s overall mobility.

2. Pain Management: Hydrotherapy can help reduce the pain associated with spinal cord injury by relieving the muscles and joints. The water's warmth can help relax tense muscles, reducing spasms and pain.

3. Improved Circulation: The warmth of the water can help to improve circulation in the body, allowing more oxygen and nutrients to reach affected muscles and tissue. It can help to speed up the healing process.

4. Emotional Support: Hydrotherapy can help to provide emotional support for those with spinal cord injuries. Being in the water can provide a sense of freedom, help to reduce stress and anxiety, and give the individual a sense of accomplishment.

What Are the Contraindications of Hydrotherapy?

While aquatic therapy can help with spinal cord injury rehabilitation, every survivor should take extra precautions. Several special considerations must be made before engaging in pool exercises to ensure that aquatic therapy is safe.

  • Survivors with pressure sores should avoid water because moisture can increase the risk of infection and make the skin more susceptible to breakdown.

  • Survivors with a T6 or higher injury level may be more vulnerable to complications such as autonomic dysreflexia, which can cause problems with body temperature regulation. Immersion in water or exercise in a heated pool can result in overheating, which can lead to hypertension, arrhythmia, or fever. Most of the time, hydrotherapy is convenient, secure, and enjoyable. Although it is extremely advantageous for the majority of people, there are some restrictions and safety measures to take into account before diving into the pool. Prior to beginning hydrotherapy, always speak with a health care professional.

What Are the Hydrotherapy Techniques for Spinal Cord Injury Recovery?

Aquatic therapy techniques develop balance, speed, mobility, and strength in spinal cord injury survivors. Depending on one’s level of expertise, many pool exercises are either active or passive, which means they can be done with the strength or with someone else moving the body for them. Passive exercise is especially beneficial for survivors with a limited range of motion and difficulty moving the affected muscles.

Following are some hydrotherapy techniques for SCI survivors.

1. Watsu Technique (Passive): Passive movements such as cradling, stretching, and massaging the body can help relieve muscle tension and also aids in increasing the total range of motion.

2. Bad Ragaz Ring Method (Passive): This method is based on hydrostatic pressure, which applies gentle pressure to the body, reducing inflammation and promoting healing.

3. Halliwick Method (Passive or Active): The Halliwick method is a comprehensive approach to improving balance, posture, and motor control. It includes ten points to help people mentally and physically engage in aquatic exercise. This method's exercises emphasize mental control and specific types of movement, such as body rotation, balance, and controlled motion.

4. Aqua Jogging (Active): This technique utilizes the natural buoyancy of water to provide a low-impact cardiovascular workout. This aquatic therapy is particularly beneficial for those with impaired balance or coordination.

5. Burdenko Method (Active): The Burdenko Method can help affected muscles gain strength and flexibility. Burdenko exercises are designed to improve balance, coordination, and endurance, and they make use of specialized equipment such as floatation vests, water barbells, resistance bands, and boards.

6.Ai Chi (Therapeutic): Ai Chi is a form of aquatic therapy that combines traditional Chinese medicine with modern western movement and exercise principles. The goal of Aichi is to improve balance and coordination, as well as increase relaxation.

Each form of aquatic therapy offers unique benefits for spinal cord injury patients. It is essential to discuss which type would be most beneficial for the particular situation with a qualified therapist. The use of water can be a potent tool for aiding spinal cord injury recovery and should be noticed.

Conclusion:

In conclusion, hydrotherapy provides a promising option for those suffering from this devastating condition in the face of the dramatic increase in spinal cord injury. Hydrotherapy combines the therapeutic benefits of water with physical exercises designed to reduce inflammation, improve muscle tone, and strengthen core and leg muscles. With the right combination of treatments, hydrotherapy can provide long-term relief and improved mobility for those affected by spinal cord injury.

Frequently Asked Questions

1.

For What Kinds of Injuries Is Hydrotherapy Used?

Hydrotherapy is a highly effective therapeutic intervention that offers considerable benefits for a wide range of injuries, including muscle or ligament injuries, fractures, spinal cord impairments, as well as various sprains and strains.

2.

What Is the Significance of Hydrotherapy in the Field of Physiotherapy?

Hydrotherapy encompasses the utilization of water as a modality for alleviating pain and managing various medical conditions. Hydrotherapy, often known as water therapy, holds significant importance as a therapeutic modality in physical therapy. Utilizing this substance as a cleansing agent and as a means to administer thermal stimuli to the body has been a longstanding practice, forming the foundation for its application.

3.

What Is the Role of Hydrotherapy in Facilitating the Process of Recovery?

Hydrotherapy, characterized by warm water, offers various benefits to the human body. Firstly, it provides support to the body, enhancing stability. Additionally, the water's resistance facilitates strength training while promoting circulation throughout the body. Moreover, hydrotherapy aids in muscular relaxation and effectively reduces pain. Hydrotherapy can be employed either independently or in conjunction with supplementary rehabilitation programs.

4.

What Are the Advantages of Hydrotherapy Within the Field of Naturopathy?

It has the potential to serve as an integral component within a therapeutic intervention strategy for a diverse array of illnesses, which encompass the following:
 
The three factors under consideration are insomnia, stress, and headache.
- The alleviation of pain.
- Respiratory illnesses such as colds, influenza, and various other infections.
- Disorders of the immune system.
- The processes of detoxification and elimination.
- The injuries and inflammatory illnesses.
- The maintenance of circulatory and respiratory well-being.

5.

When Is Hydrotherapy Inappropriate?

Among the grave contraindications are: 
- Contractions.
- Heart-related conditions.
- Skin ailments.
- Illness, such as fever and common colds.
- Fear of water. 
- The labyrinth.
 
Among the absolute contraindications are:  
- Communicable illnesses.
- Abrupt epilepsy.
- Just had surgery.
- open injuries.
- intra-auricular infection.
- Chondrotomy.
- Chemotherapy lately.

6.

What Are the Primary Precautions Associated With Hydrotherapy?

The following are the recommended precautions that should be observed before doing hydrotherapy.
 
- It is imperative to exercise caution about the temperature of the water, as it has the potential to inflict significant burns.
- It is essential to assess and appropriately control the temperature of the water, ensuring that it remains within the specified tolerance limit.
- The adjustment of water tolerance is contingent upon factors such as the specific treatment being administered, the individual's body temperature, and any injuries or illnesses.
- When the water temperature is extremely high or low, it is not advisable to directly expose the skin to it. Instead, it is recommended to use a towel or a barrier to apply the water onto the skin to prevent any potential harm.

7.

What Is the Efficacy Rate of Hydrotherapy?

Hydrotherapy represents a readily accessible therapeutic modality that can be predominantly self-administered within the confines of one's own residence. Supplementing other therapy modalities can be a productive approach to addressing residual symptoms that alternative interventions may not fully alleviate. Although it may not be capable of fully replacing all forms of therapies, it can serve as a suitable alternative for certain medications or invasive interventions.

8.

Who Is the Primary Beneficiary of Aquatic Therapy?

Individuals who experience joint-related conditions such as osteoarthritis or rheumatoid arthritis. One of the primary advantages of water therapy for those with joint problems is the capacity to engage in movement while experiencing diminished gravitational forces. The experience of individuals encountering discomfort and limitations while ambulating on inflamed or degenerating joints is commonly attributed to the gravitational force exerted on their bodies.

9.

What Are the Advantages of Hydrotherapy in the Management of Back Pain?

- Less burden-bearing capacity. 
- Enhanced mobility. 
- Natural opposition.
- Reduces discomfort. 
- No tumbling allowed. 

10.

What Is the Optimal Therapeutic Approach for Managing Spinal Cord Compression?

Physical therapy often incorporates a range of exercises to enhance the strength of the muscles in the back, abdomen, and legs. One can learn how to engage in activities with greater safety precautions. The utilization of braces for back support or the application of a cervical collar may also prove beneficial. Surgical interventions encompass the excision of osteophytes and the expansion of intervertebral gaps.
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Mohammed Wajid
Mohammed Wajid

Physiotherapy

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