Next, the book explains how to implement the six-phase plan of care in the treatment of selected orthopedic injuries. You'll find 28 specific plans of care for acute injuries to the
pelvis, hip, and thigh;
knee;
lower leg, ankle, and foot;
shoulder region;
elbow, wrist, and hand;
lumbar, thoracic, and cervical spine; and
trunk and neck.
Descriptions of exercises used within the treatment plans are enhanced by photographs. You can use these plans of care as a starting point for treatment in the pool, modifying them to meet the needs of individual clients.
Finally, Aquatic Therapy Programming discusses the administrative concerns of aquatic therapy facility managers. The book addresses many aspects of risk management and safety planning, including legal responsibility, safety and rescue equipment, pool maintenance, client screening, and staff hiring and training. It also describes how to design a safe and functional aquatic-therapy facility, offering suggestions for new pool design, adapting an existing pool for therapeutic use, and using small swim tanks.
AUDIENCE
Reference for aquatic rehabilitation specialists, athletic trainers, sports physical therapists, sport physicians, other rehabilitation professionals who work with orthopedic patients, and aquatic administrators.
CONTENTS
Introduction: Benefits of an Aquatic Therapy Program
Physiological Benefits Psychological Benefits Summary
Part I: Designing an Aquatic Therapy Program
Chapter 1. Applying Hydrodynamics to Aquatic Therapy
The Physical Properties of Water Using Buoyancy to Achieve Various Positions Using Buoyancy to Grade Exercises Using Water's Density and Viscosity to Alter Resistance Using Curvilinear and Angular Movements to Grade Exercises Using Curvilinear Motions to Improve Movement Efficiency Using the Physical Laws of Motion Summary
Chapter 2. Using Water Depth to Enhance Movement
Early Treatment Intermediate Treatment Late Treatment Summary
Chapter 3. Incorporating Pool Equipment to Facilitate Exercise
Buoyancy Assistance Devices Buoyancy Support Devices Stabilization Devices and Methods Resistance Training Equipment and Methods Endurance Conditioning Equipment Summary
Chapter 4. The Six-Phase Plan of Care
Format for Sessions Phase I: Assessment and Early Treatment Phase II: Strengthening and Local Muscular Endurance Phase III: Balance, Coordination, and Cardiovascular Conditioning Phase IV: Task-Related and Sport-Simulated Skills Development Phase V: Transitional Aquatic Therapy Phase VI: Maintenance and Fitness Markers: When to Progress the Client Summary
Part II: Implementing the Six-Phase Plan of Care for the Lower Extremities
Chapter 5. The Pelvis, Hip, and Thigh
Contusions to the Iliac Crest Gluteal Strain Quadriceps Strain Hamstrings Strain Adductors Strain Degenerative Joint Disease of the Hip
Chapter 6. The Knee
Anterior Cruciate Ligament Sprain Medial Collateral Ligament Sprain Meniscal Injuries Chronic Anterior Knee Pain Degenerative Joint Disease of the Knee
Chapter 7. The Lower Leg, Ankle, and Foot
Achilles Tendon Strain Gastrocnemius Strain Acute Ankle Sprains Avulsion Fracture of the Upper Tibia With Lateral Malleolus Fracture Tibia-Fibula Fracture Achilles Tendinitis Chronic Anterior Leg Pain, Stress Fractures, and Plantar Fasciitis
Chapter 8. Exercises for the Lower Extremities
Walking Patterns (Shallow Water) Stride Walking (Deep Water) Cycling (Deep Water) Squats (Shallow Water) Lunges (Shallow Water) Unilateral Hip Flexion and Extension (Shallow Water) Hip Abduction and Adduction (Shallow Water) Bilateral Abduction and Adduction (Deep Water) Internal and External Hip Rotation (Shallow Water) Hip Circles (Deep Water) Lower Extremity PNF Diagonals Knee Flexion and Extension (Shallow Water) Knee Flexion and Extension (Deep Water) Ankle and Foot Exercises (Shallow or Deep Water) Toe Raises (Shallow Water) Heel Rock (Shallow Water) Bench Stepping (Shallow Water) Water Running Swim Kicking Treading Kicks (Deep Water) Balance, Coordination, and Impact Moves (Shallow Water) Plyometrics (Shallow Water) Plyometrics (Deep Water) Lower Extremity Stretching Exercises (Shallow Water) Lower Extremity Stretching Exercises (Deep Water)
Part III: Implementing the Six-Phase Plan of Care for the Upper Extremities
Chapter 9. The Shoulder
Rotator Cuff Tendinitis and Impingement Syndrome Postsurgical Decompression or Rotator Cuff Repair Adhesive Capsulitis Acute and Recurrent Glenohumeral Dislocation Acromioclavicular Joint Sprain Sternoclavicular Sprain and Fracture of the Clavicle, Scapula, or Humerus
Chapter 10. The Elbow, Wrist, and Hand
Injuries to the Elbow Fractures and Sprains of the Wrist and Hand
Chapter 11. Exercises for the Upper Extremities
Shoulder Circumduction (Shallow Water) Shoulder Flexion and Extension (Shallow Water) Shoulder Lateral Abduction and Adduction (Shallow Water) Shoulder Horizontal Abduction and Adduction (Shallow Water) Shoulder Internal (IR) and External Rotation (ER) (Shallow Water) Blackburn Shoulder Exercises (Shallow or Deep Water) Wand Exercises (Shallow or Deep Water) Scapular Motions (Shallow Water) Upper Extremity PNF Diagonals Elbow, Forearm, Wrist, and Hand Exercises (Shallow Water) Vertical Sculling Patterns (Shallow Water) Horizontal Sculling Patterns (Shallow or Deep Water) Swimming Strokes (Shallow or Deep Water) Sport-Simulated and Task-Oriented Skills Upper Extremity Stretching Exercises (Shallow Water) Stretching for the Elbow Flexors and Extensors
Part IV: Implementing the Six-Phase Plan of Care for the Spine
Chapter 12. The Lumbar Spine
Diagnostic Classification of Activity-Related Low Back Pain Patient Classification Treatment Spondylolysis or Spondylolisthesis Degenerative Joint Disease
Chapter 13. The Thoracic and Cervical Spine
Thoracic Spine Pain Cervical Spine Pain
Chapter 14. Exercises for the Trunk and Neck
Early Trunk and Neck Motions Cervical and Lumbar Traction (Deep Water) Pelvic Stability and Trunk Exercises (Shallow and Deep Water) Proprioceptive and Endurance Activities Stretching Exercises for the Trunk and Neck
Part V: Managing Aquatic Therapy Programs
Chapter 15. Risk Management and Safety Planning
Understanding Legal Responsibility and Terminology Safety in Pool Design Signage and Safety Markings Safety and Rescue Equipment Pool Maintenance Other Facility Concerns Staff Training Participant Evaluation and Screening Handling Emergencies Summary
Chapter 16. Designing an Aquatic Therapy Facility
Building a New Pool Design Elements of an Aquatic Therapy Pool Special Pool Features Pools for Small Spaces Adapting a Traditional Pool for Therapeutic Use Summary
Appendix A. Health/Fitness Form for Aquatic Therapy
Appendix B. Aquatic Skills Checklist
Appendix C. Guidelines for Progressive Resistance Exercise (PRE) Training
Appendix D. Guidelines for Cardiovascular Conditioning
Appendix E. Guidelines for a Self-Stretching Program
References
Suggested Readings
Index
About the Author
ABOUT THE AUTHOR
Joanne M. Koury is an aquatic rehabilitation consultant whose areas of expertise include designing aquatic therapy pools, developing plans of care for treating orthopedic injuries and for postsurgical rehabilitation, operating and managing aquatic therapy facilities, and educating aquatic therapy staff. She also teaches and coordinates aquatic- and land-based adult fitness programs. She has been a professional swim instructor since 1983.
Joanne has spoken at national and regional symposia on topics such as treating postoperative spinal patients with aquatic therapy, aquatic liability and risk management for physical and occupational therapists, and anatomy and physiology for the aquatic exercise professional. She is professionally certified by several organizations, including the Aquatic Exercise Association, the American College of Sports Medicine, the American Council on Exercise, and the American Red Cross.
Joanne received a master's degree in health and physical education, with special emphasis in injury prevention and treatment, from East Stroudsburg (Pennsylvania) University in 1990. She and her husband, Glenn Guanowsky, live in Orefield, Pennsylvania.
WORDS OF PRAISE
"I found this book to be reader friendly and easily understood. Aquatic Therapy Programming should be of immense help to aquatic fitness specialists working with the medical profession."
Richard G. Routi, PhD, PT
Director and Cofounder
Bux-Mont Physical Therapy, Warminster, PA
"Excellent review of literature and equipment. This practical and applicable text can be used by new and experienced aquatic therapists."
Ruth Irene Meyer, MEd
Owner
Kinesiotherapy of New Hampshire
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