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Is hydrotherapy an appropriate form of exercise for elderly patients with biventricular systolic heart failure?

Journal of Geriatric Cardiology 2012年第4期9卷 408-410页

作者： Bente Grüer Sve 1v Margareta Scharin T ng sa Cider The Wallenberg Laboratory Department of Molecular and Clinical Medicine Institute of Medicine at Sahlgrenska Academy University of Gothenburg Bruna Str ket 16 SE-413 45 Gothenburg Sweden Physiotherapy and Occupational Department Institute of Neuroscience and Physiology/Physiotherapy at Sahlgrenska Academy University of Gothenburg Vita straket 13 SE-413 45 Gothenburg Sweden

hydrotherapy (exercise in warm water) is considered to be a safe and beneficial method to use in the rehabilitation of stable heart failure patients, but there is little information on the effect of the increased venous return and enhanced preload in elderly patientswith biventricular heart failure. We present a case of an elderly man whowas recruited to participate in a hydrotherapy study. We compared echocardiographic data duringwarm water immersion with land measurements, and observed increases in stroke volume from 32 mL (land) to 42 mL (water), left ventricular ejection fraction from 22% to 24%, left ventricular systolic velocity from 4.8 cm/s to 5.0 cm/s and left atrioventricular plane displacement from 2.1 mm to 2.2 mm. By contrast, right ventricular systolic velocity decreased from 11.2 cm/s to 8.4 cm/s and right atrioventricular plane displacement from 8.1 mm to 4.7 mm. The tricuspid pressure gradient rose from 18 mmHg on land to 50mmHg during warm water immersion. Thus, although left ventricular systolic function was relatively unaffected during warm water immersion, we observed a decrease in right ventricular function with an augmented right ventricular pressure. We recommend further investigations to observe the cardiac effect of warm water immersion on patients with biventricular systolic heart failure and at risk of elevated right ventricular pressure.

关键词： Echocardiography Heart failure hydrotherapy Pulmonary hypertension

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A comparison of Kneipp hydrotherapy with conventional physiotherapy in the treatment of osteoarthritis: a pilot trial

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Journal of Integrative Medicine 2013年第1期11卷 17-25页

作者： Martin Schencking Stefan Wilm Marcus Redaelli Institute for General Practice and Family Medicine University Witten/Herdecke58448 Witten Germany

BACKGROUND： An increasingly aging population implies an increasing prevalence of osteoarthritis （OA） of hip or knee. It has been ascertained that unspecific hydrotherapy of OA according to Sebastian Kneipp not only improves the range of mobility but also reduces pain significantly and increases the quality of life of the patients affected. OBJECTIVE： The main aim of this pilot study was to determine the effects of hydrotherapy in comparison to conventional physiotherapy, and to analyze the feasibility of the study design under clinical circumstances. DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS： The study design is a prospective randomized controlled three-arm clinical pilot trial, carried out at a specialist clinic for integrative medicine. Thirty patients diagnosed with symptomatic OA of hip or knee and radiologic findings were randomly assigned to one of two intervention groups and a control group： hydrotherapy （group 1）, physiotherapy （group 2）, and both physiotherapy and hydrotherapy （group 3, control group） of the affected joint. MAIN OUTCOME MEASURES： Primary outcome： pain intensity of the affected joint in the course of inpatient treatment; secondary outcome： health-related quality of life, joint-specific pain and mobility in the course of the study. RESULTS： Concerning the main outcome, intervention group 1 showed most beneficial effects in the course of inpatient treatment, followed by groups 3 and 2, and also the indirect flexion ability of hip or knee together with the general patient mobility through the ＂timed up and go＂ test were mainly improved within group 1 followed by groups 3 and 2. CONCLUSION： The results of this pilot study demonstrate beneficial effects of hydrotherapy. The study design is feasible. For statistically significant evidence and a robust conclusion of efficacy of Kneipp＇s hydrotherapy, a larger sample size is necessary. TRIAL REGISTRATION NUMBER： NCT 00950326.

关键词： hydrotherapy physical therapy osteoarthritis pain measurement pilot study

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Effect of hydrotherapy on sleep deficiency among older people in integrated community health services in Pandak Ⅰ Bantul

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Frontiers of Nursing 2019年第1期6卷 67-70页

作者： Agus Warseno Anastasia Suci Sukmawati Department of Community Health Nursing Nursing Faculty Stikes Jenderal Achmad Yani Department of Geriatric Health Nursing Nursing Faculty Stikes Jenderal Achmad Yani

Objective: Relaxation technique is a nonpharmacological treatment applied to increase sleep efficiency and the quality of *** is one of the relaxation techniques and uses warm water to decrease stress and muscle stiffness, as well as to warm the body. The incidence of sleep deficiency among older people in Integrated Community Health Services, Pandak I Bantul, has slightly increased year by year. This research aims to evaluate the effect of hydrotherapy on sleep deprivation among older ***: The research was a quasi-experimental study with a pre-post test design. Purposive sampling was used to enroll 66 older people from the Integrated Community Health Services, Pandak I Bantul, Yogyakarta, Indonesia, as a sample, and we divided them into two groups: 33 people formed the intervention group, and 33 people comprised the control group. The intervention group did hydrotherapy once a day for a total of 7 days. First, they soaked their feet in warm water for 10 minutes. The water temperature was adjusted according to the body temperature, to approximately 40.0℃-43.0℃. Then, the intervention group took a bath using warm water. The level of sleep quality was measured using the Pittsburgh Sleep Quality Index(PSQI) questionnaire. Data analysis was done using the Wilcoxon ***: The mean score for sleep quality in the pretest in the intervention group was 9.04(standard deviation [SD]: 2.57) and the score on the posttest was 42(SD: 1.43). The mean score for sleep quality in the intervention group was 4.67, with P=***, the research found that the difference between the pretest and posttest scores for quality of sleep in the control group was 0.42, with P=0.059. Wilcoxon analysis found that in the intervention group, there was a significant difference after intervention using hydrotherapy, with P ***: According to

关键词： hydrotherapy sleep deficiency older people nursing nursing research literature

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hydrotherapy treatment for patients with psoriatic arthritis—A qualitative study

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Open Journal of Therapy and Rehabilitation 2013年第2期1卷 22-30页

作者： Maria H.Lindqvist Gunvor E.Gard Department of Health Sciences Lund UniversityLundSweden Samrehab SjukgymnastikenVarnamo SjukhusVarnamoSweden

Purpose: To describe how patients living with psoriatic arthritis experience long-term hydrotherapy group treatment. Studies for this group of patients are lacking. Method: Qualitative in terviews were conducted with ten informants after hydrotherapy treatment. The treatment included exercises for increased mobility, coordination, endurance, aerobic fitness, stretching and relaxation. The interviews were analysed with content analysis. Results: A theme “hydrotherapy—a multidimensional experience” and two categories emerged: situational factors and effects of hydrotherapy. The category “situ- ational factors” comprised the subcategories: warm water, training factors and a competent instructor, and the category “effects of hydro- therapy” comprised the subcategories: psy- chological effects, improved physical capacity, social effects, changed pain experience and changes in work and participation in daily life. Conclusion: Positive effects of regular hydro- therapy in a group setting were shown in physical ability, energy, sleep, cognitive function, work and participation in daily life. The instruc- tors had an important coaching role, which needs to be promoted.

关键词： hydrotherapy Psoriasis Arthritis Rehabilitation Qualitative Study

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Regulative effect for natural killer cell by hot spring hydrotherapy—Quantitative and qualitative discussion

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Open Journal of Immunology 2013年第4期3卷 201-209页

作者： Nobuo Yamaguchi Wenhan Wan Daisuke Sakamoto Amat Nurmuhammad Kengo Matsumoto Takafumi Takei Katsuko Okuzumi Tsugiya Murayama Takashi Takahashi Deaprtment of Microbiology and Immunology Faculty of Pharmaceutical Sciences Hokuriku University Japan Department of Heart Surgery Kanazawa Medical University Himi Municipal Hospital Himi City Japan Ishikawa Medicinal Products Research Center Kanazawa Japan Ishikawa Medicinal Products Research Center Kanazawa Japan Laboratory of Infectious Diseases Graduate School of Infection Control Sciences Kitasato University Tokyo Japan Uighur Medicine Department of Xinjiang Medical University Urumqi City China

Along with maintaining immune competent cells, one of the purposes of cancer patient is regulating the first line of defense for survival. Moreover, the factors that influence the acquired immune activity are systemic metabolic disorder in diabetes, malnutrition, extreme exhaustion, stresses, aging and medical side effect such as chemotherapy. So we have to select appropriate menu to regulate immune function through leukocyte storage. Especially, NK cell is first line of defense against virus infected cell and/or tumor cell. In order to recommend the effect of hot spring hydrotherapy on the peripheral white blood cells as a parameter for complementary and alternative medicine (CAM) within a short period, the granulocytes, lymphocytes, lymphocyte subsets in their peripheral blood were monitored. In the young group (35 or less), the number of granulocytes clearly decreased after hydrotherapy. In the older group (over 35 years old), the total number of leukocytes and lymphocytes significantly increased after the therapy. Using a FACScan, we investigated CD2, CD4, CD8, CD16, CD19 and CD56 positive cell as well as the cytokine containing cell, as direct assessment for immunological preparation (IFN-γ, IL-4 and IL-1β). After hydrotherapy, the CD16+ cells also increased outstandingly. However, the CD19+ cells clearly decreased. Moreover, there was a decrease in the cytokine-producing cell count of subjects whose blood cells had a higher number of the cell level before. All of the results indicated that hot spring hydrotherapy could regulate the immune system even in normal human. Like this, blood hormonal level was measured in order to know the mechanism of the quantitative and qualitative, adjustment of the leucocytes becomes possible within a short term. As a result of measuring, 7 kinds of hormone including mainly adrenocortical hormones, adrenalin level reduced in constitution dependent manner. From these results, it was suggested that the quantitative and qualitative

关键词： Hot Spring hydrotherapy Leukocyte Regulation NK Cell Quantitative Regulation of Lymphocyte Qualitative Regulation of Lymphocyte

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The Effectiveness of 6 Months hydrotherapy Program Based on Halliwick Concept on the Respiratory System of Down Syndrome Children

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Journal of Biosciences and Medicines 2021年第3期9卷 20-26页

作者： Konstantinos Chandolias Eliza Konstantinidou Efthymios Bikis Anna Hourlia Thomas Besios George Tsigaras Department of Physical Therapy University of Thessaly Lamia Greece Rehabilitation Center Animus Larissa Greece Physiotherapy Practice Larissa Greece Speech and Language Therapy Practice Larissa Greece Department of Physical Therapy University of Thessaly Lamia Greece Hippokratio General Hospital Thessaloniki Greece

The aim of the study was to investigate the effect of a hydrotherapy program on FVC, FEV, PEF, RR and SaO2 on children with Down syndrome over six months and to compare it with a conventional respiratory physiotherapy program. Eighteen children, with Down Syndrome, aged 6 - 11 years (9.53 ± 0.454), divided into two groups of nine, the intervention group (IG), that participated in the hydrotherapy program and the control group (CG) participated in the classical physiotherapy program. We calculated mean values of FVC, FEV, PEF, RR and SaO2 before and after six months intervention for both groups. There was a statistically significant improvement in all factors for both groups. However, were statistically more significant for the intervention group (IG). Based on a specific protocol of intervention in the water and at the same time with a group of children who participated in a similar program of classical respiratory physiotherapy, it was found to be statistically more important than the second group in improving respiratory function. We recommend the use of hydrotherapy as a complementary therapy that should be part of the weekly program of these children in addition to the existing treatments they attend.

关键词： hydrotherapy Physical Therapy Respiratory Halliwick Down Syndrome

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Effects of ice massage of the head and spine on heart rate variability in healthy volunteers

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Journal of Integrative Medicine 2016年第4期14卷 306-310页

作者： A. Mooventhan L. Nivethitha Sri Dharmasthala Manjunatheshwara College of Naturopathy and Yogic Sciences and Hospital Ujire-574240 Karnataka India Swami Vivekananda Yoga Anusandhana Samsthana University Bengaluru-560019 Karnataka India

OBJECTIVE： Ice massage （IM） is one of the treatment procedures used in hydrotherapy. Though its various physiological/therapeutic effects have been reported, effects of IM of the head and spine on heart rate variability （HRV） have not been studied. Thus, this study evaluated the effects of IM of the head and spine on HRV in healthy volunteers.METHODS： Thirty subjects were randomly divided into 3 sessions：（1） IM, （2） tap water massage （TWM） and （3） prone rest （PR）. Heart rate （HR） and HRV were assessed before and after each intervention session.RESULTS： A significant increase in the mean of the intervals between adjacent QRS complexes or the instantaneous HR （RRI）, square root of mean of sum of squares of differences between adjacent normal to normal （NN） intervals （RMSSD）, number of interval differences of successive NN intervals greater than 50 milliseconds （NN50）, proportion derived by dividing NN50 by total number of NN intervals along with significant reduction in HR after IM session; significant increase in RRI along with significant reduction in HR after TWM, and a significant increase only in RMSSD after PR were observed. However, there was no significant difference between the sessions.CONCLUSION： Results of this study suggest that 20 min of IM of the head and spine is effective in reducing HR and improving HRV through vagal dominance in healthy volunteers.

关键词： heart rate variability hydrotherapy massage therapy

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Aquatic physical therapy for Parkinson’s disease

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Advances in Parkinson's Disease 2013年第4期2卷 102-107页

作者： Talita Gianello Gnoato Zotz Eliani Arruda Souza Vera Lúcia Israel Ana Paula Cunha Loureiro Department of Physical Therapy School of Health and Biosciences Pontifical Catholic University of Paraná Curitiba Brazil Physical Therapy Clinic Curitiba Brazil Physical Therapy Department Federal University of Paraná Curitiba Brazil Physical Therapy Department Federal University of Paraná Matinhos Brazil

One of the predominant effects of PD is alteration of motor skills, which leads to compromised posture and physical balance. Aquatic physical therapy, performed in a heated pool, can serve as one of intervention alternatives for PD carriers. Aim: To analyze the effects of the Halliwick Concept hydrotherapy in acquisition of motor skills in Parkinson’s disease (PD) patients. Methods: A clinical, qualitative method was used to evaluate 7 volunteers (59.85 ± 7.92 years of age, both male and female), who were in II and III stages of PD according to the Hoehn & Yar Scale. The participants were evaluated in the start and end of the interventions phase, and then the evaluation was conducted interventions in a heated pool (32?C - 34?C) twice a week, each session lasting approximately 30 minutes, totaling 10 sessions. The Halliwick Principles’ 3-phase 10-point methods were used for acquisition of aquatic motor skills. Results: They indicate an improvement in their ability to float in prone and supine positions (P = 0.04*) and longitudinal rotation in the bipedal position. Conclusion: The activation of motor control improved the motor skills of the participants.

关键词： Parkinson’s Disease Motor Skills hydrotherapy Halliwick Concept

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Aquatic Physiotherapy and Parkinson’s Disease: Effects on Functional Motor Skills

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Advances in Parkinson's Disease 2020年第1期9卷 1-12页

作者： Bruna Yamaguchi Manoela de Paula Ferreira Vera Lúcia Israel University Federal of Parana Curitiba Brazil

Parkinson’s Disease (PD) is a progressive disease with motor impairment, and as such requires a multidisciplinary team that includes physiotherapy. Physiotherapy can stimulate learning ability, motor recovery, neuroplasticity and neuroprotection. The aquatic physiotherapy (AP) for PD enables movements to be progressively and safely executed, reducing the risk of falls. Hence, the objective of this study is to analyze the effects of an AP program on the functional motor skills of people with PD. This is a controlled quasi-experimental clinical trial, with blind assessor. The participants were male and female, diagnosed with PD, Hoehn and Yahr stages 1 to 4 and medical certificate for AP. The exclusion criteria were: not presenting independent walking;sensorial deficit;contraindications for attending a heated pool;alterations in levodopa ingestion. The functional assessments conducted on land were: walking speed test;Five Times Sit to Stand Test;Mini BESTest, Unified Parkinson’s Disease Rating Scale (UPDRS) for activities of daily living (ADL);and motor skill parts, evaluated before, after and 4 months after AP. The aquatic assessment was conducted through the Aquatic Functional Assessment Scale (AFAS). The participants were allocated in two groups: Control Group (CG), which did not take part in the pool activities, and Experimental Group (EG), which was submitted to AP, throughout 32 twice-a-week, 50-minute-long appointments. Functional exercises were proposed to respect the principles of specificity and progression regarding complexity in the aquatic activities through aquatic motor skills learning phases. Groups and times were compared statistically. At the end of the study, the EG was composed of 11 participants and the CG 7. There were no differences between the groups at the beginning of the study. A difference was observed between groups for gait speed in evaluation 2;difference between assessment 1 and 2 for GE in the ADL and motor, as well as between assessme

关键词： Physiotherapy Parkinson’s Disease Rehabilitation Exercise hydrotherapy

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Greek Translation, Content Validity, Test-Retest and Inter-Rater Reliability of Swimming with Independent Measure (SWIM) Assessment Test for People with Disabilities Based on Halliwick Concept

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Open Journal of Pediatrics 2021年第1期11卷 135-147页

作者： Konstantinos Chandolias Eliza Konstantinidou Athanasios Tsiokanos Chrysoula Moscholouri Thomas Besios George Tsigaras Department of Physical Therapy University of Thessaly Lamia Greece Rehabilitation Center Animus Larissa Greece SEFAA University of Thessaly Trikala Greece Hippokratio General Hospital Thessaloniki Greece

Objectives: Halliwick-based hydrotherapy has become one of the most widespread approaches in the water environment for people with disabilities. The Swimming with Independent Measure (SWIM) test was developed by Peackok (1993) based on the need to create specific aquatic assessment tests for people with disabilities. The purpose of our study was its translation into Greek language and the investigation of its metric properties. Methods: A total of 40 children with cerebral palsy aged on average 7.36 years participated in the study: 20 children with GMFCS 1 - 5 and cognitive limitations, and 20 children with GMFCS 1 - 4 without cognitive limitations. Tw

关键词： hydrotherapy Halliwick SWIM Cerebral Palsy

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