Presentation on theme: "Multiple Sclerosis (MS) and Aquatic Therapy"— Presentation transcript:
1Multiple Sclerosis (MS) and Aquatic Therapy Tiffany DeanTemple UniversityTherapeutic Recreation Major
2Learning OutcomesDefine Multiple Sclerosis (MS) and describe the effects it causes.Explain ways in which Aquatic Therapy is beneficial for individuals with Multiple SclerosisIdentify Precautions that should be considered before an individual with MS participates in Aquatic Therapy.
3Overview of Multiple Sclerosis Multiple sclerosis (MS) is a chronic autoimmune disorder affecting movement, sensation, and bodily functions. It is caused by destruction of the myelin insulation covering nerve fibers (neurons) in the central nervous system (brain and spinal cord).“Most common cause of neurological disability in young & middle aged adults affecting an estimated 400,000 people in the U.S.” (Salem, et al, 2011).
4Types & Symptoms of MS Symptoms Types Relapsing- Remitting Pattern visual disturbancessensation in extremitiesweakness or clumsiness in leg or handSpasticityDifficulty with bladder controlVertigoGait disturbancesStiffnessFatigue of limbsTypesRelapsing- Remitting PatternPrimary Progressive PatternSecondary Progressive PatternProgressive- Relapsing Pattern
5Overview of Aquatic Therapy Aquatic therapy is a form of physical therapy that is performed in a pool.The goal of this particular form of therapy is to assist in restoring the person's strength and movement through the use of buoyancy, resistance, and heat. It aims to rehabilitate patients after injury or those with chronic illness.
6Types of Aquatic Activity Balance exercisesAi Chi (Water Tai Chi)Halliwick techniquesRelaxation and stretchingStretchingAi chiAquatic body work: Watsu,Jahara, or Healing DanceStrengthening exercisesDeep or shallow water techniquesBad Ragaz Ring MethodUse of drag or resistance equipment
7Sample Aquatic Exercises Marching—stand with your side to the pool wall. Hold onto the wall if needed for balance. Lift one leg up and down, then the other. Repeat 5 to 8 times.Side leg lifts—stand facing the side of the pool. Hold onto the edge of the pool if needed for balance. Lift leg out to the side 5 to 8 times. Do the other leg.Back leg lifts—stand facing the side of the pool. Hold onto the edge of the pool if needed for balance. Lift leg straight back 5 to 8 times. DO NOT arch the back. Do the other leg.Runner's stretch—stand facing the side of the pool. Hold the edge of pool for balance. Step one leg back. Both feet flat on floor. Keep the heel of the back leg on the floor. Bend the knee of the forward leg. Lean forward from the ankles. You should feel a stretch in the lower leg or calf muscles. Hold for seconds. Do 1 to 2 times. Switch legs.
8Equipment for Aquatic Therapy Flotation devicesAnkle weightsWater barbellsKickboardsWater shoesTherapy bars
9Benefits for Individuals with MS Water QualityBenefitBuoyancy: The feeling of being lighter in the water; of floating.Provides support for weak limbs.Movement takes less effort. A greater range of motion can be achieved.Promotes muscle relaxation.Viscosity: The sensation that there is resistance to your movements; that you move slower through the water.The resistance of water can be used to improve muscle strength.Slower movement in water provides an opportunity to work on skills such as balance and coordination which may be harder to do on land.Hydrostatic pressure: The sensation of compression while the body is in the water. Pressure increases with depth.Compression can provide support for standing activities, such as walking, with less effort than on land.Temperature ControlCooler water can help maintain lower core body temperature even during vigorous activity. This is especially helpful for people with heat sensitivity issues.
11Research StudyConducted by Physical Therapy Departments of Long Island University & Hunter College in 2011Purpose: to examine the effects of group aquatic exercise in individuals with MS.Methods: 11 participants, 5-week program, 2/wk for 1hrResults: Improved gait speed, grip strength, muscle strength, walking speed, balance, & mobilityConclusion: Aquatic Therapy is beneficial in improvement in motor functioning of individuals with MS.
12Precautions Bowel incontinence with firm stools Communicable diseases (cold flu, Hepatitis)Autonomic dysreflexiaSensitivity to disinfection chemicalsSensitivity to heat/ humidityRashes, skin conditions with flaking or open areasHydrophobiaControlled seizures,Open woundsCompromised immune system
13Interested in Aquatic Therapy Certification? Aquatic Therapy & Rehab Institute (ATRI)How to get started %20Started12.pdfATRI CertificationMembership $45
14ResourcesButler, C. (2002). Walking in Water. Inside MS, 20(3), 66. Chamberlayne, N. (2006). Come on in, the water's fine!. Inside MS, 24(4), Merck Manual Staff (2013). Overview of Multiple Sclerosis. Accessed via iple_sclerosis_ms.html?qt=muliple%20sclerosis&alt=sh Salem, Y., Scott, A., Karpatkin, H., Concert, G., Haller, L., Kaminsky, E., & ... Spatz, E. (2011). Community-based group aquatic programme for individuals with multiple sclerosis: a pilot study. Disability & Rehabilitation, 33(9), doi: / Weiss, Thomas C. (2010). Aquatic Therapy- Facts and Information. Accessed via
15Using Aquatic Therapy to treat individuals with Multiple Sclerosis Tiffany DeanTemple University“If I could live in the water, I would.” –Mary Ann Lee.Overview of Aquatic TherapyAquatic therapy is a form of physical therapy that is performed in a pool.The goal of this particular form of therapy is to assist in restoring the person's strength and movement through the use of buoyancy, resistance, and heat.Types of Aquatic Therapy include: Ai Chi, Halliwick Method, Watsu, Bad Ragaz Ring Method, etc.Benefits of Aquatic TherapyImproved muscle strengthImproved walking speedEnhanced balance & coordinationDecreases stressPain reliefImproved motionImproved flexibilityPromotes muscle relaxationEase depressionBoost self esteemResources:Americans w/ Disabilities ActThe National MS SocietyMoss RehabATI Physical TherapyOxford Rehab CenterATRI CertificationATRA's Aquatic Therapy Treatment NetworkAquatic Resources NetworkJust so you know…Aquatic Therapy Certification will look great on your resume!Aquatic Therapy has the power to change someone’s life!