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Jackson, Anne Margaret. "Explaining hydrotherapy outcomes : quality in health care." Thesis, University of Surrey, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324076.
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Hall, Jane. "Efficacy and mechanisms of hydrotherapy in rheumatoid arthritis." Thesis, University of Bath, 2002. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.248094.
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Stridh, Karolina. "Bassängträning, patientupplevelser och mål. : Hydrotherapy, patients´ experiences and goals." Thesis, Örebro University, Academy of Health Science, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-2157.
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Sammanfattning: Bassängträning är en vanlig träningsmetod som många patienter efterfrågar. Fördelar med att träna i varmt vatten är bland annat vattnets tyngdavlastande effekt samt värmens smärtlindrande och muskelavslappnande effekt. Efterfrågan på bassängträning är ibland större än tillgången, vilket kan innebära att sjukgymnasten behöver prioritera vilka patienter som ska få tillgång till bassäng. Tydliga och jämlika rutiner och riktlinjer vid bassängträning behöver finnas. I samband med arbete för att ta fram riktlinjer vid bassängträning är det också viktigt att ha kunskap om patienternas egna upplevelser och behov för att kunna förbättra rehabiliteringen. En enkätundersökning genomfördes med syfte att beskriva hur patienterna upplever bassängträningen, vilka mål de har och hur målet med träningen bestäms samt uppnås. Syftet var också att undersöka vilka faktorer patienterna anser som viktiga för bassängträningens kvalitet. Resultaten visar att de vanligaste målen vid bassängträning är ökad rörlighet och minskad smärta. Nästan alla patienter har varit delaktiga att sätta målen och en övervägande del av patienterna anser att de till stor del uppnår målen. Positiva effekter som upplevs med bassängträningen är fysiska förbättringar och psykiskt välbefinnande. Patienterna anser att det som är viktigast för bassängträningens kvalitet är att ha bra och utbildad personal samt att få gå kontinuerligt på bassängträning.
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Vaile, Joanna. "Effect of hydrotherapy on recovery of muscle-damage and exercise-induced fatigue." University of Western Australia. School of Sport Science, Exercise and Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0221.
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Achieving adequate and appropriate recovery from exercise is essential in ensuring optimal performance during repeated bouts of exercise. The use of various recovery interventions has become popular in an attempt to enhance subsequent performance and accelerate post-exercise recovery. The application of various post-exercise hydrotherapy interventions has become increasingly popular, however, the majority of current recovery practices appear to be based largely on anecdotal evidence as opposed to rigorous scientific research or evidence based findings. Physiologically, various hydrotherapy protocols have been shown to affect the body via fluid shifts (interstitial to intravascular space), changes in blood flow and cardiovascular function, and reductions in oedema. The possible psychological effects of water immersion must also be considered, with athletes commonly reporting reduced sensations of fatigue and soreness following immersion. Current literature suggests both hydrostatic pressure and water temperature to be important factors influencing the success of hydrotherapy. The overall aim of the present thesis was to enhance current knowledge and understanding with regards to the physiological and performance effects of various forms of hydrotherapy, used as a post-exercise recovery intervention. Initially, four cold water immersion interventions were compared to active recovery, performed between two bouts of high intensity cycling in hot environmental conditions. Effectiveness of recovery was determined via performance in a subsequent exercise bout; in addition, core body temperature, lactate, and heart rate were recorded. The remaining studies were designed to investigate the effects of cold water immersion, hot water immersion, contrast water therapy, and passive recovery 4 (control) following exercise-induced fatigue and exercise-induced muscle damage. Rate of recovery was assessed through changes in performance, core body temperature, thigh girths, blood markers, and perceived exertion/soreness. The results of the combined studies indicate cold water immersion to be more effective than active recovery when performed immediately post-exercise between two bouts of high intensity cycling in hot environmental conditions. Additionally, both cold water immersion and contrast water therapy were effective in aiding recovery from exercise-induced fatigue and exercise-induced muscle damage. Performance variables indicated an improved maintenance or return of performance following these recovery protocols. The present studies have provided additional information to the limited knowledge base regarding the effect of post-exercise hydrotherapy interventions, specifically, the effect of such interventions on subsequent athletic performance. In conclusion, cold water immersion and contrast water therapy appear to be superior to hot water immersion, active recovery, and passive recovery following fatiguing and muscle damaging exercise. Functional and physiological recovery was enhanced following the use of these two recovery protocols.
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Dadd, Lisa Maureen. "Hydrotherapy versus standard physical therapy in the treatment of acute ankle sprains." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0014/MQ30663.pdf.
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Antelo, Patricia Scarpa. "O novo termalismo hoteleiro." Master's thesis, Universidade de Lisboa. Faculdade de Arquitetura, 2016. http://hdl.handle.net/10400.5/12655.
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Birmanns, Jürgen. "Die Geschichte des Kneippheilbades Münstereifel : von den Anfängen bis zur Gegenwart unter besonderer Berücksichtigung der Heilpersonen und -institutionen, die sich der Kneippschen Heilweise widmeten und widmen /." Lahnstein : emu-Verl. GmbH, 2000. http://www.gbv.de/dms/bs/toc/327974559.pdf.
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Pinto, Glenda Feldberg Andrade 1974. "Respostas funcionais e eletromiográficas em pacientes com hemofilia submetidos a atividades aquáticas funcionais." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310743.
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Orientador: Margareth Castro OzeloDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A hemofilia é uma doença hemorrágica hereditária ligada ao cromossomo X caracterizada pela deficiência do fator VIII (hemofilia A) ou fator IX (hemofilia B). As principais manifestações clínicas da hemofilia são as hemorragias articulares (hemartroses) e musculares (hematomas). Os sangramentos recorrentes frequentemente provocam comprometimentos musculoesqueléticos que desencadeiam a artropatia hemofílica e causam limitações na capacidade funcional desses pacientes. O presente estudo tem como objetivo avaliar o efeito das atividades aquáticas visando melhorar a capacidade funcional dos pacientes com hemofilia. Este estudo foi do tipo intervenção, com pacientes com hemofilia do Hemocentro da UNICAMP, maiores de 6 anos e que apresentassem pelo menos um dos joelhos afetados. Os pacientes selecionados foram avaliados pré- e pós-intervenção através dos instrumentos de avaliação clínica desenvolvidos e validados para hemofilia, incluindo o escore funcional de hemofilia (Functional Independence Score, FISH), o escore de saúde articular na hemofilia (Haemophilia Joint Health Score - HJHS), o questionário de atividades funcionais para pacientes hemofílicos (Haemophilia Activities List, HAL), ou questionário de atividades funcionais para pacientes com menos de 18 anos (Pediatric Haemophilia Activities List, PedHAL). Foi utilizado a eletromiografia de superfície (EMGs) dos músculos da coxa bilateralmente (vasto lateral, vasto medial e bíceps femoral), avaliação da força muscular através da célula de carga dos músculos extensores e flexores e avaliação eletromiográfica da atividade funcional de levantar e sentar. A atividade aquática consistiu na realização de pelo menos 24 sessões do protocolo de hidroterapia desenvolvido e realizado no serviço de fisioterapia do Hemocentro da UNICAMP, ou como alternativa os pacientes foram encaminhados para frequentar pelo menos 24 aulas regulares de natação. O período médio da atividade aquática foi de 12 semanas. Trinta e dois pacientes entre 6 e 40 anos (mediana: 12 anos), com diagnóstico de hemofilia (22 A grave, 9 B grave e 1 A moderada), sem atividades físicas regulares, foram incluídos. Trinta pacientes haviam iniciado a profilaxia secundária ou terciária, por diferentes razões, durante o ano anterior à intervenção aquática. Do total, 11 pacientes realizaram hidroterapia e 21 natação. A comparação de variáveis numéricas pré- e pós-intervenção no grupo de hidroterapia ou natação mostrou diferença estatisticamente significativa para as variáveis: escore de saúde articular (HJHS), para hidroterapia (p=0,006) e natação (p=0,001); escore funcional (FISH) somente para a hidroterapia (p=0,021); PedHAL para hidroterapia (p=0,022) e natação (p=0,001); HAL para hidroterapia (p=0,038) e natação (p=0,024). Em relação aos resultados obtidos através da eletromiografia, primeiramente da força muscular obtido através da célula de carga, é importante notar a ausência de melhora significativa da força muscular no grupo de pacientes que realizou a hidroterapia, principalmente ao compararmos com os dados observados no grupo da natação, onde houve melhora significativa em todos os músculos analisados. Em seguida, em relação à amplitude do sinal eletromiográfico, observamos a melhora do sinal de todos os músculos avaliados após a intervenção hidroterápica e natação, exceto para o músculo vasto medial D no grupo da hidroterapia. Na avaliação da atividade funcional foi observada diferença significativa somente para natação e forte tendência para hidroterapia. Podemos concluir nesse estudo, que um programa de atividade aquática funcional (hidroterapia ou natação), com frequência de 24 sessões, mesmo quando realizado em pacientes com hemofilia que apresentavam comprometimento em membros inferiores, foi eficaz com melhora significativa na saúde articular, além de melhora na funcionalidade, com aumento da força muscular analisada em membros inferiores
Abstract: Haemophilia is an inherited bleeding disorder X-linked, characterized by a decreased activity or lack of clotting factors VIII (haemophilia A) or IX (haemophilia B). The main clinical manifestations of haemophilia are bleeding into the joints (haemarthroses) and in the muscles (haematomas). The current bleeding often causes musculoskeletal impairments that trigger haemophilic arthropathy and promoting functional capacity limitations in these patients. The purpose of this study was to evaluate the effect of the functional aquatic activities in order to improve the functional capacities of patients with haemophilia. It was used the surface electromyography assessment to evaluate the responses of muscle function before and after functional aquatic activities. This study was the intervention type with patients selected from the haemophilia sector of Hemocentro UNICAMP diagnosed with haemophilia, within the predetermined criteria, over the aged of 6 years. After the selection, the assessment tools consisted of: Functional Independence Score (FISH), Haemophilia Joint Health Score (HJHS), the Haemophilia Activities List (HAL), PedHAL which is a version for children and adolescents aged 8 to 17 years and evaluation by surface electromyography of the thigh muscles (vastus lateralis, vastus medialis and femoral biceps), muscular strength assessment by surface electromyography of the extensor and flexor muscles and functional activity by surface electromyography to get up and sit down. We included in this study the institution of an aquatic protocol to reproduce functional improvements in patients with haemophilia. Thirty-two PWH (23 sHA, 8 sHB and 1mHA), aged 6 to 40 years (12(6-40y)), without previous regular physical activity, were enrolled in this evaluation. 30/32 patients started secondary or tertiary prophylaxis for different reasons, during the year before taking off the aquatic intervention. Later the initial evaluation, the patients underwent functional aquatics activities in our service (hydrotherapy) and as an alternative for patients who were unable to attend our service, these were referred to swimming, an aggregate of 24 sessions around 3 months. Later on the intervention, patients were reassessed for comparison of pre and post-intervention. For statistical analysis, we used the paired Wilcoxon test and unpaired for comparison of mathematical variables and Fisher's exact test for categorical variables. The comparison of numerical variables between hydrotherapy and pre and post-intervention, swimming showed statistically significant deviations in the variables, health joint score (p = 0.006 and p = 0.001) respectively, running score (FISH) (p = 0.021) solely for the hydrotherapy, PedHAL (Sum score) (p = 0.022 and p = 0.001) for hydrotherapy and swimming. In relation to the results obtained through the electromyography, firstly to muscle strength obtained through the load cell, it is important to note the lack of significant improvement in muscle strength in the group of patients who performed hydrotherapy, especially when compared with the data observed in the swimming group, where there has been significant improvement in all muscles tested. Then, in relation to the electromyographic signal amplitude, significant signal improvement was observed in all muscles evaluated after hydrotherapy and swimming intervention except for the vastus medialis (right) in the hydrotherapy group. To sum up, we conclude that a functional aquatic activity program (hydrotherapy or swimming), with frequency of 24 sessions, even when performed in patients with haemophilia who presented commitment in lower limbs, was effective with significant improvement in joint health, and addition to improvement in functionality, with increased muscle strength assessed in lower limbs
Mestrado
Clinica Medica
Mestra em Clínica Médica
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Oliveira, Ana Paula Cunha. "Efeitos da hidroterapia no equilíbrio em idosos: uma revisão bibliográfica narrativa." Bachelor's thesis, [s.n.], 2013. http://hdl.handle.net/10284/3850.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaContexto: O Envelhecimento Biológico é um processo dinâmico e progressivo que conduz o organismo a alterações morfológicas, funcionais e biomecânicas. Objectivos: Avaliar o efeito de diferentes programas de Hidroterapia no equilíbrio dos idosos. Método: Recorreu-se ao uso da base de dados B-On e PubMed para encontrar artigos científicos que fossem úteis no esclarecimento deste estudo. De tal forma, foram estabelecidos os seguintes critérios de inclusão: estudos experimentais controlados randomizados que estivessem de acordo com a temática abordada e/ou comparassem com o meio terrestre; publicações feitas a partir de 2005; amostra com idade igual ou superior a 60 anos e intervenção executadas por fisioterapeutas. Resultados: Efectuou-se uma análise e discussão de 6 artigos experimentais com propósito de cumprir o objectivo deste estudo. Conclusão: Pôde-se concluir-se que um programa global de Hidroterapia que inclua exercícios de alongamento, de fortalecimento, de resistência e de equilíbrio apresentou resultados significativos na melhora do equilíbrio, embora sem diferenças significativas entre o meio terrestre. Contudo, torna-se numa alternativa viável para indivíduos com falta de confiança, com elevado risco de quedas e com sintomatologia álgica com consequente limitação articular. Background: Biological Aging is a dynamic and progressive process that leads to morphological, functional and biochemical changes in our body. Objectives: Evaluate the effect of different Hydrotherapy programs for balance in elderly. Methods: Resorted to the use of database B-On and PubMed to find scientific articles that was useful to clarify this study. As such, it was established the following inclusion criteria: randomized controlled experimental studies that were in line with the thematic discussed and/or comparing with the land environment; publications made since 2005; over 60 years of age and intervention performed by physiotherapists. Results: Performed an analysis and discussion of six experimental studies with propose of achieving the objective of this study. Conclusions: It could be concluded that a global Hydrotherapy program that includes stretching exercises, endurance, strength and balance provided significant improvements in balance, but no significant differences between land environment. However, becomes a viable alternative for individuals with lack of confidence, with a high risk of falls and pain symptoms with consequent joint limitation.
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Appleby, Jennifer. "An exploratory case study of the experiences of preschool children with spastic cerebral palsy in hydrotherapy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ60217.pdf.
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Epps, Heather Anne. "The evolution of combined hydrotherapy and standard land based physiotherapy in children with juvenile idiopathic arthritis." Thesis, King's College London (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430964.
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Mavrakis, Andreas. "Regenerative biohistoric waterscapes." Diss., University of Pretoria, 2016. http://hdl.handle.net/2263/60187.
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The dissertation focuses on regenerating and adapting a part of the Prinshof Medical District. The site is identified as an abandoned, left-over space which is located adjacent to the Apies River in Pretoria's urban context. The site's forgotten natural and historical layers, formerly part of the historical Hove's Drift, and the chronological narrative of the Apies River, are investigated in this study. A regenerative water design method is used to catalyse these lost layers in the aim of cultivating a functional and poetic water-conscious design intervention.
The programme proposes the creation of a hydrotherapy centre for use by the surrounding institutions in the Prinshof Medical District as part of the continuing narrative for the site and that of the Apies River respectively. Regenerative Biohistoric Waterscapes is able to synthesise the river's natural, historical, and Modern infrastructure narratives and contribute an alternative meaning towards the eco-systemic understanding of the river's potential for Pretoria's future generations.Hierdie verhandeling konsentreer op die hernuwing en aanpassing van 'n gedeelte van die Prinshof Mediese Distrik. Hierdie terrain is ge?dentifiseer as verlate, 'n oorblewende spasie wat gele? is langs die Apies Rivier in Pretoria se stedelike konteks. Hierdie terrain se vergete natuurlike en historiese agtergrond, voorheen gedeelte van die geskiedkundige Hove's Drif, en die kronologiese relaas van die Apies Rivier, word in die verhandeling ondersoek. n' Hernieude water ontwerpte metode gebruik om hierdie verlore agtergrond gedeeltes in te sluit met die doelwit om 'n funksionele en kunstige water bewuste ontwerp te winkel. Hierdie program stel die skepping voor van 'n hydroterapeutiese sentrum vir die gebruik deur die omliggende inrigtings in die Prinshof Mediese Distrik as deel van die deurlopende relaas vir die terrain en die Apies Rivier onderskeidelik. Die Hiernieude Biohistoriese Waterterrein sal die rivier se natuurlike, historiese en moderne infrastruktuur saamvoeg en sal tot 'n alternatiewe betekenis bydra met betrokking tot n' eko-sistemiese begrip van die rivier se potentsiaal vir Pretoria se toekomstige nageslagte.
Mini Dissertation (MArch (Prof))--University of Pretoria, 2016.
Architecture
MArch (Prof)
Unrestricted
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Moore, Sonya J. "Water immersion in athlete recovery : a multi-disciplinary approach to informing practice." Thesis, University of Bath, 2012. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.557815.
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Aims: To explore and inform current water immersion recovery practice of high performance athletes; and to compare recovery interventions of 5 minutes cold water immersion, warm water immersion and passive rest, in trained subjects, following intense exercise replicating the demands of game-sports. Methods: Study 1: In a repeated measures design, a measurement approach for use in the evaluation of water immersion efficacy was piloted. The within-day and between-day reliability of surface electromyelography (sEMG), particularly functional wavelet analysis, was evaluated in human lower limb muscles. Functional wavelet analysis provides the opportunity to measure neuromuscular function at the greatest level of detail by differentiating the relative intensity of low and high frequency motor unit recruitment. On 2 consecutive days (Trial 1 & Trial 2), 12 participants performed 3x5 second isometric 80% maximal voluntary contractions (MVC) on a Biodex® dynamometer in each of 150 ankle plantarflexion, 200 knee extension and 200 knee flexion. sEMG was obtained from the medial gastrocnemius (MG), vastis medialis (VM), vastis lateralis (VL) and biceps femoris (BF) muscles. Joint position and force production were controlled. Electrodes remained in situ during each trial. Electrodes were removed upon completion of Trial 1 and replaced in the same position the next day for Trial 2. Simultaneous sEMG metrics for intervals of consistent force production were compared between contractions in Trial 1 and Trial 2 (between-day) and contractions within Trial 2 (within-day). Study 2: 11 trained participants completed the 90 minute Loughborough Intermittent Shuttle Test (LIST). Five minutes of COLD water immersion (8.8 ± 0.30C), WARM water immersion (35.1 ± 1.80C) and REST were compared in a repeated measures randomised cross over design. Recovery was evaluated at 2, 4 and 24 hours post exercise using circulating markers of muscle damage, muscle dynamometry, drop jump and repeated single leg hop performance tests and perceived recovery. Study 3: Current water immersion practice of high performance athletes, practice implications stemming from this study’s findings, and the rationale were explored. In a purposive, theoretical sampling approach of expert consultation, 8 professionals advising internationally competing athletes on water immersion recovery practice were provided with a research brief of this project in advance of a scribed, semi-structured interview. Participants were of Sports Coach, Strength & Conditioning Coach and Sports Physiotherapist professions with a minimum of 5 years’ experience working with internationally competing athletes; and differed in international location and sporting disciplines.
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Witthuhn, Amori Cathy. "Effects of hydrotherapy group exercises on selected health-related fitness variables in older women with Type II diabetes mellitus." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1543.
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The aim of this study was to assess the effects of a twelve-week hydrotherapy group exercise programme on selected health-related fitness variables in older women with type II diabetes mellitus. This study included the testing of blood glucose levels, blood anthropometrical profile, body mass, height, body mass index, waist circumference, waist-to-hip ratio, upper body flexibility, lower body flexibility, grip strength, upper body and lower body muscular strength and endurance as well as aerobic endurance. Descriptive and inferential statistical techniques were used for this study utilising a quasiexperimental research design. A comparison group pre-test and post-test experimental design was employed at the Nelson Mandela Metropolitan University Biokinetics and Sports Science Unit. Approximately 16 senior female participants took part in the study. Participants were identified through convenience sampling and snowball sampling, of which, all the participants were clinically diagnosed with type II diabetes mellitus and had completed the study. The hydrotherapy participants (experimental group), took part in water-based (hydrotherapy) exercises three times a week for a period of twelve weeks. The hydrotherapy exercises began with a light half-hour workout per session and were progressively increased in intensity, duration, and number of the exercises performed. The participants not participating in the hydrotherapy exercises (control group) were instructed to remain sedentary throughout the duration of the intervention period. The dependant variables were gathered as raw data and analysed using descriptive statistics to form the means, standard deviations, medians, minimum and maximum values. Post hoc analysis was performed to determine whether differences existed between the experimental group and control group. Cohen’s D test was used to determine pre- and post-test differences for both groups to determine practical significance. An analysis of the results revealed significant improvements in some of the selected health and physical fitness parameters such as, upper body and lower body flexibility, upper and lower body muscular strength and endurance, as well as aerobic endurance. iii The aim and objectives of the study in exploring the effect of hydrotherapy as an intervention strategy to promote health and physical fitness in persons with type II diabetes mellitus were supported by the data collected in the pre-test and post-test analyses of the variables.
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MacSween, Alasdair. "An investigation of the efficacy of a hydrotherapy and land based aerobic exercise programme for female rheumatoid arthritis patients." Thesis, Glasgow Caledonian University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270517.
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Liao, Wen-Chun. "Effects of warm foot bathing on distal-proximal skin temperature gradient, PSG sleep and perceived sleep quality in older adults with sleep disturbance /." Thesis, Connect to this title online; UW restricted, 2004. http://hdl.handle.net/1773/7352.
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Blaurock, Joachim. "Durchblutungsänderungen von Haut und Nasenschleimhaut durch Konditionierung mittels verschiedener gewohnheitsmäßiger hydrotherapeutischer Maßnahmen." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2006. http://dx.doi.org/10.18452/15403.
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Bei der Vorbeugung grippaler Infekte ist die Abhärtung eine hervorragende Methode jenseits pharmakologischer Therapieansätze im klinischen Alltag. Dabei stellt die Durchblutungsregulation von Haut und Schleimhaut einen wesentlichen Mechanismus der unspezifischen Abwehr dar. Die vorliegende Arbeit zeigt den Unterschied zwischen spezifischer Adaptation und der wissenschaftlich viel seltener untersuchten Abhärtung. Das Beispiel der Reaktionsmuster verschiedener Personengruppen auf thermische Reize belegt dabei den Einfluss der Durchblutungsregulation. Die Unterschiede in der Reagibilität werden am Beispiel der Vasomotion und akralen Wiedererwärmungsreaktion bei gewohnheitsmäßigen Saunagängern, Eisbadesportlern sowie einer Gruppe untrainierter Kontrollprobanden nachgewiesen. Die aufwändig ausgewerteten Versuche belegen statistisch signifikant, dass sich gewohnheitsmäßige hydrotherapeutische Maßnahmen zirkulationsfördernd auf die kutanen Gefäße auswirken und sich deren Reagibilität erhöht, sodass Kaltreize besser toleriert werden. Dabei stellt das Winterschwimmen im Vergleich zur Sauna ein stärkeres Trainingsmoment zur Bahnung effektiver thermoregulatorischer Reaktionen auf Kaltreize in warmer Umgebung dar. Die Frage, ob der Organismus durch das Saunabaden in die Lage versetzt werden kann, schneller auf wechselwarme Reize zu reagieren, sollte Anregung zu weiterer Forschung auf diesem interessanten Gebiet therapeutischer Physiologie sein, um durch deren besseres Verständnis klare Behandlungskriterien zu schaffen.comparison with pharmacological treatment attempts in the clinical weekday. Thereby the regulation of the circulation of the cutis and mucosa constitutes a substantial mechanism of the unspecific defence. The present piece of work presents the difference between specific adaptation and the hardening itself, which has hardly been explored. The pattern of reactions regarding the thermical stimulation of different groups displays the influence of the circulation regulation.The distinctions in the reaction models are proven in the vasomotion and in the acral reheating reactions of people who go to the sauna regularly, people who go swimming in ice water regularly and a group of untrained control probands. The complex evaluated experiments indicate statistical significant that the regular hydriatric procedures support the circulation of the cutaneous vessels, the reactions are enhanced, so that cold stimuli get better tolerated. Thereby represents the swimming in ice water a better training of the adaptation to cold stimuli in a warm environment as the regular sauna attendance. The question if the regular sauna visitation results a better adaptation to poikilotherm stimuli needs to be scientifically researched to get a better understanding of the interesting area of therapeutical physiology to form brighter criteria for the treatment.
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Johnson, Levona. "The effect of hydrotherapy on the pain levels, stress levels, quality of life and functional disability in patients with rheumatic disease." University of Western Cape, 2011. http://hdl.handle.net/11394/3936.
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Magister Scientiae (Physiotherapy) - MSc(Physio)Rheumatic disease is estimated to be one of the most disabling diseases in South Africa and the world. The most common rheumatic diseases are osteoarthritis, fibromyalgia, rheumatoid arthritis, gout and systemic lupus erythematosus. The symptoms of the disease include pain, stiffness, swelling, decreased function. The patient’s functional abilities are severely affected by the pain which in turn, leads to poor quality of life and adverse stress. As a result patients who suffer with one or with a combination of rheumatic disease will experience pain, stress, decreased functional abilities and poor quality of life. The physical properties of water and the therapeutic effects of hydrotherapy, make hydrotherapy an effective form of exercise available to physiotherapists in the treatment of rheumatic disease. The aim of the current study was to determine the effects of a hydrotherapy intervention on the pain, stress, quality of life and functional abilities in patients with rheumatic disease. A quantitative and qualitative research design was employed to meet the objectives. The quantitative aspect involved an A-B-A design and the qualitative part of the study compromised indepth interviews which took place after the intervention. The instruments used were the WHOQOL-BREF instrument, the Visual Analogue Scale (VAS), the Weekly Stress Inventory-Short Form (WSI-SF) and the Health Assessment Questionnaire. (HAQ). The sample consisted of 19 patients who were diagnosed with one or a combination of rheumatic disease. The study was conducted at the hydrotherapy pool at Groote Schuur Hospital in Cape Town. Within the study sample, the majority of the participants were female (84%) with osteoarthritis being common among the participants (53%). The mean age was 60 years. The intervention had a significant impact on pain reduction (p = 0.0001), quality of life (p<0.05). However, the impact of hydrotherapy on stress and the social relationship domain in quality of life was inconclusive. It is thus evident from this study that hydrotherapy as a treatment modality for physiotherapists can be used to impact on the pain, quality of life and functional abilities in patients with rheumatic disease. iv Keywords
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Costa, Diana. "Fisioterapia em meio aquático no tratamento conservador da osteoartrite da anca e joelho: revisão de literatura." Bachelor's thesis, [s.n.], 2018. http://hdl.handle.net/10284/7020.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: Recolher e sumariar a evidência científica disponível em bases de dados científicas para perceber a eficácia de técnicas de fisioterapia em meio aquático no tratamento conservador da osteoartrite da anca e/ou do joelho. Metodologia: Pesquisa computadorizada nas bases de dados PubMed / Medline, Web of Knowledge e PEDro para identificar estudos randomizados controlados que avaliam a efetividade de técnicas de fisioterapia em meio aquático no tratamento conservador da osteoartrite da anca e do joelho. Resultados: Nesta revisão foram incluídos 9 estudos, com classificação metodológica na escala de PEDro ≥ 7. Conclusão: Técnicas de fisioterapia em meio aquático verificaram-se eficazes, ainda que a maioria a curto prazo.
Objective: Collect and summarize available scientific evidence in scientific databases to realize the efficacy of physiotherapy techniques in the aquatic environment in the conservative treatment of osteoarthritis of the hip and/or the knee. Methodology: Computerized research in the databases PubMed / Medline, Web of Knowledge and PEDro for designing randomized controlled studies that evaluating a physical analysis of physiotherapy in aquatic knee treatment of osteoarthritis of ankle and knee. Results: In this review, 9 studies were included, with methodological classification in the PEDro scale ≥ 7. Conclusion: Techniques of physiotherapy in the aquatic environment were verified to do, although the majority in the short term.
N/A
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Shelef, Arie Niv. "Enhancing quality of life through aquatics therapy : effectiveness of adaptation of seating posture loading in a partially immersed aquatics therapy approach for the improved functioning and perceived competence of children with cerebral palsy, as reflected in their quality of life : a multiple case study." Thesis, Anglia Ruskin University, 2010. http://arro.anglia.ac.uk/189012/.
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An innovative Partially Immersed Approach, based on mixed principles of land and aquatic therapy theories was developed to enhance sitting adaptation and functioning in an Aquatics Therapy environment, thus improving quality of life for children with Cerebral Palsy. The approach aimed to enhance motor adaptation, engendering adaptation in psychosocial domains of quality of life. It employed a specially developed therapeutic treatment chair, in an unloading toward loading strategy, to regulate and control percentage of weight-bearing by manipulation of buoyancy (Archimedes principle). Participants were bilateral spastic hypertonia, Cerebral Palsy children, aged 10-15 years. Mixed-method methodology was used to investigate effectiveness of treatment, employing a small sample in a multiple case study. In conclusion, the developed approach enables aquatic therapy to be employed to improve motor function adaptation on land and consequently enhancing adaptation in other psychosocial domains - perceived competence, empowerment and motivation - thus improving quality of life for children with cerebral palsy, sustained at a one-year post-intervention test.
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Santos, Fabiola Carvalho Lopes dos. "Técnica de Massagem e Mobilização em Imersão para Relaxamento (RMI): desenvolvimento, usabilidade e aplicabilidade clínica em mulheres idosas." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5170/tde-19042018-122642/.
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Contextualização. A Fisioterapia carece de programas de intervenção previamente testados para aplicação, em meio aquático, visando indução de relaxamento muscular. Estudos prévios fornecem bases suficientes para a construção de programas. Delineamento e objetivo: Estudo quase experimental visando: 1. Desenvolver e descrever, em manual, um programa de massagem em imersão visando relaxamento denominado Programa de Relaxamento, Massagem e Mobilização em Imersão (RMI); 2. Avaliar pertinência e qualidade técnica da RMI pela submissão a pareceristas; 3. Avaliar a usabilidade e a autoaprendizagem a partir do estudo do manual da RMI; 4. Avaliar o efeito da intervenção fisioterapêutica com RMI em mulheres idosas e saudáveis. Método: 1. Desenvolvimento do Programa de Relaxamento, Massagem e Mobilização em Imersão (RMI), com base em revisão de literatura, reuniões dos pesquisadores e construção do manual. 2. Avalição da técnica por 20 pareceristas por meio de ficha de avaliação. 3. Análise de usabilidade do manual para autoaprendizagem teórico-prática por 10 graduandos em Fisioterapia. A atividade prática foi avaliada, pelo pesquisador e examinador independente, utilizando roteiro de avaliação baseado na descrição do programa. 4. Análise do efeito nos indicadores de relaxamento (frequência cardíaca, pressão arterial, flexibilidade, mobilidade, dor e qualidade de vida) em 12 mulheres idosas e saudáveis, após programa RMI de 10 sessões com duração de uma hora e meia cada. O estudo foi realizado no Laboratório de Fisioterapia e Comportamento do Curso de Fisioterapia da Faculdade de Medicina da Universidade de São Paulo e na piscina de reabilitação da Clínica Integrada Simmm. A análise constou de 1. Organização de respostas dos pareceristas por categoria e análise descritiva por questão; 2. Análise estatística descritiva das notas de desempenho dos estudantes e análise de confiabilidade interexaminadores; 3. Análise descritiva e comparativa dos dados pré e pós-intervenção das variáveis de flexibilidade, mobilidade articular, resposta cardiovascular, escores nos questionários DASH, FAOS e WHOQOL e por categorização das respostas sobre relatos para análise de efeito de programa em mulheres idosas. Resultados: Foi possível desenvolver o programa de intervenção e construir o manual descritivo e ilustrativo de massagem em imersão visando relaxamento, enriquecido com as sugestões dos pareceristas. O manual mostrou-se usável e suficiente para autoaprendizagem teórico-prática. O estudo de casos em série indicou que a prática da RMI melhora a mobilidade articular do ombro (rotação medial e lateral direita e esquerda com p=0,001) e tornozelo (extensão à esquerda p<0,001,extensão à direita p=0,0017 e flexão esquerda p=0,001). Afeta as respostas cardiovasculares indicando relaxamento com p=0,04. Houve melhora na função motora dos membros superiores, avaliada pelo questionário DASH. Na avaliação pelo questionário WHOQOL-bref, encontramos melhora no domínio psicológico, consequente à intervenção. Cada participante do programa de intervenção RMI relatou pelo menos um estado de relaxamento e satisfação. Conclusão: Foi possível desenvolver e descrever um método de massagem em imersão visando relaxamento, utilizável por graduandos em Fisioterapia, a partir de seu manual, e apropriado para induzir adequações nos sistemas musculoesquelético e cardiovascular, como indicadores de resposta fisiológica de relaxamento muscular. Estes dados são compatíveis com os relatos das participantesContextualization: Physiotherapy lacks intervention programs previously tested to be used in the aquatic environment aiming muscle relaxation induction. Previous studies provide sufficient basis for build programs. Design and purpose: quasi-experimental study with four objectives: 1. Develop and describe in descriptive and illustrated manual a Technique of Massage and Mobilization during Immersion for Relaxation (RMI); 2. Evaluate the relevance and technical quality of RMI through submission to referees; 3. Evaluate usability and self learning through the study of the RMI manual; 4. To evaluate the effect of physiotherapy intervention with RMI in healthy older women. Methods: In order to achieve these goals the study was executed in four phases: 1. Development of Technique of Massage and Mobilization during Immersion for Relaxation (RMI), carried out through literature review, meetings of researchers and construction of descriptive and illustrated manual. 2. Evaluation of the manual by 20 referees using a form. 3. Usability and self-learning analysis. Participated 10 Physiotherapy undergraduate. The student applied the RMI in healthy volunteers. The practical activity was assessed by the research and independent examiner using valuation script based on the program description. 4. Analysis on the effect of the RMI in relaxation indicators, applied in 12 healthy elderly women. The intervention consisted of 10 sessions lasting an hour and a half each one, once a week. The study was conducted at Laboratory of Physiotherapy and Behaviour of Physiotherapy Course, Medical School, University of São Paulo and in the SIMMM Integrated Rehabilitation Clinic\'s pool. Statistical analysis was pertinent to each phase of the study: 1. Development of physiotherapy intervention program based on literature and manual writing; 2. Organization of responses from referees by category of answers and statistical descriptive analysis of the degrees from referees; 3. Analysis of the statistical analysis of degrees and inter-rater reliability analysis of the evaluation executed by the examinators; 4. Descriptive and comparative analysis of pre and post-intervention data of flexibility, joint mobility, cardiovascular response, scores in the DASH, FAOS and WOGOOL questionnaires and categorization of answers. Results: The methodology applied allowed the development of the RMI and construction of descriptive manual, enriched with suggestions from referees. The manual proved to be usable and sufficient to convey practical knowledge, no third part intervention, targeting education. The number of case studies showed that the practice of RMI improved shoulder joint mobility (medial and lateral rotation right and left with p=0,001) and ankle joint mobility (extension - left p < 0.001, extension - right p=0,0017 and bending left p=0,001) and affected the cardiovascular response showing relaxation (p=0,04). Each participant in the RMI intervention program reported at least one state of relaxation and satisfaction. Conclusion: It was possible to develop and describe a method of massage and mobilization in immersion to induced relaxation usable by students in Physiotherapy from its manual (with adjustments by referees) appropriate for change musculoskeletal and cardiovascular systems, as response indicators of physiological muscular relaxation. There was improvement in motor function of the upper limbs, assessed by DASH questionnaire. In the evaluation by WHOQOL-bref questionnaire it was found an improvement in the psychological domain, consequent to the intervention. These data are consistent with the reports from the participants
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Lind, Filip, and Gustav Bergström. "Upplevelser av bassängträning hos en grupp personer med diagnosen Reumatoid artrit." Thesis, Uppsala universitet, Fysioterapi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-337871.
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Background: Rheumatoid arthritis (RA) is a chronic inflammatory joint disease. Physical activity is a cornerstone in the treatment. Hydrotherapy is an appreciated alternative for many patients. Quantitative research has been made in the area but to the authors’ knowledge, no qualitative studies have been made. Purpose: To explore and analyse the experiences of hydrotherapy among a group of people with RA with a focus on the impacts of the exercise form. Design and method: Explorative, descriptive qualitative design. Semi-structured interviews with five people with RA. A qualitative content analysis was chosen to process data. Results: Three themes were identified: The pros of exercising in water; The cons of exercising in water; When hydrotherapy is especially important. These themes contain eight categories: Effects; Important in implementation; Positive attributes of the pool; Community; Negative attributes of the pool; Availability; Bad periods; Disease severity; Konklusion: The informants especially highlighted the exercise effects, social aspects and the properties of water as pros. The hard pool floor and the inavailability were the primary cons experienced. Hydrotherapy seemed particularly incentivized when coupled with high disease severity. This study can serve as a foundation when choosing a physical activity intervention for this group. Future studies with similar purposes should include a larger sample.
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Bacellar, Daniel Alexei Cavaca Huet de. "Fisioterapia no paciente neurológico." Master's thesis, Universidade de Évora, 2013. http://hdl.handle.net/10174/18317.
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O presente relatório tem como base o estágio realizado no Hospital Veterinário da Arrábida (HVA), sob orientação da diretora clínica do hospital Dra. Ângela Martins.
É constituído por três secções: casuística, monografia e casos clínicos. Na casuística são expostos de forma breve os casos clínicos e procedimentos acompanhados durante o período de estágio. Já a monografia, intitulada “Fisioterapia no paciente neurológico” faz uma descrição das principais afeções neurológicas que necessitam reabilitação no paciente canídeo e descreve as modalidades e métodos aplicados, fazendo uma correlação entre a neuroanatomia e as técnicas de reabilitação. Finalmente, nos casos clínicos são apresentadas de uma forma prática diferentes abordagens adotadas nos casos neurológicos em reabilitação durante o período de estágio; ABSTRACT: PHYSIOTHERAPY IN THE NEUROLOGIC PATIENT
This report this based on the internship carried out at Hospital Veterinário da Arrábida (HVA), under orientation of the clinical director Dr. Ângela Martins.
It is divided in three sections: casuistry, monography and case reports. The casuistry section briefly states the clinical cases and proceedings followed during the internship period. On the other hand, the monography section entitled “Physical medicine and rehabilitation in the neurologic patient” describes the main neurological diseases that require rehabilitation in dogs and the modalities and methods apllied, relating neuroanatomy and rehabilitation techiniques. Lastly, in the case reports section, different approaches for the neurologic cases in rehabilitation during the internship period are exposed in a practical way.
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Adsett, Julie. "Exercise rehabilitation for people with stable heart failure." Thesis, Griffith University, 2018. http://hdl.handle.net/10072/384942.
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Heart failure (HF) is a condition associated with high levels of morbidity and mortality.
For people with this condition, exercise training is recommended as part of standard
management as it improves exercise capacity, symptoms and quality of life and has been
shown to reduce hospital readmissions. Guidelines recommend that all people with stable
HF undertake 150 minutes of moderate intensity activity per week. For many years,
centre-based exercise programmes, such as cardiac rehabilitation or HF rehabilitation,
have been the traditional approach to assist individuals to meet these guidelines, however,
uptake at these programmes is poor and recent studies suggest that fewer than 40% of
people with HF meet recommended physical activity targets. This has led clinicians to
deviate from the traditional “one size fits all” exercise model in search of strategies which
assist individuals to attend these programmes, and to explore alternative exercise
opportunities to increase exercise adherence at scale. This thesis aims to examine
exercise participation in people recently hospitalised with HF and to explore aquatic
exercise training as a potential exercise option for this population.
The thesis was developed in two parts. Section one (Studies 1 and 2) aimed to describe
and identify variables associated with exercise participation and exercise capacity
measured by six minute walk distance (6MWD). Study 1 was a sub-study of the
EJECTION-HF trial, a multicentre randomised controlled trial which investigated the
impact of supervised exercise training in addition to a disease management programme,
in people recently hospitalised with HF. Primary outcomes of this trial were death or
readmission at 12 months. The objectives of Study 1 were to describe exercise
participation in this clinical HF population and to identify variables related to exercise
participation which are associated with improvements in 6MWD. Data were available
from 140 participants for exercise programme attendance variables and 117 participants
for self-reported physical activity undertaken outside of the health facility. Results
confirm that exercise participation is poor in this cohort and also identify that frequent
exercise programme attendance (at least weekly) and being physically active (meeting
exercise guidelines), are independently and strongly associated with improvements in
functional exercise capacity. Following on from these findings, Study 2 sought to identify predictors of these important
variables (frequent programme attendance and meeting exercise guidelines). This study
was also a sub-study of the EJECTION-HF trial. Variables entered into logistic regression
models included common participant and clinical characteristics such as age, gender, HF
aetiology, disease severity, new versus decompensated HF, presence of comorbidities and
baseline physical activity. Findings indicated that a new diagnosis of HF was strongly
associated with exercise participation, including both frequent programme attendance as
well as meeting exercise guidelines. Baseline physical activity was also associated with
being physically active at 12 weeks. Results from Studies 1 and 2 provide new insight
into the exercise behaviour of people recently hospitalised with HF and identify
opportunities for clinicians to target exercise services more specifically for greatest effect.
Section two of this thesis (Studies 3, 4 and 5) aimed to explore the safety, efficacy and
acceptability of aquatic exercise training, thus determining if this mode of exercise is a
suitable option for people with HF seeking alternative exercise opportunities. Study 3
produced a systematic review and meta-analysis of existing literature with particular
focus on the impact of aquatic exercise training interventions on exercise capacity, muscle
strength, quality of life, haemodynamics and B-type natriuretic peptide. Compared to no
exercise controls, aquatic exercise training was associated with significant improvements
in exercise capacity, muscle strength and quality of life. Based upon the absence of
serious adverse events in any of the small studies included in this review, aquatic exercise
training was deemed to be safe for people with stable HF.
Study 4 expanded on these findings by examining the feasibility and efficacy of aquatic
exercise training, compared to a land-based exercise programme in a clinical
environment. This randomised 2x2 crossover design trial enrolled people with HF who
were in an exercise training maintenance phase at two metropolitan hospitals and
compared six weeks of aquatic and land-based exercise training with respect to 6MWD,
grip strength and measures of balance. Data from 51 participants with stable HF
confirmed that aquatic exercise training is safe and feasible in a clinical environment and
is equally effective as land-based exercise training for maintaining each of the outcome
measures listed above. This study also identified biventricular HF as a potential contraindication
for this type of exercise training. Study 5 aimed to explore individuals’ experiences with aquatic and land-based exercise
training using a mixed methods approach to determine acceptability of aquatic exercise
training in a clinical HF population. A purpose designed questionnaire gathered
information about experiences and preferences and was provided to participants at the
completion of Study 4. Semi-structured interviews further explored perceptions,
experiences, motivators and barriers to exercise participation in 14 participants, seven of
whom had chosen not to participate in the aquatic programme. Results confirmed that
people with HF perceive aquatic exercise training to be a safe, acceptable and enjoyable
mode of exercise, similar to land-based exercise training. Latent fatigue was identified as
a common symptom of the aquatic programme, however was not associated with the landbased
programme. Important motivators for exercise participation were identified and
included a skilled and compassionate workforce, sense of safety, perceived benefit,
programme tailored to the individual and sense of inclusiveness and enjoyment. These
themes were common to both exercise interventions.
This thesis, in two sections, examines concepts relating to exercise adherence in a clinical
HF population. Section one describes exercise behaviour in people recently hospitalised
with HF and explores variables associated with both exercise participation and outcomes.
These studies identified potentially vulnerable groups who are less likely to meet
recommended exercise guidelines, thus presenting opportunity to tailor services for best
effect. Section two presents a comprehensive report of aquatic exercise training in people
with HF. Based upon these results, this mode of exercise is safe, effective and acceptable
for people with stable HF and thus provides an additional and viable option for these
individuals to be physically active.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School Allied Health Sciences
Griffith Health
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Mallen, Pérez Laura. "Efectividad del uso de la hidroterapia en el trabajo de parto." Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/403534.
Full textAbstract:
INTRODUCCIÓN
El uso de hidroterapia durante el parto es una prestación que actualmente se está instaurando en mucho centros sanitarios a raíz de la creciente demanda de partos sin analgesia. Aunque su efectividad para el alivio del dolor durante el trabajo de parto se ha visto demostrada en varios estudios, las ventajas maternas en relación al periodo del expulsivo y sobretodo la seguridad neonatal sobre realizar un parto en el agua está en entredicho.
OBJETIVO
Evaluar la efectividad del uso de hidroterapia en relación a la percepción del dolor, la duración del parto y valorar la seguridad neonatal.
METODOLOGÍA
Estudio multicéntrico cuasi experimental. Sujetos de estudio: 280 gestantes distribuidas al grupo hidroterapia (GH) o grupo control (GC) según deseo y disponibilidad del uso de hidroterapia. Variables: dolor percibido mediante la escala valoración numérica del dolor (EVN), duración del parto, tipo de parto, uso o no de analgesia y el estado perineal posparto y la satisfacción materna mediante la escala de satisfacción Mackey. La seguridad neonatal se evaluó según las variables test de Apgar, pH de cordón umbilical y la valoración del registro cardiotocográfico.
RESULTADOS
La muestra total de 280 gestantes se distribuyó de forma homogénea: 151 gestantes GH de las cuales 69 realizaron un parto en el agua y 129 gestantes al GC. Al analizar los resultados obtuvimos que: la percepción del dolor fue significativamente menor en el GH respecto al GC en todas sus mediciones tanto en gestantes nulíparas como multíparas (EVN 30min; GH 6,7 GC 7,9, EVN 90min; GH 7,7 GC 9, EVN expul; GH 8,5 GC 9,6; p<0,001), excepto en la medición inicial en que las gestantes del GH tuvieron una percepción significativamente mayor a las gestantes del GC (EVN GH 7,5 GC 6,3 p<0,001). La duración del parto en el total de la muestra se observó una disminución en el tiempo de dilatación significativa en las gestantes nulíparas (GH 183,4 vs GC 239,3 p=0,007) no siendo así en el tiempo de expulsivo y el total de parto. En el subgrupo de partos sin analgesia se observó una disminución en el tiempo de dilatación (GH 151,1 vs GC 183,5 p=0,08) y el total de parto (GH 211,4 vs GC 236,5 p=0,4) que no fue estadísticamente significativo. Las gestantes que utilizaron hidroterapia requirieron menos analgesia respecto al grupo control (no analgesia GH 79,5% vs GC 60,5%, uso epidural GH 19,9% vs GC 34,1%; p=0,001). No se observaron diferencias estadísticamente significativas en el tipo de parto ni en el estado perineal postparto; pero al tener en cuenta la paridad en el subgrupo de partos sin analgesia, las gestantes nulíparas tuvieron un porcentaje significativamente mayor de periné integro y un aumento de los desgarros de 1º respecto al grupo control (íntegro GH 23,2% vs GC 20%, DES1 GH 53,3% vs GC 22,9%; DES 2 GH 20% vs GC 45,7%; p=0,04). Respecto a la satisfacción materna se observó que las gestantes del GH mostraron una satisfacción mayor al GC (4,8 vs 4,7 p=0,001).
En relación a los resultados neonatales, no se observaron diferencias en el registro cardiotocográfico, en la temperatura del recién nacido, test de Apgar y pH de cordón umbilical. En los resultados de los neonatos nacidos bajo el agua, se observó que test de Apgar al minuto fue significativamente menor en el grupo de niños nacidos bajo el agua respecto al grupo control (8,9 vs 9,1 p=0,002), sin hallar diferencias en el resto de parámetros.
CONCLUSIONES
El uso de hidroterapia durante el parto disminuye el dolor percibido y los requerimientos de analgesia, el tiempo de dilatación y mejora el estado perineal postparto sin conllevar efectos adversos para la mujer. Los resultados sobre el neonato parecen indicar que su uso no afecta a los parámetros estudiados, pero dado la baja incidencia de complicaciones por el uso de hidroterapia sería recomendable seguir con la investigación para conseguir una muestra mucho más amplia.INTRODUCTION The use of hydrotherapy during childbirth is currently being established in many health centers due to the growing demand for labor without analgesia. Although its effectiveness for pain relief during labor has been demonstrated, the maternal advantages in relation to the second stage of labour and neonatal safety of performing a water birth is in question. OBJECTIVE To evaluate the effectiveness of the use of hydrotherapy in relation to the perception of pain, the duration of labor and to assess neonatal safety. METHODOLOGY Multicenter quasi-experimental study. RESULTS The 280 pregnant women was distributed in 151 women to HG, of whom 69 performed a water birth and 129 women to CG. The perception of pain was significantly lower in the HG than the CG (NRS 30min, HG 6.7 vs CG 7.9, NRS 90min, HG 7.7 vs CG 9, NRS expul; HG 8.5 CG 9.6; p<0.001). The duration of delivery in the total of sample, the first stage of labor in nulliparous women was lower in HG (HG 183.4min vs CG 239.3min p=0.007). In the subgroup of deliveries without analgesia, it was observed a decrease in the first stage of labour (HG 151.1min vs CG 183.5min p=0.08) and total delivery (GH 211.4 vs. GC 236.5 p=0,4) but it wasn’t statistically significant. Pregnant women who used hydrotherapy required less analgesia. There were no differences in the type of delivery or in the postpartum perineal state; but when parity was considered in the subgroup of deliveries without analgesia, nulliparous pregnant women had an increase of intact perineum and in 1º tears (intact perineum HG 23.2% vs CG 20%; 1º HG 53.3% vs CG 22.9%, 2º HG 20% vs CG 45.7%, p=0.04). Regarding maternal satisfaction, it was observed that pregnant women showed greater satisfaction in HG than in CG. In relation to the neonatal results, no differences were observed between groups in the variables studied. CONCLUSIONS The use of hydrotherapy during labor reduces perceived pain and analgesia requirements, decrees the duration of the first stage of labour without causing adverse effects for the woman. The results on the neonate seem to indicate that its use doesn’t affect the parameters studied, but given the low incidence of complications from the use of hydrotherapy, it would be advisable to continue the research to obtain a much larger sample.
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Garpelin, Maja, and Emmelie Byhlin. "”JAG BLIR LIKSOM SOM FÖRR I TIDEN” : Upplevelse av hydroterapi hos personer med reumatisk sjukdom." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-18641.
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SAMMANFATTNING Hydroterapi har under en längre tid använts som behandlingsform, men det är brist på forskning inom området. Syftet med denna studie var att undersöka upplevelsen av hydroterapi hos personer med reumatisk sjukdom. En kvalitativ ansats anlades och enskilda semistrukturerade intervjuer användes. Deltagarna rekryterades genom bekvämlighetsurval via en kontakt på en reumatologklinik. Sex personer inkluderades: fem hade reumatoid artrit och en hade pelvospondylit. Resultatet tolkades med hjälp av en kvalitativ innehållsanalys, som visade på att deltagarna i denna studie var positivt inställda till hydroterapi. Deltagarna upplevde att hydroterapin ledde till minskad smärta, ökad rörlighet samt ett ökat välmående. Utöver de upplevda positiva effekterna återfanns även upplevda negativa effekter i form av träningsvärk och en ökad stelhet under sommaruppehållen. Det sociala samspel som uppstod i samband med hydroterapin upplevdes av de flesta deltagare ha haft positiv betydelse. Deltagarnas upplevelser kunde i diskussionen kopplas till operant och respondent inlärningsteori, där tänkbara konsekvenser och stimulin identifierades. Slutsatsen som drogs var att deltagarna upplevde hydroterapin som ett sätt att få tillbaka sin friska kropp genom att symtomen minskade. Då deltagarna upplevde att uppehåll orsakade försämring behövs hydroterapi som kontinuerlig behandlingsform för dem. Vidare forskning inom området bör fokuseras på enskilda patientgrupper samt inkludera ett större antal deltagare per patientgrupp. Nyckelord: hydroterapi, intervju, kvalitativ, pelvospondylit, reumatoid artrit.
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Orselli, Maria Isabel Veras. "Estimativa das forças musculares em seres humanos durante o andar." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/43/43134/tde-27012015-102820/.
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A estimativa das forças musculares durante o movimento humano tem inúmeras aplicações na área da Biomecânica. Nesse trabalho descrevo a aplicação de métodos de estimativa das forças musculares a dois diferentes problemas. O primeiro consiste em se quantificar as cargas a que os músculos e as articulações do membro inferior de adultos jovens estão sujeitos durante o andar em ambiente aquático e terrestre. Já o segundo consiste na investigação do efeito do aumento da complacência do tendão de Aquiles (TAq; tendão do triceps sural) na dinâmica de produção de força dos músculos gastrocnêmio e sóleo (G e S respectivamente; ambos músculos do triceps sural), visando compreender se o aumento da complacência, observado com o envelhecimento, poderia contribuir para as alterações na biomecânica da marcha de idosos. A hipótese no primeiro estudo era de que as forças desenvolvidas pelos músculos do membro inferior durante o andar em ambiente aquático não seriam menores em relação ao ambiente terrestre. Especificamente, esperávamos observar um aumento nas forças geradas nos flexores e extensores de quadril e joelho. No segundo estudo, nossas hipóteses eram de que o aumento na complacência do TAq faria com que as fibras musculares operassem mais distantes do seu comprimento ótimo, aumentando os níveis de ativação e o consumo metabólico dos músculos G e S. Com o objetivo de verificar as hipóteses levantadas nos dois estudos propostos utilizamos o software OpenSim 3.1 e dados experimentais dos movimentos estudados, para realizar simulações do andar humano e estimar as forças nos músculos do membro inferior durante essa tarefa. Em ambos os estudos os dados experimentais foram adquiridos através de sistemas de análise do movimento humano compostos por câmeras, para filmar os movimentos corporais dos voluntários, e plataformas de força, para medir as forças de reação do solo. Os resultados obtidos no primeiro estudo confirmaram nossas hipóteses, uma vez que indicam que durante determinadas fases do ciclo da marcha as forças geradas pelos músculos flexores e extensores de joelho e quadril, tais como os músculos isquiotibiais e o gluteo máximo, podem exceder as forças geradas em ambiente terrestre. Esses resultados corroboram a idéia de que o andar em ambiente aquático pode ser efetivo no ganho de força muscular. As hipóteses para o segundo estudo também foram confirmadas. Adicionalmente, nossos resultados previram que, para o triceps sural gerar a potência necessária para manter o indivíduo andando com velocidade confortável, os tendões dos músculos G e S devem se movimentar de maneira independente. A diferença no movimento dos feixes do TAq é tanto maior quanto maior a sua complacência. Além disso, verificamos que há um mínimo no consumo metabólico do gastrocnêmio em um nível específico de complacência do TAq, enquanto para o sóleo o consumo aumenta sistematicamente com o aumento da complacência. Esses resultados indicam que um aumento na complacência do TAq pode comprometer o desempenho dos músculos do triceps sural e aumentar o seu consumo energético, contribuindo para as alterações na biomecânica da marcha de idosos. As informações fornecidas nos dois estudos aqui apresentados podem auxiliar profissionais de área da saúde no planejamento de programas de treinamento e reabilitação para adultos e idosos, tanto no ambiente terrestre quanto no ambiente aquático.Muscle force estimation during human motion has numerous applications in Biomechanics. In this work, we describe the application of methods of muscle force estimation to solve for two different problems. The first problem is to quantify lower limb muscle and joint loads that young adults are subjected to when walking in the aquatic and terrestrial environment. The second problem is to understand the effect of increased Achilles tendon compliance (AT; the triceps surae tendon) in the gastrocnemius and soleus contractile dynamics (G and S respectively; both triceps surae muscles), aiming at understanding if increased AT compliance, that occurs with aging, could play a role in the elderly gait alterations. Our hypothesis for this first study was that the forces developed by the lower limb muscles in water are not always lower than on land. Specifically, we hypothesized that the forces developed by the hip and knee flexors and extensors would be grater in water than on land. For the second study our hypothesis was that the compliant AT would cause the fibers to operate far from its optimal length resulting in higher levels of activation in both G and S, as well as higher specific metabolic consumption. In order to verify our hypotheses for both studies we used the software OpenSim 3.1 together with experimental data of volunteers walking in aquatic and terrestrial environments to simulate human walking and to estimate the forces developed by the lower limb muscles during this task. In both studies, experimental data were acquired through human movement analysis systems composed of cameras, to record the movements of the volunteers\' body, and force plates, to measure ground contact forces. We confirmed our hypotheses to the first study since our results showed that in certain periods of the gait cycle the forces developed in the knee and hip flexors and extensors, such as the hamstrings and the gluteus maximus, inside water exceeded the forces in corresponding periods of land walking. Those results corroborate the idea that walking inside water may be effective in muscle strengthening. We also confirmed our hypotheses to the second study. Additionally, we predicted that to generate the necessary power to walk with comfortable speed the triceps surae G and S tendon must move independently. This differential behavior becomes larger the greater the AT compliance. In addition, we also observed that G metabolic energy consumption was minimized for a specific level of AT compliance while S systematically increased. Those results suggest that increased AT compliance can compromise the triceps surae performance and increase metabolic consumption, contributing to the alterations on the elderly gait biomechanics. The results of our two studies may assist health professionals to better plan training and rehabilitation programs for adults and elderly in both, terrestrial and aquatic environment.
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Pinto, Tiago Miguel Gonçalves. "Reabilitação física de cães com doenças articulares no membro torácico." Master's thesis, Universidade de Lisboa, Faculdade de Medicina Veterinária, 2016. http://hdl.handle.net/10400.5/12718.
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Dissertação de Mestrado Integrado em Medicina VeterináriaCom o aumento da ocorrência de doenças articulares em cães tem-se vindo a recorrer cada vez mais a fisioterapia como forma de tratamento e prevenção destes casos. Embora esta não seja uma disciplina normalmente integrada no plano de recuperação dos animais, os seus benefícios podem ser muito relevantes. Com exercícios de diferentes exigências, desde caminhadas em ambientes controlados e exercícios de obstáculos a sessões de massagem, alongamentos e hidroterapia, é possível realizar um protocolo de reabilitação física adequado às capacidades dos animais. Paralelamente, também é criado um ambiente de trabalho conjunto com o proprietário do animal, que se sente como parte integrante do protocolo de reabilitação. Na presente dissertação são apresentados seis casos clínicos de doenças articulares, com sede no membro torácico, tendo cada animal beneficiado de um protocolo de reabilitação individual e específico. Simultaneamente, a evolução dos sinais clínicos é apresentada e discutida individualmente. Embora todas as modalidades da fisioterapia sejam importantes e tenham objetivos diferentes, a hidroterapia mostrou ser uma das técnicas de reabilitação física com maior potencial na recuperação de cães com lesões articulares no membro torácico, por oferecer uma panóplia de variáveis que permitem encontrar as condições ideais à recuperação de um número elevado de animais.
ABSTRACT - Physical rehabilitation of dogs with forelimb joint diseases - With the increase of joint diseases in dogs the demand for physiotherapy both as treatment and prevention of such cases has been increasing. Despite not usually being included in the recovery plan, its benefits may be utterly relevant. The use of exercises with different demands, from walks in controlled environments and obstacle courses to massage sessions, stretches and hydrotherapy, makes it possible to adjust the physical rehabilitation protocol to the animal´s abilities. Concurrently, it is also possible to create a work environment with the animal’s owner, who feels included as part of the rehabilitation protocol. In this study 6 clinical cases of joint disease, exclusively of the forelimb are presented. Each animal having benefited from an individual and specific rehabilitation protocol. Simultaneously, the progression of clinical signs is presented and individually discussed. Although all physiotherapy modalities are important and inspire different goals, hydrotherapy was shown to be the rehabilitation technic with the biggest potential in the recovery of joint diseases of the forelimb in dogs, since it offers a display of possibilities which allow to find the ideal conditions to recover a large number of animals.
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Souza, Soraia Figueiredo de [UNESP]. "Reabilitação em cães com atrofia muscular induzida." Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/101099.
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Avaliou-se a resposta de diferentes protocolos fisioterapêuticos em cães após a indução de atrofia muscular por meio da imobilização do joelho por 30 dias. Os grupos foram denominados grupo C ou controle, grupo M (massagem e movimentação passiva), grupo E (massagem, movimentação passiva e eletroterapia), grupo H (massagem, movimentação passiva e hidroterapia em esteira aquática) e grupo EH (massagem, movimentação passiva, eletroterapia e hidroterapia em esteira aquática). Foram mensurados, os graus de claudicação, amplitude articular, circunferência da coxa, variação sérica das enzimas creatina-quinase e lactato-desidrogenase, bem como a morfometria muscular das fibras de contração rápida e contração lenta do músculo vasto lateral marcadas pela técnica de imunoistoquímica. Os cães do grupo H apresentaram retorno mais precoce à função do membro pélvico direito, mostrando que a hidroterapia pode ser beneficamente empregada para a recuperação em cães claudicantes. A fisioterapia reduziu a contratura articular. Verificou-se maior recuperação da área transversal das fibras musculares de contração lenta e rápida nos cães submetidos à eletroterapia aos 60 dias de pós-operatório. De acordo com os resultados encontrados, foi possível concluir que as modalidades terapêuticas de massagem, movimentação passiva da articulação, estimulação elétrica neuromuscular e hidroterapia por caminhada em esteira aquática aceleram a recuperação clínica em cães com atrofia muscular induzida
The response to different physiotherapeutic protocols was evaluated in dogs with muscle atrophy induced by a 30-day-long immobilization of the stifle joint. The animals were divided in groups namely: C (control), M (massage and passive range of motion), E (massage, passive range of motion and neuromuscular electrical stimulation), H (massage, passive range of motion and hydrotherapy in underwater treadmill), and EH group (massage, passive range of motion, neuromuscular electrical stimulation and hydrotherapy in underwater treadmill). The degree of lameness, range motion, thigh circumference, range of serum creatine kinase (CK) and lactate dehydrogenase (LDH) were then evaluated, as well as the morphometry of fast- and slow-twitch muscle fibers of the vastus lateralis by immunohistochemistry. Group H dogs regained function of the right hind limb faster than the other groups. This result shows that hydrotherapy helped in the recovery process of lame dogs. Physiotherapy reduced the joint contracture. There was a higher recovery rate of cross-sectional area of slow-twitch and fast-twitch muscle fibers and thigh circumference in dogs submitted to neuromuscular electrical stimulation at 60 days post-surgery. According to these results, it was possible to conclude that therapeutics modalities such as massage, passive range of motion of the joint, neuromuscular electrical stimulation and hydrotherapy by walking on underwater treadmill accelerate clinical recovery in dogs with induced muscle atrophy
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Teixeira, Cláudia Daniela Soares. "Eficácia da hidroterapia no tratamento de crianças com paralisia cerebral: revisão de bibliografia." Bachelor's thesis, [s.n.], 2018. http://hdl.handle.net/10284/7024.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: esta revisão da literatura teve como foco analisar a eficácia da abordagem hidroterapêutica em crianças com paralisia cerebral, sobretudo da sua influência na força, na flexibilidade, na espasticidade, na capacidade respiratória, na amplitude de movimento, no equilíbrio e nas capacidades motoras básicas para a mobilidade funcional. Metodologia: foi realizada uma pesquisa computorizada nas bases de dados Pubmed/Medline, EBSCO, ScienceDirect e PEDro e B-on. A seleção dos estudos foi efetuada segundo os critérios de inclusão e exclusão. Resultados: foram incluídos 9 estudos experimentais. Dos artigos analisados, 7 avaliaram as capacidades motoras básicas, 3 avaliaram a capacidade respiratória, 3 avaliaram a espasticidade, 1 avaliou a flexibilidade, 1 avaliou a força, 1 avaliou a amplitude de movimento e 1 avaliou o equilíbrio. Conclusão: Pela análise dos estudos encontrados podemos concluir que a hidroterapia parece mostrar-se eficaz no tratamento de crianças com paralisia cerebral, principalmente nas componentes da espasticidade, na capacidade respiratória e nas capacidades motoras básicas. No entanto, apesar de parecer ser igualmemte eficaz no aumento da força, do equilíbrio, na amplitude de movimento e na flexibilidade, os dados por nós recolhidos não nos permitem uma conclusão clara sobre os efeitos da hidroterapia nas crianças com paralisia cerebral.
Objective: this review of the literature has focused on the efficacy of the hydrotherapeutic approach in children with cerebral palsy, especially its influence on strength, flexibility, spasticity, respiratory capacity, range of motion, balance and basic motor skills for functional mobility. Methodology: a computerized search was conducted in Pubmed / Medline, EBSCO, ScienceDirect and PEDro and B-on databases. The selection of the studies was carried out according to the inclusion and exclusion criteria. Results: 9 experimental studies were included. From the analyzed articles, 7 evaluated the basic motor skills, 3 assessed the respiratory capacity, 3 assessed spasticity, 1 assessed flexibility, 1 assessed strength, 1 assessed range of motion and 1 assessed balance. Conclusion: By analyzing the studies found, we can conclude that hydrotherapy seems to be effective in the treatment of children with cerebral palsy, especially in the components of spasticity, respiratory capacity and basic motor skills. However, although it seems to be equally effective in increasing strength, balance, range of motion and flexibility, the data collected by us does not allow us to reach a clear conclusion about the effects of hydrotherapy in children with cerebral palsy.
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Rocha, Virgílio. "O efeito da hidroterapia na dor, qualidade de vida e funcionalidade em pacientes com fibromialgia." Bachelor's thesis, [s.n.], 2016. http://hdl.handle.net/10284/5731.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em FisioterapiaObjetivo: Sistematizar a evidência científica existente sobre o papel do efeito da Hidroterapia na Dor, Qualidade de Vida e Funcionalidade em pacientes com Fibromialgia Métodos: Estudo de revisão incluindo estudos randomizados controlados, pesquisados nas bases de dados PubMed, EBSCO, PEDro e Web of Science, com doentes com fibromialgia, cujo tipo de intervenção de um dos grupos correspondesse a um programa de exercício realizado em meio aquático e com instrumentos de avaliação da dor, qualidade de vida e/ou funcionalidade. Resultados/Discussão: Após avaliação foram selecionados 16 artigos, num total de 920 indivíduos. A maioria dos programas englobavam exercício aeróbio associados a exercícios de fortalecimento muscular, alongamentos e/ou de relaxamento. Verificou-se a existência de diferenças estatisticamente significativas nas diferentes medidas de avaliação, favorecendo os grupos que efetuavam exercício físico em piscina, na maioria dos estudos, quer em programas curtos (4 semanas) quer longos (8 a 9 meses), com sessões de 45 a 70 minutos, realizadas 3xsemana. Resultados estes que se perderam no follow up. Conclusão: Os programas de exercício em piscina são uma boa opção para tratamento de doentes com fibromialgia. Contudo são necessários mais estudos sobre o tema.
Objective: Systematize the scientific evidence on the role of hydrotherapy as a Pain, Quality of life and functionality for fibromyalgia. Methods: A review study including randomized controlled studies, researched the databases PubMed, EBSCO, PEDro and Web of Science, with patients with fibromyalgia, which type of intervention of one group was an exercise program carried out in the aquatic environment and assessment instruments of pain, quality of life and/or functionality. Results / Discussion: After evaluation were selected 16 articles, totaling 920 individuals. Most programs include aerobic exercise associated withstrengthening, stretching and/or relaxation exercises. It has been found that there are statistically significant differences in different measurement tools, favoring groups that solved exercise in the pool, in most studies, both in short programs (4 weeks), or long (8 to 9 months) with sessions 45-70 minutes made 3xweek. These results were lost at follow up. Conclusion: Pool exercise programs are a good option for treating patients with fibromyalgia. However more studies are needed.
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Vasconcelos, Ana. "Eficácia da hidroterapia na fadiga de mulheres com esclerose múltipla: revisão da literatura." Bachelor's thesis, [s.n.], 2021. http://hdl.handle.net/10284/10848.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjetivo: Avaliar a eficácia da hidroterapia na fadiga de mulheres com esclerose múltipla. Metodologia: Foi realizada uma pesquisa computorizada de estudos randomizados controlados em junho de 2021 nas bases de dados Pubmed, Web of Science e PEDro, com recurso às seguintes palavras-chave: multiple sclerosis, hydrotherapy e balneotherapy. Foi posteriormente avaliada a qualidade metodológica dos artigos através da escala Physiotherapy Evidence Database scoring scale (PEDro). Resultados: Foram encontrados 215 artigos tendo apenas 4 correspondido aos critérios de inclusão. Estes foram posteriormente sujeitos a uma análise detalhada e a avaliação qualitativa segundo a escala de PEDro. Conclusão: Dos artigos selecionados verificou-se que a realização de exercícios no meio aquático parecem ter induzido melhorias significativas na prevenção/diminuição da condição de fadiga em mulheres com esclerose múltipla.
Objetive: To evaluate the effectiveness of hydrotherapy on fatigue in women with multiple sclerosis. Methodology: A computerized search of randomized controlled trials was performed in June 2021 in the Pubmed, Web of Science and PEDro databases, using the following keywords: multiple sclerosis, hydrotherapy and balneotherapy. The methodological quality of the articles was subsequently evaluated using the Physical Therapy Evidence database (PEDro) scoring scale. Results: 215 articles were found with only 4 matching the inclusion criteria. These were then subjected to a detailed analysis and qualitative assessment according to the PEDro scale. Conclusion: From the selected articles it was found that the performance of exercises in the aquatic environment seem to have induced significant improvements in the prevention/reduction of the fatigue condition in women with multiple sclerosis.
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Salonen, Tiina, and Agneta Westergren. "Vatten som smärtlindring under förlossning : En kartläggning av förutsättningarna för dusch och bad på samtliga förlossningsavdelningar i Sverige." Thesis, Umeå universitet, Institutionen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-109679.
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Syfte: Att kartlägga förutsättningarna för gravida kvinnor att använda dusch och bad som smärtlindring på Sveriges förlossningsavdelningar. Metod: Deskriptiv tvärsnittsstudie genomfördes med telefonintervjuer utifrån ett frågeformulär. Deltagare: Alla 48 Sveriges förlossningsavdelningar deltog i studien. Respondenter var chef för förlossningsavdelning alternativt barnmorska som arbetar på förlossningsavdelning. Resultat: Förutsättningarna för att nyttja dusch och bad som smärtlindring varierar i Sverige. Många undantag finns för vem som får bada. Dusch och bad används tämligen frekvent. Information om denna smärtlindringsmetod ges mestadels muntligt. Detta har ändå inträffat senaste året. Riktlinjer för dusch och bad som smärtlindring finns på färre än hälften av förlossningsavdelningarna och enbart fem av dessa riktlinjer har referenser till forskning. Ingen förlossningsavdelning bedriver vård med vattenförlossningar men detta har ändå skett på tio förlossningsavdelningar senaste året. Ingen avdelning har riktlinjer för hur vattenförlossning ska handläggas. Slutsats: Möjligheterna till dusch och bad som smärtlindring är mycket olika i landet. Eftersom vården ska vara lika oavsett hemort bör detta ses över. Riktlinjer bör utarbetas för ett gemensamt arbetssätt baserad på aktuell forskning.Objective: To chart the possibilities for hydrotherapy, i.e. bathing or showering, during labour in Swedish labour wards. Design: Descriptive, cross-sectional interview study involving short phone interviews based on an interview schedule. Participants: All 48 labour wards in Sweden participated. Head of labour ward or midwife working in labour ward was interviewed. Findings: The possibilities for hydrotherapy varied. Many women are for various reasons not allowed to bathe. Hydrotherapy is relatively commonly used in Sweden. Information about hydrotherapy is mostly given verbally. Less than half of the labour wards have guidelines for hydrotherapy, only five have references to current research. Water births are not allowed but have despite this occurred in ten labour wards during the last twelve months. None of the labour wards have guidelines for management of water birth. Key conclusions and implications for practice: The Swedish government has decided that all individuals should receive equal care. There is much to be done to nationally achieve equal possibilities for hydrotherapy during childbirth. Guidelines based on current research for handling hydrotherapy and water birth are needed.
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Horgan, Barry G. "The effect of post-resistance exercise water immersion on muscular adaptation and performance in athletes." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2022. https://ro.ecu.edu.au/theses/2526.
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High training load and reduced well-being increase the risk of injury, illness and performance decrements. Post-exercise recovery strategies (e.g., water immersion) are used in Olympic and teamsport training settings to induce recovery and enhance subsequent performance. Recent suggestions that cold water immersion negatively affects short- (e.g., protein synthesis, hypertrophy signalling pathways) and long-term (e.g., muscular hypertrophy and strength) responses to resistance exercise are concerning. In this thesis, post-exercise cold (CWI), contrast water therapy (alternating hot and cold) (CWT) and hot water immersion (HWI) strategies were utilised to elucidate their effects on the inflammatory, anthropometric, performance and perceptual responses to resistance exercise in athletes. Outcomes will inform the prescription of post-exercise water immersion to reduce risks of injury, illness, or performance decrements. In Chapter 2, the ±7 and ±28-day relationships between perceived recovery, training load, injury and illness in athletes (n=536) were explored. In Chapters 4 and 5, the acute ( ≤ 48-h) effects of CWI, CWT, or HWI on responses to resistance exercise in athletes (n=18) were examined. In Chapter 6, the long-term (4-week) responses to CWI versus HWI following resistance exercise in athletes (n=18) were investigated. In Chapter 2, perceived recovery resulted in an absolute risk (AR) of 0.9-5.9% and 0.9-20% for injury and illness, respectively. Factoring training load, injury and illness demonstrated bi-directional (increases and decreases) associations with perceived recovery (i.e., physical [soreness], physiological [sleep duration and quality]); while illness also had negative (mood, motivation) and positive (stress) associations with psychological variables. In the 48-h period prior to an occurrence, low sleep duration was associated (p=0.005) with increased injury risk (AR=4%), while ‘very poor’ sleep quality (AR=7.83%) or extremes of too little ( < 5-h, AR=3.1-14.3%) and too much ( > 10-h, AR=~2.6-11%) sleep were associated (p < 0.001) with increased illness. In Chapters 4 and 5, creatine kinase was reduced (g=0.02-0.30) following CWI (p=0.007), CWT (p=0.006) or HWI (p < 0.001) vs. CON, while significant increases (g=0.50) were observed following CWI vs. HWI. CWT resulted in significantly higher (g=0.56) interleukin-6 vs. HWI, as well as increased testosterone (HWI > CWT: p=0.038, g=0.24). Participant belief in a post-exercise intervention strategy was associated with HSP72 (“believer” > “non-believer”, p=0.026), soreness (“believer” > “non-believer”, p=0.002) and interleukin-4 (“non-believer” > “believer”, p=0.002). HWI reduced (treatment effect) fatigue perceptions (HWI > CWT: p=0.05, g=0.43) and improved sleep quality (HWI > CON: p < 0.001, g=1.15; HWI > CWI: p=0.017, g=0.70; HWI > CWT: p=0.018, g=0.51). There were trivial to small (p < 0.001-0.039, g=0.02-0.34) improvements (treatment effect) in jump performance following all water immersion strategies, compared to CON. In Chapter 6, squat jump height increased (g=0.08-0.19) following CON (p=0.004) and CWI (p=0.003), compared to HWI. Lean mass (p=0.960) did not change between interventions. Acute post-resistance exercise HWI accrues small to large improvements in perceived sleep quality and reductions in next-day fatigue. Practitioners should consider athlete belief and individual responses when prescribing water immersion to reduce acute perceptions of muscle soreness. Repeated post-resistance exercise CON or CWI provides trivial increases in SJ, compared to HWI. Following reviews on post-resistance exercise CWI, these data may support use of CWI and HWI during in-season competition phases in high-performance athletes.
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Azevedo, Gustavo Silva de. "EFEITOS DO HALLIWICK SOBRE A QUALIDADE DE VIDA EM IDOSOS ATIVOS." Pontifícia Universidade Católica de Goiás, 2015. http://localhost:8080/tede/handle/tede/3150.
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Previous issue date: 2015-09-22Quality of life can vary in perceived health status, social participation and autonomy during the aging process. The functional impairment in the elderly can be minimized by promoting health through physical exercise. The hydrotherapy held in heated water can promote benefits by virtue of the physical properties of water, physiological effects of immersion and systematic progress of the exercises. The aim of this study was to evaluate the effects of Halliwick on the quality of life in active elderly. Quasiexperimental study of pre- and post-attended by 12 elderly enrolled in the waiting list, awaiting care in an Educational Association. All seniors were submitted individually to the questionnaire WHOQOL Bref and hydrotherapy Protocol, held in groups of six elderly, based on the Halliwick method in 24 sessions held twice a week on fixed days, with sessions of 40 minutes in length, made in heated pool. To evaluate the data were used the program Statistical Package for Social Sciences (SPSS) version 15.0, Excel Office 2013 and the paired Wilcoxon test. Results: In this study, we had the participation of 12 elderly aged 70.67 (± 6.49 years), 10 women, married (41.66%), with low education, retired with an extra financial activity (58, 3%), most reported monthly income of up to two minimum salaries. After the accession of hydrotherapy, some of the participants got improved quality of life in three areas, prevailing an increase in the field environment, which is related to physical security and protection; health and social care; opportunity to acquire new skills; participation and opportunity for recreation and leisure. The pattern of scores showed a reduced impact on the protocol proposed effects of hydrotherapy on quality of life. However favored the elderly a brief physical and psychological restructuring, management of their health condition and self-care, that are conducive to well-being and quality of life.
A qualidade de vida pode variar quanto à percepção do estado de saúde, a participação social e a autonomia no decorrer do processo de envelhecimento. O comprometimento funcional dos idosos pode ser minimizado pela promoção da saúde, através da prática de exercícios físicos. A hidroterapia realizada em água aquecida pode promover benefícios em virtude das propriedades físicas da água, dos efeitos fisiológicos da imersão e da progressão sistematizada dos exercícios. O objetivo desse estudo foi avaliar os efeitos do Halliwick sobre a qualidade de vida em idosos ativos. Estudo quase experimental do tipo antes e depois onde participaram 12 idosos cadastrados em lista de espera, que aguardavam atendimento em uma Associação Educativa. Todos idosos foram submetidos de forma individual ao questionário WHOQOL Bref e ao protocolo de hidroterapia, realizado em grupos de seis idosos, baseado no Método Halliwick em 24 sessões, realizado duas vezes por semana em dias fixos, com sessões de 40 minutos de duração, realizadas em piscina aquecida. Para avaliar os dados obtidos foram utilizados os programas Statistical Package for Social Science (SPSS) versão 15.0, Excel Office 2013 e o Teste de Wilcoxon pareado. Resultados: Nesse estudo, tivemos a participação de 12 idosos com idade de 70,67 (± 6,49 anos), sendo 10 mulheres, casados (41,66%), com baixa escolaridade, aposentados com uma atividade financeira extra (58,3%), a maioria informou renda mensal de até dois salários mínimos. Após a adesão da hidroterapia, uma parcela dos participantes obteve melhora na qualidade de vida em três domínios, prevalecendo um acréscimo no domínio Ambiente, o qual se relaciona com segurança física e proteção; cuidados de saúde e sociais; oportunidade de adquirir novas habilidades; participação e oportunidade de recreação e lazer. O padrão de escores apresentou uma repercussão reduzida dos efeitos do protocolo proposto de hidroterapia na qualidade de vida. Entretanto propiciou ao idoso uma sucinta reestruturação física e psicológica, gerenciamento de sua condição de saúde e o autocuidado, que são favoráveis ao bem-estar e à qualidade de vida.
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Arfellini, Giulia. "L'efficacia dell'idrokinesiterapia come approccio riabilitativo nei pazienti affetti da Malattia di Parkinson: una revisione sistematica della letteratura." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2021. http://amslaurea.unibo.it/24549/.
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ABSTRACT
Background: La malattia di Parkinson è il più comune disturbo neurodegenerativo del movimento. Essa si manifesta attraverso un quadro clinico molto complesso ed è perciò auspicabile una presa in carico multidisciplinare del paziente. L’acqua possiede peculiarità intrinseche che potrebbero rendere questo setting l’ambiente adatto in cui situare un programma di esercizio terapeutico al fine di contenere la disabilità correlata alle manifestazioni cliniche della patologia.
Obiettivo: Ricercare prove di efficacia nella letteratura biomedica esistente sulla validità dell’idrokinesiterapia nel migliorare le funzioni motorie, l’equilibrio, il cammino, la postura statica e dinamica, la qualità della vita e nel ridurre la disabilità correlata alla patologia ed il rischio di caduta in pazienti affetti da malattia di Parkinson.
Disegno dello studio: Revisione Sistematica
Criteri di eleggibilità: Gli studi inclusi sono Trials Clinici Randomizzati Controllati con partecipanti adulti affetti da malattia di Parkinson, in uno stadio compreso tra 2 e 4 nella classificazione di Hoehn & Yahr. I metodi di intervento da valutare sono inerenti all’esercizio terapeutico in acqua.
Fonti di ricerca: La ricerca è stata effettuata nelle banche dati PubMed e PEDro.
Risultati: Sono stati inclusi 6 studi. La loro validità interna è stata valutata tramite la PEDro Scale. Possono essere considerati di alta qualità metodologica, avendo tutti ottenuto un punteggio ≥ a 7.
Conclusioni: I risultati indicano un effetto positivo dell’idrokinesiterapia come approccio riabilitativo per pazienti affetti da malattia di Parkinson. Tuttavia, non si è in grado di affermare con certezza che essa rechi benefici superiori rispetto al solo trattamento sulla terraferma. Data l’eterogeneità degli studi ed il numero esiguo di partecipanti, è chiaro come sia necessaria la realizzazione di ulteriori studi primari sull’argomento al fine di ottenere dati maggiormente univoci e generalizzabili.
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Joubert, Christine. "The effect of a water-based programme on the motor proficiency of children with developmental coordination disorder (DCD)." Thesis, University of Port Elizabeth, 2004. http://hdl.handle.net/10948/397.
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This study determined the effect of a water-based programme on the motor proficiency of children with Development Coordination Disorder (DCD). The water-based programme promoted an alternative environment for DCD children, involving all dimensions of movement. Thirty-one (31) children from Port Elizabeth participated, with an experimental group (n=15) following the eight-week water-based programme, while a control group (n=16) carried on with daily activities. Motor proficiency was measured during three tests, utilizing the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). Results indicated positive effects of the intervention on all the variables of the BOTMP (p < 0.05). Confirming this, three variables obtained practical significance with Cohen’s d > 0.8, and one with 0.2 < d < 0.8. At the end of the three-month duration of the study, the experimental group indicated better performances at the end of the study than at the start, thereby confirming the positive and lasting effect of the water-based intervention programme. Therefore, the use of a water-based programme in improving motor proficiency is supported. However, implementation of the programme over a longer period is recommended.
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Vávra, Marek. "Design hydromasážní vany pro horní končetiny." Master's thesis, Vysoké učení technické v Brně. Fakulta strojního inženýrství, 2019. http://www.nusl.cz/ntk/nusl-401505.
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The topic of this thesis is design of hydrotherapy bathtub for upper limbs that reacts mainly to ergonomic weaknesses of current solutions. Created design concept is mainly focused on users comfort. Its appearance reflects the environment of medical and rehabilitation facilities.
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Hargreaves, Julian P. "Learning as participation in early clinical experience : its meaning for student physiotherapists." Thesis, University of Sussex, 2014. http://sro.sussex.ac.uk/id/eprint/49396/.
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This research explores the meaning of learning as a process of social participation in clinical practice. The study focused on six first‐year student physiotherapists during a period of early clinical experience on a work integrated learning programme. The programme was unique at the time of the study in that it placed students in clinical settings from the first week of their undergraduate experience. The research applied a case study design and qualitative data were gathered from each student via on‐line learning journals, reflection lines and pre/post experience interviews. Data were analysed, between and within cases, to develop a sense of progressive narrative through the experiences made significant by each participant over the course of the clinical experience. An abductive logic was applied to develop a more theoretical explanation of learning as participation in clinical practice for each participant. The study concludes that these individuals adopted an agentic approach and recognised the benefit to their learning of proactively seeking opportunities to get involved in practice. Interaction with a range of co‐participants was valued, for a variety of reasons. Students were more willing to discuss their own deficits and ask questions of junior clinicians. Interactions with senior clinicians were more likely to challenge and extend the students' practice. Interactions with non‐physiotherapy colleagues in the multidisciplinary team were valued for the different perspectives they offered. Students valued participation in situations where they could assume greater responsibility, as long as their efforts were recognised by the clinical educator. Participants did not always see value in “routine” practice where there was little opportunity to be involved in decision making or discussion, describing their involvement as being “an extra pair of hands”. Participants described their performance of secondary Discourses of practice in the construction of their respective identities, which I describe as productive worker, trustworthy student, engaged student and junior professional. These Discourses supported participants' bids for recognition and progressive involvement in communities of clinical practice. However, where the participant identity was associated too strongly with a particular Discourse the educator could restrict access to learning opportunities. Participants dis‐identified themselves from Discourses that conflicted with individual habitus and conveyed lack of care or unethical behaviour. Where power relations challenged the possibility of overt rejection, participants were strategic and excluded these Discourses from their future, rather than current repertoires. At the start of their early clinical experience, participants expressed a desire to “learn by doing” and “learn on the job”. These cases demonstrate that even at an early stage of experience, participants were contributing to the productivity of the workplace and they felt valued when their contributions were recognised. These cases demonstrate that mutual relations support participation but require ongoing negotiation. Considering mutuality as a mechanism for participation in early clinical experience can support analysis of the ways in which social relations support both learning and work objectives. Mutuality as a mechanism for participation requires the learner and educator to recognise these dual objectives. Changing conditions of practice can threaten mutuality. Where a threat occurs, it is countered by adaptive practices that continue to support mutuality in terms of engagement, repertoire and enterprise with the community of clinical practice.
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Gonçalves, Ana. "Intervenção da fisioterapia na osteoartrite do joelho: hidroterapia e actividade física - uma revisão sistemática." Bachelor's thesis, [s.n.], 2011. http://hdl.handle.net/10284/2534.
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Trabalho apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaObjectivo: Determinar o papel da Fisioterapia, nomeadamente das técnicas de hidroterapia e actividade física em pacientes com osteoartrite do joelho. Metodologia: Pesquisa de estudos randomizados controlados que avaliem a efectividade da hidroterapia e actividade física em pacientes com osteoartrite do joelho nas bases de dados Pubmed/Medline, Cochrane Central, EBSCO, B-On e PEDro. Resultados: Foram incluídos 14 estudos randomizados controlados envolvendo 1363 pacientes, com classificação metodológica de 6,4 na escala de PEDro. Dos estudos incluídos, 5 avaliaram a Fisioterapia através da hidroterapia e 9 através da actividade física. Conclusão: A evidência consultada nesta revisão sistemática sugere que a Fisioterapia desempenha um papel preponderante no tratamento de osteoartrite do joelho, nomeadamente através da prática de hidroterapia e actividade física. Sugere-se de futuro o desenvolvimento de novos estudos no sentido de estudar os efeitos da Fisioterapia a longo prazo na osteoartrite do joelho através da combinação das técnicas hidroterapia e actividade física assim como de outras intervenções. Objective: To determine the role of physiotherapy in particular the techniques of hydrotherapy and physical activity in patients with knee osteoarthritis. Methodology: Search randomized controlled trials to assess the effectiveness of hydrotherapy and physical activity in patients with knee osteoarthritis in databases Pubmed/Medline, Cochrane Central, EBSCO, B-On and PEDro. Results: Included 14 studies involving 1363 patients, with methodology classification of 6,4 on the PEDro scale. From the studies included, 5 evaluated the Physiotherapy through hydrotherapy and 9 through physical activity. Conclusion: The evidence found in this systematic review suggests that physiotherapy plays an important role in the treatment of knee osteoarthritis, namely through hydrotherapy and physical activity. It is suggested for future development of new studies to study the effects of long-term physical therapy in knee osteoarthritis by combining techniques of hydrotherapy and physical activity as well as other interventions.
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Andrade, Sandra Cristina de. "Talassoterapia para pacientes com fibromialgia: ensaio cl?nico rad?mico." Universidade Federal do Rio Grande do Norte, 2008. http://repositorio.ufrn.br:8080/jspui/handle/123456789/13146.
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Previous issue date: 2008-09-26Fibromyalgia (FM) is a chronic rheumatic syndrome characterized by diffuse muscle-skeletal pain, and aerobic exercises represent a fundamental portion in therapeutic approach. Objective of this study was to evaluate the effectiveness of aerobic exercises accomplished in the water of the sea (thalassotherapy) for women with FM and to compare with exercises accomplished in the swimming pool, involving a multidisciplinary team, composed by rheumatologists, physical therapists, students of physical therapy and students of physical education. Forty six (46) women with age between 18 and 60 years with FM were randomized in 2 groups: a swimming pool group (23 patients) and a sea group (23 patients). 80th groups trained a week with the same program of aerobic conditioning 3 times (60 minutes each) for 12 weeks. Ali the patients were evaluated, before and immediately after treatment, with Visual Analogical Scale (VAS) for pain and fatigue, number of tending points, Fibromyalgia Impact Ouestionnaire (FIO), Short Form 36 Health Survey (SF-36), Pittsburgh Sleep Ouality Index (PSOI) and Beck Oepression Inventory (BOI). For statistical analysis, it was used paired-t test for analysis intra-group and non-paired test for inter-groups analysis, significance levei of p <0,05. Four patients, of each group, didn't complete the training programo Groups were homogeneous and they were compared in initial evaluation, except for BOI (p <0,05). Both groups presented statistically significant improvement for ali appraised parameters in the post-treatment compared with initial evaluation, there were reduction of intensity of pain and fatigue, number of tending points, better functional capacity (FIO), life quality (SF-36), quality of sleep (PSQI) and depression indexes (BOI). However, in comparison among the groups, group of sea (thalassotherapy) presented better results for ali parameters, however with statistically significant difference just only for depression indexes (BOI). At the end, it was observed that accomplishment of aerobic exercises in sea water or swimming pool was effective as part of treatment for patients with FM. However, exercise programs with thalassotherapy seems to bring more benefits, mainly related to emotional aspects, could be a therapeutic option of low cost for patients with FM in our area
A Fibromialgia (FM) ? uma s?ndrome reum?tica cr?nica, caracterizada por dor m?sculo esquel?tica difusa, onde os exerc?cios aer?bicos representam uma parcela fundamental na sua abordagem terap?utica. O objetivo deste estudo foi avaliar a efic?cia de exerc?cios aer?bicos realizados na ?gua do mar (talassoterapia) para mulheres com FM e comparar com exerc?cios realizados na piscina, envolvendo uma equipe multidisciplinar, composta por reumatologistas, fisioterapeutas e estudantes de fisioterapia e educa??o f?sica. Quarenta e seis (46) mulheres com idade entre 18 e 60 anos com FM foram randomizadas em 2 grupos: grupo da piscina (23 pacientes) e grupo do mar (23 pacientes). Ambos os grupos foram treinados com o mesmo programa de condicionamento aer?bico: tr?s vezes por semana, durante 60 minutos, por 12 semanas. Todas as pacientes foram avaliadas, antes e imediatamente ap?s o tratamento, pela Escala Visual Anal?gica (EV A) para dor e fadiga, contagem do n?mero de tender points, Fibromyalgia Impact Questionnaire (FIQ), Short Form 36 Health Survey (SF-36), Pittsburgh Sleep Quality Index (PSQI) e Beck Oepression Inventory (BDI). Na an?lise estat?stica, foram utilizados o teste t pareado para an?lise intragrupo e o teste t n?o-pareado para an?lise intrergrupos, sendo considerado um n?vel de signific?ncia p < 0,05. Quatro pacientes de cada grupo n?o completaram o programa de treinamento. Os grupos foram homog?neos e compar?veis na avalia??o inicial, com exce??o do BOI (p <0,05). Ambos os grupos apresentaram melhora estatisticamente significante em todos os par?metros avaliados no p?s-tratamento, comparado com a avalia??o inicial, com redu??o da intensidade da dor e fadiga, do n?mero de tend,er points, melhora da capacidade funcional (FIQ), qualidade de vida (SF-36), qualidade do sono (PSQI) e dos ?ndices e depress?o (BOI). Entretanto, na compara??o entre os grupos, o grupo do mar (talassoterapia) apresentou melhores resultados em todos os par?metros, por?m com diferen?a estatisticamente significante apenas nos ?ndices de depress?o (BOI). Ao final, observamos que a realiza??o de exerc?cios aer?bicos na ?gua do mar ou da piscina se mostrou efetiva como parte do tratamento de pacientes com FM. Entretanto, o programa de exerc?cios associado ? talassoterapia parece trazer mais benef?cios, principalmente relacionados a aspectos emocionais, podendo ser uma op??o terap?utica de baixo custo para pacientes com FM em nossa regi?o
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Souza, Soraia Figueiredo de. "Reabilitação em cães com atrofia muscular induzida /." Jaboticabal : [s.n.], 2010. http://hdl.handle.net/11449/101099.
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Resumo: Avaliou-se a resposta de diferentes protocolos fisioterapêuticos em cães após a indução de atrofia muscular por meio da imobilização do joelho por 30 dias. Os grupos foram denominados grupo C ou controle, grupo M (massagem e movimentação passiva), grupo E (massagem, movimentação passiva e eletroterapia), grupo H (massagem, movimentação passiva e hidroterapia em esteira aquática) e grupo EH (massagem, movimentação passiva, eletroterapia e hidroterapia em esteira aquática). Foram mensurados, os graus de claudicação, amplitude articular, circunferência da coxa, variação sérica das enzimas creatina-quinase e lactato-desidrogenase, bem como a morfometria muscular das fibras de contração rápida e contração lenta do músculo vasto lateral marcadas pela técnica de imunoistoquímica. Os cães do grupo H apresentaram retorno mais precoce à função do membro pélvico direito, mostrando que a hidroterapia pode ser beneficamente empregada para a recuperação em cães claudicantes. A fisioterapia reduziu a contratura articular. Verificou-se maior recuperação da área transversal das fibras musculares de contração lenta e rápida nos cães submetidos à eletroterapia aos 60 dias de pós-operatório. De acordo com os resultados encontrados, foi possível concluir que as modalidades terapêuticas de massagem, movimentação passiva da articulação, estimulação elétrica neuromuscular e hidroterapia por caminhada em esteira aquática aceleram a recuperação clínica em cães com atrofia muscular induzidaAbstract: The response to different physiotherapeutic protocols was evaluated in dogs with muscle atrophy induced by a 30-day-long immobilization of the stifle joint. The animals were divided in groups namely: C (control), M (massage and passive range of motion), E (massage, passive range of motion and neuromuscular electrical stimulation), H (massage, passive range of motion and hydrotherapy in underwater treadmill), and EH group (massage, passive range of motion, neuromuscular electrical stimulation and hydrotherapy in underwater treadmill). The degree of lameness, range motion, thigh circumference, range of serum creatine kinase (CK) and lactate dehydrogenase (LDH) were then evaluated, as well as the morphometry of fast- and slow-twitch muscle fibers of the vastus lateralis by immunohistochemistry. Group H dogs regained function of the right hind limb faster than the other groups. This result shows that hydrotherapy helped in the recovery process of lame dogs. Physiotherapy reduced the joint contracture. There was a higher recovery rate of cross-sectional area of slow-twitch and fast-twitch muscle fibers and thigh circumference in dogs submitted to neuromuscular electrical stimulation at 60 days post-surgery. According to these results, it was possible to conclude that therapeutics modalities such as massage, passive range of motion of the joint, neuromuscular electrical stimulation and hydrotherapy by walking on underwater treadmill accelerate clinical recovery in dogs with induced muscle atrophy
Orientador: João Guilherme Padilha Filho
Coorientador: Vera Maria Villamil Martins
Banca: André Luís Selmi
Banca: Marcelo Meller Alievi
Banca: Paola Castro Moraes
Banca: Renée Laufer Amorim
Doutor
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Forgas, Andrea. "Estudo randomizado controlado da estabilidade dinâmica postural em indivíduos saudáveis, pós-treinamento sensório-motor, realizado no solo ou no meio aquático." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5140/tde-27082010-182147/.
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Introdução: Tem se afirmado que não há a possibilidade de haver melhora da estabilidade dinâmica postural utilizando exercícios na água, isto é, onde a gravidade apresenta-se diminuída. Neste estudo randomizado e controlado avaliamos e comparamos a estabilidade dinâmica postural em indivíduos saudáveis que realizaram exercícios sensório-motor no solo ou na água. Métodos: Através do Biodex Balance System®, foram avaliados os limites de estabilidade postural, antes e após um programa de exercícios, de 60 indivíduos saudáveis do sexo masculino divididos em 3 grupos (solo, piscina e controle). Os indivíduos dos grupos solo e piscina realizaram um treinamento sensório-motor por 2 meses no solo e na água respectivamente; o grupo controle não realizou nenhum tipo de exercício. Resultados: 1) Foram encontradas diferenças significativas na estabilidade dinâmica entre o grupo solo e controle; 2) Foram encontradas diferenças significativas na estabilidade dinâmica entreo grupo piscina e controle; 3) Não foram encontradas diferenças significativas entre o grupo solo e piscina. Conclusões: realizar exercícios sensório-motor melhora a estabilidade postural em indivíduos saudáveis do sexo masculino, sem diferenças significativas entre os ambientes de treino (solo e água) comparadosIntroduction: It has been stated that there is no way to improve dynamic postural stability using exercises in water, i.e. where there is reduced gravity. In this controlled, randomized study, we evaluate and compare postural dynamic stability in healthy individuals who performed sensory-motor exercises on the ground or in water. Methods: Through the Biodex Balance System®, the limits of postural stability were evaluated before and after a program of exercises, in 60 healthy males, divided into three groups (ground, swimming pool and control). The individuals in the ground and swimming pool groups carried out sensorial-motor training for two months, on the ground and in the water, respectively; the control group did not perform any kind of exercises. Results: 1) Significant differences were found in dynamic stability between the ground and control groups; 2) Significant differences were found in dynamic stability between the swimming pool and control groups; 3) No significant differences were found between the ground and swimming pool groups. Conclusions: performing sensory-motor exercises improves postural stability in healthy males, without significant differences between the training environments (ground and water) compared in this study
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Candeloro, Juliana Monteiro. "Elaboração, aplicação e avaliação dos efeitos de um programa de hidroterapia visando treino de flexibilidade e força muscular para idosos." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/5/5163/tde-26012007-221929/.
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A principal perda no sistema musculoesquéletico com o envelhecimento é a diminuição da flexibilidade e da força muscular, levando ao desequilíbrio e podendo ser a causa de quedas e incapacidades funcionais. Os exercícios físicos podem reverter parcial ou totalmente este quadro. A hidroterapia é um bom meio para realização de fisioterapia preventiva, pois elimina o risco de quedas e sobrecarga nas articulações e estudos deste tipo são raros na literatura. Este estudo avaliou o efeito de um programa de hidroterapia na flexibilidade e força muscular de 16 idosas, com idade entre 65 e 70 anos, saudáveis, sedentárias, moradoras da cidade de São Paulo. Os testes foram realizados antes e após o treinamento e os dados foram analisados por meio de teste paramétrico (T-student). O treinamento constou de 32 sessões, realizadas duas vezes por semana em duplas, com uma hora de duração com controle dos sinais vitais. Encontrou-se melhora na flexibilidade e força muscular nas idosas, mostrando que a população idosa pode se beneficiar com as vantagens da hidroterapia.The main loss in the muscleskeletical system in consequence of the aging is the decrease of the flexibility and of the muscular force, affecting the balance. It could be the cause of fall and functional inability. The physical exercises can revert partially or totally this effects. The hydrotherapy is a good choice to prevent disabilities because it eliminates the risk of fall and overloaded articulations. Studies focusing this type of treatment are rare. This study evaluated the effect of a hydrotherapy preventive program in the flexibility and muscular force of 16 senior, with age between 65 and 70 years, healthy, sedentary, residents at São Paulo City. The tests were accomplished before and after the training and the data were analyzed through parametric test (T-student paired). The training consisted of 32 sessions, twice a week, with one hour of duration (with control of the vital signs). We found increase in the flexibility and muscular force in the seniors, showing that this population can to obtain benefits with the advantages of the hydrotherapy.
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Forti, Meire. "Influência da hidroterapia sobre a função pulmonar, força muscular respiratória e mobilidade tóracoabdominal em mulheres com síndrome fibromiálgica." Universidade Federal de São Carlos, 2015. https://repositorio.ufscar.br/handle/ufscar/7777.
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
The fibromyalgia syndrome (FMS) is a rheumatologic condition characterized by non-inflammatory widespread chronic pain and tender points in specific anatomic locations. In addition to the pain symptoms, FMS is also associated with the presence of a variety of symptoms such as fatigue and dyspnea, which has called attention to the review of the respiratory system in women with FMS. Thus, this work consisted of two studies aiming to elucidate the unknown aspects related to the respiratory system of women with FMS. The Study I, entitled "Pulmonary function, respiratory muscle strength and thoracoabdominal mobility in women with fibromyalgia syndrome: association with clinical manifestations", aimed to evaluate lung function, respiratory muscle strength and thoracoabdominal mobility as well as to assess possible associations of respiratory variables with clinical manifestations in women with FMS. The results show that the FMS group in this study has lower respiratory muscle endurance, inspiratory muscle strength and thoracic mobility compared to healthy participants. In addition, the study demonstrated that the lower inspiratory muscle strength, the greater the number of tender points and fatigue and lower axillary mobility. The Study II, entitled "Influence aerobic hydrotherapy program on lung function, respiratory muscle strength and thoracoabdominal mobility in women with fibromyalgia syndrome: a randomized controlled trial", aimed to evaluate the influence of an aerobic hydrotherapy program on respiratory variables and clinical manifestations in women with FMS and assess the association between respiratory variables and clinical manifestations. The results show that a 16-week aerobic hydrotherapy program increased the slow vital capacity, the forced vital capacity, the inspiratory muscle strength, the thoracic mobility, the pressure pain threshold, well-being, and decreased pain, and limitations caused by physical aspects. Clinical improvement was not associated with the respiratory variables. Conclusion: The subjects with FMS had lower respiratory muscle endurance, inspiratory muscle strength and thoracic mobility compared to healthy subjects. In addition, a 16-week aerobic hydrotherapy program showed to be effective in ameliorating lung function, inspiratory muscle strength, thoracic mobility, pressure pain threshold, well-being, pain and limitations caused by physical aspects. However, clinical improvement of FMS symptoms was not associated with the improvement of respiratory variables.
A síndrome fibromiálgica (SFM) é uma condição reumatológica, caracterizada por dor crônica difusa não inflamatória e tender points em locais anatômicos específicos. Além do quadro doloroso, a SFM também está associada à presença de uma variedade de sintomas como a fadiga e a dispneia, os quais têm chamado a atenção para a avaliação do sistema respiratório em mulheres com SFM. Assim, essa dissertação foi composta por dois estudos com o intuito de elucidar os aspectos desconhecidos relacionados ao sistema respiratório de mulheres com SFM. O Estudo I, intitulado “Função pulmonar, força muscular respiratória e mobilidade tóracoabdominal em mulheres com síndrome fibromiálgica: associação com as manifestações clínicas”, teve como objetivo avaliar a função pulmonar, a força muscular respiratória e a mobilidade tóracoabdominal, bem como avaliar as possíveis associações das variáveis respiratórias com as manifestações clinicas em mulheres com SFM. Os resultados mostram que as voluntárias do grupo SFM estudadas apresentam menor endurance muscular respiratória, força muscular inspiratória e mobilidade torácica em relação às voluntárias saudáveis. Além disso, o estudo revelou que quanto menor a força muscular inspiratória, maior o número de tender points ativos e fadiga e menor a mobilidade axilar. O Estudo II, intitulado “Influência de um programa de hidroterapia aeróbio sobre a função pulmonar, força muscular respiratória e mobilidade tóracoabdominal em mulheres com síndrome fibromiálgica: ensaio clínico randomizado controlado”, teve como objetivo avaliar a influência de um programa de hidroterapia aeróbio sobre variáveis respiratórias e manifestações clínicas em mulheres com SFM, bem como avaliar a associação entre as variáveis respiratórias com as manifestações clínicas. Os resultados mostram que o programa de hidroterapia aeróbio de 16 semanas aumentou a capacidade vital lenta, a capacidade vital forçada, a força muscular inspiratória, a mobilidade torácica, o limiar de dor à pressão e o bem-estar, e reduziu a dor e a limitação por aspectos físicos. A melhora clínica não apresentou associação com as variáveis respiratórias. Conclusão: As voluntárias com SFM apresentam menor endurance muscular respiratória, força muscular inspiratória e mobilidade torácica em relação às voluntárias saudáveis. Além disso, um programa de hidroterapia aeróbio de 16 semanas promoveu melhora da função pulmonar, da força muscular inspiratória, da mobilidade torácica, do limiar de dor à pressão, do bem-estar, da dor e da limitação por aspectos físicos. No entanto, a melhora clínica da SFM não apresentou associação com a melhora das variáveis respiratórias.
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Zhang, Zheng. "Contrôle postural dans la gonarthrose : variations chronobiologiques et effets de différents protocoles de rééducation." Thesis, Université de Lorraine, 2014. http://www.theses.fr/2014LORR0096/document.
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Contexte et objectif – Les patients âgés gonarthrosiques présentent une dégradation du contrôle postural. Les méthodes non pharmacologiques sont aujourdhui recommandées comme option de première intention dans la gestion de l’arthrose. L’hydrothérapie fait partie des moyens de rééducation à disposition des patients âgés atteints d’arthrose du genou pour ses effets antalgiques et musculaires. Cependant, peu d’études sont actuellement disponibles concernant l’effet de l’hydrothérapie sur le contrôle postural, associée ou non à des programmes de rééducation individuels ciblés. Par ailleurs, le contrôle postural est susceptible de variations diurnes. Cette étude a eu pour objet de décrire le contrôle postural des personnes gonarthrosiques à quatre périodes de la journée, puis de comparer l’amélioration du contrôle postural au cours de deux programmes de rééducation différents recourant à l’hydrothérapie. Matériel et méthodes - Deux-cent-quatre-vingt quatre patients souffrant d’arthrose du genou ont été inclus dans cette étude. Le bilan posturographique a été réalisé une semaine avant la cure thermale en condition simple (yeux ouverts, support stable) et en conditions sensorielles contradictoires (vision faussée ou indisponible, proprioception perturbée). Pour évaluer les variations diurnes de la stabilité posturale, les patients ont été randomisés à quatre périodes d’essai dans la journée définies comme suit : 8h-10h, 10h-12h, 13h-15h, 15h-17h. L’influence du sexe, de l’âge, de la taille, du poids et de l’indice de masse corporelle sur la stabilité posturale a été évaluée. La gonalgie a également été évaluée à quatre périodes d’essai. Par la suite, les patients ont été randomisés en deux groupes de rééducation différents pour recevoir des traitements aquatiques : groupe cure classique (hydrothérapie efficace prouvée, c’est-à-dire groupe témoin) et groupe cure active (hydrothérapie combinant des programmes de réhabilitation individuels ciblés). Les bilans de posturographie statique ont été réalisés respectivement à 21 jours, 42 jours et 90 jours après le début de l’hydrothérapie. Résultats –Les tests posturographiques ont été réalisés chez 241 patients (âge moyen : 64,8 + 8,7 ans ; 82 hommes). Le contrôle de l’équilibre était plus efficace l’après-midi que le matin à la fois dans les conditions simple (p = 0,012) et sensorielle contradictoire (p = 0,047), en particulier en début d’après-midi lorsque la vision et la proprioception étaient disponibles (p = 0,026) ou perturbées (p = 0,019). La gonalgie a été plus prononcée le matin que l’après-midi (p < 0,001). La variation diurne du contrôle postural était plus marquée chez les patients plus âgés, de poids plus élevé, de sexe masculin, dans les conditions d’essais différentes (p < 0,05). Les deux cures d’hydrothérapie ont eu des effets curatifs considérables sur la restauration du contrôle de l’équilibre. Une meilleure précision des oscillations posturales a été constatée dans le groupe cure active par rapport au groupe cure classique, 42 jours après le début de l’hydrothérapie (p = 0,020), en particulier lorsque la proprioception a été perturbée avec (p = 0,028) ou sans (p = 0,025) vision disponible. Dans les deux groupes a été observée une stabilité posturale comparable dans un délai de trois mois. Conclusions - Cette étude a montré une meilleure stabilité posturale chez les patients atteints d’arthrose du genou, en début d’après-midi par rapport à la fin de matinée dans les situations sensorielles simples ou contradictoires. Il a été constaté que ces variations étaient également liées à l’âge, au sexe, au poids et pourraient être expliquées par la douleur articulaire fluctuante dans la journée. Considérée comme un traitement non pharmacologique applicable et recommandé, l’hydrothérapie est bénéfique à l’amélioration de la stabilité posturale chez les patients âgés atteints d’arthrose du genou, en particulier combinant un programme de réhabilitation individuel ciblé. [...]Background and Objective – Increasing evidence supports balance control impairment in elderly patients with knee osteoarthritis (OA). Current guidelines recommend non-pharmacologic methods as first-line options in the management of OA. Hydrotherapy is a beneficial training medium for rehabilitation in elderly knee OA patients. However, few indications at present are available concerning the effect of hydrotherapy combining with targeted individual rehabilitation programs to improve balance control. Meanwhile, there is limited data on diurnal variation of balance control in these patients. This study aimed to investigate postural stability in elderly patients with symptomatic knee OA during different periods in a daytime before the spa therapy, then to study the results obtained before and after hydrotherapy to compare the improvement of balance control in these patients in two different water-based rehabilitation programs. Materials and Methods – Two-hundred and eighty-four knee OA patients were enrolled in this study. Static posturography using a vertical force platform was performed one week before spa therapy in simple (eyes open, firm support) and conflicting sensory (vision altered or unavailable, proprioception altered) conditions. To assess diurnal postural variations, patients were randomized to four testing sessions in a daytime defined as follows: 8-10am, 10-12am, 1pm-3pm, 3pm-5pm. Influence of sex, age, height, weight, and body mass index on postural stability was evaluated. Knee pain was also assessed in four testing sessions. Patients were then randomized to two different rehabilitated groups to receive spa therapies. Classic treatment group as a control received the efficacy proven spa water therapy, and active treatment group received spa water therapy combining with targeted individual rehabilitation programs. Static posturographies were carried out respectively in 21 days, 42 days and 90 days after the beginning of hydrotherapy. Results – Posturographic tests were completed for 241 patients (mean age: 64.8 + 8.7 years; 82 males). Balance control was more efficient in the afternoon than in the morning both in simple (p = 0.012) and conflicting sensory conditions (p = 0.047), especially in early afternoon when vision and proprioception were available (p = 0.026) or disturbed (p = 0.019). Patients’ knee pain was more pronounced in the morning than in the afternoon (p < 0.001). Diurnal variation of balance control was more noticeable in older, heavier, and male patients under different testing conditions (p < 0.05). Both the water-based therapies had considerable curative effect on balance control restoration. Better postural sway precision were found in active group than classic group 42 days after the beginning of hydrotherapy (p = .020), especially when proprioception was interfered with (p = .028) or without (p = .025) an available vision. Both of the groups have been observed a comparable postural stability in a three-month term. Conclusions – This study showed that better postural stability was observed in patients with knee OA in early afternoon than in late morning in simple and conflicting sensory situations. These variations appeared also to be related to age, sex, and weight and could be explained by fluctuant joint pain in a daytime. As feasible and recommended non-pharmacologic treatment, hydrotherapy is beneficial to the improvement of postural stability in elderly patients with knee OA, especially combining with targeted individual rehabilitation programs. These findings are important for future studies aiming at enhancing postural stability in knee OA patients and should be taken into account in the management of knee OA to generate applicative approaches to prevent the occurrence of adverse events in patient’s daily life
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Acosta, Antonio Maria Cardozo. "COMPARAÇÃO DA UTILIZAÇÃO DAS TÉCNICAS WATSU E RELAXAMENTO AQUÁTICO EM FLUTUAÇÃO ASSISTIDA NOS SINTOMAS DE ANSIEDADE, DEPRESSÃO E PERCEPÇÃO DA DOR." Universidade Metodista de São Paulo, 2010. http://tede.metodista.br/jspui/handle/tede/1448.
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Previous issue date: 2010-06-30This study s purpose was to compare the effect of Watsu method and physical relaxing in swimming pools in the treatment of chronic pain. Another objective was to evaluate the symptoms of depression and anxiety as co-factors on these treatments. The sample was composed by 23 individuals of both genders above 18 years old. 13 individuals (12 females and 2 males) were treated with Watsu method and 10 were treated (07 females and 3 males) using assisted relaxing technique, picked up between patients suffering from chronic pain who looked for physiotherapy in the clinical centre UMESP s Physiotherapy School. The data were collected through structured interview. It was used associated scale to evaluate the pain perception, questionnaire for Beck depression symptoms evaluation, Idate-State Anxiety questionnaire and Idate-Trace Anxiety questionnaire. Due to the small size of the sample, the comparison between the two different treatments (Watsu and relaxing) and due to the fact that the results were equivalent in both procedures, only the results of parametric methods analysis will be presented (average t test, linear regression and variance analysis). Significant differences related to the levels of anxiety and depression before and after the treatment were not observed between the two groups. Related to pain perception, the comparison between the two groups showed that the both methods had a significant effect on pain reduction. This research suggests that the Watsu method was as efficacious as the relaxing method on pain control, however, the group of patients treated using Watsu method was composed by patients who showed higher initial levels of pain than the other group. Based on that, we can suppose that the clinical efficacy demand was higher for Watsu method. Another interesting finding was that the patients level of anxiety or depression apparently does not influence the response to the pain treatment. New controlled double-blinded studies are necessary to, beside of confirming the method efficacy, help to understand which Watsu technique procedure details are more efficacious for each type of pain and patient affective state.
Este estudo teve como objetivo comparar o efeito do método Watsu e do relaxamento aquático em flutuação assistida em piscina, no tratamento da dor crônica. Também objetiva avaliar o efeito dos sintomas de depressão e ansiedade como co-fatores nesses tratamentos. A amostra é constituída por 23 indivíduos de ambos os sexos, acima de 18 anos. No método Watsu são atendidas 13 pessoas, sendo 11 mulheres e 02 homens. Na técnica de relaxamento assistido são atendidas 10 pessoas, sendo 07 mulheres e 03 homens, entre pacientes que procuram tratamento fisioterápico no centro clínico Escola de Fisioterapia da UMESP, com dor crônica. Os dados são colhidos através de entrevista estruturada. Aplicada escala associada para avaliar percepção de dor, questionário de avaliação de sintomas de depressão Beck, de Ansiedade Idate-Estado e Ansiedade Idate-Traço. Devido ao pequeno tamanho da amostra, as comparações entre os dois tipos de tratamento (Watsu e relaxamento) e, como os resultados obtidos são equivalentes em ambos os procedimentos, optou se por apresentar os resultados apenas das análises por métodos paramétricos (teste t de média, regressão linear e análise de variância). Não são observadas diferenças significativas entre os dois grupos em relação aos escores de ansiedade e depressão antes e após a realização da pesquisa. Em relação à comparação entre os dois grupos pesquisados, quanto à percepção de dor, observou-se que tanto o método de Watsu quanto as técnicas de relaxamento mostram um efeito significativo na redução da dor. Esta pesquisa sugere que o método Watsu é tão eficaz para o controle da dor quanto o método de relaxamento, porém, o grupo de pacientes submetidos ao método Watsu é constituído por pessoas com níveis de intensidade de dor iniciais maiores do que o grupo de relaxamento. Com isso, pode-se supor que a demanda por eficácia clinica é maior para o método Watsu. Outro achado interessante é que os níveis de ansiedade ou depressão presentes nos participantes não parecem influenciar a resposta ao efeito do tratamento sobre a dor. Novos estudos do tipo duplo-cego controlados são necessários para, além de confirmar a eficácia do método, ajudar a entender quais detalhes dos procedimentos da técnica Watsu são mais eficazes para cada tipo de dor e de estado afetivo do paciente.
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Mohelník, Václav. "Podnikatelský projekt jako podklad pro získání podpory na založení podniku." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2009. http://www.nusl.cz/ntk/nusl-222329.
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First chapter is defining main object and methods of elaboration. Second chapter is aimed at theoretical material, on which next following practical part have been worked out. This thirt part is split into three sections, one of them is small and medium company, another is support for small and medium companies and the last one is specification of entrepreneurial project. This part is devided into six segments, the first is introductory study, the second is marketing study, the third is financial study, the fourth is technical study, the fifth is human resources study and the last one is hypothese about success of this study. All these studies were used as a key material for last part entrepreneurial project for getting subvention from Ceskomoravska zarucni a rozvojova banka.
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Pereira, Tatiana Heidorn Alvarez de Aquino. "Estância Hidromineral de Águas de São Pedro (SP) e a construção de um espaço voltado ao termalismo." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/91/91131/tde-05072016-182745/.
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Este trabalho discorre sobre como o município de Águas de São Pedro, situado no centro do Estado de São Paulo, constituído na década de 1930 como um espaço voltado à atividade turística, destaca-se pelo potencial termal. Até hoje a estância hidromineral tem no turismo a principal atividade econômica; entretanto, nossa pesquisa busca compreender se o atrativo primordial do Município está atrelado às águas medicinais, ou se outras características singulares da pequena cidade, como tranquilidade, beleza paisagística e segurança, o tornam um lugar propício ao passeio. Buscamos entender por que, dentre tantas opções de cidades interioranas disponíveis em São Paulo, Águas de São Pedro é escolhida como local de residência fixa, lugar de estabelecimento de casas de veraneio, sendo palco de um grande crescimento imobiliário; assim, desvendamos quais fatores da estância são responsáveis por atrair os turistas e veranistas/turistas de segunda residência. Os dados da pesquisa foram obtidos por meio de pesquisa bibliográfica, observação direta, conversas informais, aplicação de questionários e entrevistas com vários atores socioeconômicos, tais como moradores, turistas, veranistas, rede hoteleira, comércios, imobiliárias e gestores municipais. Os resultados apontam que o município já passou por vários ciclos turísticos e, apesar de a estância hidromineral de Águas de São Pedro ser uma referência regional e até nacional de águas termais, e do poder público estar investindo para apresentar à sociedade um lugar cheio de qualidade de vida, símbolo de bem-estar, grande parcela dos turistas procura a cidade pelo passeio, gastronomia e compras, caracterizando um turismo excursionista, sem pernoite. Este é o motivo pelo qual a cidade vem passando por grande reestruturação paisagística, orquestrada pelo poder público e porque recebe incrementos do poder privado no que se refere à variedade de produtos e serviços ofertados. Percebemos que a maior parcela de moradores e turistas não têm o hábito de utilizar as águas medicinais, mesmo sabendo que a água sulfurosa, também chamada de \"Fonte da Juventude\", utilizada para ingestão e banhos terapêuticos, é a segunda melhor do mundo, superada apenas pela fonte de Pergoli, em Tabiano, na Itália (CAMARGO, 1990), porém o reconhecimento da Cidade como cidade das águas, cidade termal, cidade saúde, é resiliente.This paper discusses how the waters of São Pedro, located in the center of São Paulo, formed in the 1930s as a space oriented to tourism, the thermal potential. To date the health resort has in the main tourism economic activity, however our research seeks to understand the primary attraction of the city is related to medicinal waters, or other unique characteristics of small town like tranquility, natural beauty and safety, make it a place conducive to walking. We try to understand why among so many choices of inner cities available in Sao Paulo Aguas de Sao Pedro is chosen as a fixed place of residence, place of establishment of second homes, the scene of a major real estate growth, thus unveil which resort factors are responsible to attract tourists and vacationers/second residence tourists. The survey data were obtained by means of literature, direct observation, informal conversations, questionnaires, and interviews with various socio-economic actors, such as residents, tourists, vacationers, hotel chain, trade, real estate and municipal managers. The results show that the city has had several tour cycles and that despite the health resort of Aguas de Sao Pedro is a regional and even national reference thermal waters, and the government is investing to present to society a place full of quality life, health symbol, a large proportion of tourists looking for the city by walking, dining and shopping, featuring a hiker tourism without overnight. Why the city has been undergoing major restructuring landscape orchestrated by the government, and receiving increments of private power as regards the variety of products and services offered. We realize that the largest share of locals and tourists do not have the habit of using medicinal waters, even though the source of sulphurous water, also called the \"Fountain of Youth\", used for intake and therapeutic baths, it is the second best in the world, surpassed only by the source of Pergoli in Tabiano, Italy (CAMARGO, 1990), but the recognition of the city as a city of water, spa town, city health, is resilient.
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Foltýnová, Michaela. "Římské lázně a saunový svět." Master's thesis, Vysoké učení technické v Brně. Fakulta stavební, 2014. http://www.nusl.cz/ntk/nusl-227131.
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The project deals with the study of recreational facilities named Roman spa and sauna world. A new building has been associated with the proposed aquacenter "Water Temple Brno", which is by its character and by the capacity predestined to be a multifunctional main "water world" in Brno. The aim of this study is to design a wellness center that would cover the capacity requirements resulting from population density of the city of Brno, that would architectural and urban correspond with the site, and last but not least, offering a wide range of comfortable services covering the needs of potential customers. As a result, it was suggested modern wellness center, does not disturb the landscape construction sites, understated building that more than itself prefers landscape scenery around and its design slightly underscores the balance between nature and human work planted in it.