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1st European Conference on Evidence Based Aquatic Therapy (ECEBAT)



Tivemos o grande prazer de participar de um dos principais eventos da fisioterapia aquática no ano de 2013: 1st European Conference on Evidence Based Aquatic Therapy (ECEBAT) realizado na cidade de Izmir/Turquia entre 22 e 24 de março de 2013.

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O evento contou com grandes nomes brasileiros e mundiais da Fisioterapia aquática, em que tivemos a oportunidade de trocar experiências e conhecer um pouco do trabalho que é realizado no mundo.

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Na foto os colaboradores do nosso site Bianca Araújo e Ricardo Hengles junto com a fisioterapeuta da academia Saga Rosane Caetano entregando um cópia do livro: “Fisioterapia Aquática Funcional” ao organizador do evento Johan Lambeck.

Apresentamos na modalidade de pôster quatro trabalhos (sendo 3 realizados na AACD e 1 na academia SAGA) com os colaboradores do nosso site, com grande receptividade e interesse do público.

Abaixo o resumo dos trabalhos apresentados:

AQUATIC PHYSICAL THERAPY FOR A POLIOMYELITIS SURVIVOR WITH TRACHEOSTOMY AND VENTILATORY SUPPORT: A CASE REPORT
Douglas Braga, Daniela Potas Cavalheiro, Ricardo Cristian Hengles, Adriane Fukui Ogura, Tatiana Camargo Guimarães, Fernando Farcetta Junior, Sheila Jean McNeill Ingham

Poliomyelitis Clinic, Aquatic Physical Therapy Department-Associação de Assistência a criança deficiente-AACD, Sao Paulo, SP, Brazil.


Purpose: The aim of this study is to assess the benefits an aquatic therapy treatment may have for a poliomyelitis patient who has tracheostomy with non-invasive ventilatory support.

Methods: A case report of a 39 years old patient who works as an administrative assistant in the school sector. Subject was affected by wild poliovirus at 03 years old, which required river Tracheostomy ventilatory support and BiPAP (Bilevel Positive Pressure Airway) and uses a wheelchair. In medical history there was no report of corrective surgeries and or attending physiotherapy specifically for polio. On physical examination, subject presented with disproportionate tetraparetic with higher prevalence in the lower limbs. Scholium up showed no limitation in range of motion of the upper limbs and knee flexion deformity of 90° cavus and foot deformities in equine adduct in the lower limbs were observed. The patient underwent an intervention of twenty sessions of aquatic therapy. Fatigue, pain and quality of life scales were used for evaluation and the additional parameters of oxygen saturation (SaO2), heart rate (HR), and respiratory rate (RR), were also analyzed.

Results: There was a striking improvement in the scores of all scales used for fatigue: before treatment 55 and after 28, demonstrating a reduction in fatigue at the end of the study. A similar find was also observed in the quality of life mainly in the periods of vitality, before (29.16) and after (50). The HR, RR and SaO2 did not change significantly, demonstrating the safety of the treatment. The pain had ceased in the major joints at the end of treatment. Conclusion: The results show that the use of aquatic therapy was favorable for the treatment of the patient poliomyelitis with tracheostomy. Results demonstrate that aquatic therapy is safe, reduces fatigue and pain and thereby improving the quality of life.

MUSCULOSKELETAL THE INFLUENCE OF MYOFASCIAL RELEASE IN POSTURE AND RANGE OF MOTION
Bianca Araujo

1AACD (Associação de Assistência à Criança Deficiente), São Paulo, Brazil


Introduction: The neurological disorder can cause secondary changes in the musculoskeletal system, such as muscle weakness, spasticity, and/or contractures around joints, which makes cerebral palsy a leading cause of childhood disability. Some of the effects of aquatic therapy are related to pain relief, a reduction in spasms, muscle relaxation, an increase in the range of motion, an increase in blood circulation and muscle strengthening. The goal of this study was to verify the influence of myofascial release in posture and range of motion of six patients with cerebral palsy (CP) after only one session of aquatic therapy.

Methods: observational study through the analysis of posture and range of motion of six children with cerebral palsy after one session of aquatic therapy. Each patient was placed in an indoor warm pool (33°C) at a comfortable position and treated by a physical therapist with myofascial techniques. The myofascial techniques were stretching and myofascial trigger point release. All patients were assessed before and immediately after the intervention by the same observer, by using a photographic camera. Photos were taken before and after the session, for comparisons. The session lasted 35 minutes.

Results: qualitative improvements were observed in the photos, such as increasing the range of motion of the knee joint and improvement of biomechanical alignment of the trunk in a sitting posture

INTERFERENCE OF AQUATIC THERAPY IN THE AGILITY IN WHEELCHAIR OF A PATIENT WITH DUCHENNE MUSCULAR DYSTROPHY NOT AMBULATORY - CASE STUDY
Douglas Martins Braga1, Ricardo Cristian Hengles1, Allan Rogers Beas1, Kaitiana Silva2, Fernanda Rocco3

1 Physiotherapist, Aquatic Physical Therapy Department – Associação de Assistência a criança deficiente- AACD, Sao Paulo, SP, Brazil.
2 Physiotherapist
3 Medical physiatrist - Associação de Assistência a criança deficiente- AACD, Sao Paulo, SP, Brazil.


Introduction: Duchenne Muscular Dystrophy (DMD) is a progressive disease. Usually by early adolescence independent walking is restricted, at this stage of the disease use of wheelchair is often the only form of locomotion. The agility in a wheelchair is a key factor for functional independence of these individuals. The objective of this study is to verify the interference of aquatic therapy in children with DMD who rely on wheelchairs for locomotion.

Methods: The design of this paper is a case study of a subject with interventional clinical evaluator blinding. The sample consisted of a 12 years old male patient with DMD who has been unable to walk since 2 years ago. The patient underwent assessments at pre and post intervention. The assessment was verified by an agility test of zigzag, consisting of a path in a rectangle with measurements of 6 m and 9 m, the child runs away with the CR, making changes of direction, with maximum speed. The patient underwent 10 sessions of aquatic therapy. The initial phase of therapy consisted of passive mobilization and exercises to improve flexibility of upper and lower limbs and trunk. Subsequently, active exercises of upper and lower limbs using only water resistance, followed by breathing exercises. And finally, function was trained with placement of a wheelchair into the pool and the patient touched the chair with a level of immersion in the xiphoid process.

Results: the aquatic therapy as the only form of intervention in the study showed a quantitative change in the patient’s agility evaluated, showing a decrease in travel time in the wheelchair from 120 to 90 seconds. Conclusion: The results showed that for this patient to aquatic therapy may interfere positively on agility in wheelchair.

IMPACT OF FUNCTIONAL AQUATIC PHYSICAL THERAPY ON INDIVIDUAL ́S QUALITY OF LIFE
Borges J, Paiva M, Noronha C, Caroline, Caetano R

Saga Natação e Fisioterapia Aquática Funcional


Purpose: Verify the impact of 24 sessions of aquatic physical therapy on quality of life of adults and compare to different aquatic interventions.

Method: All Adults who performed treatment of aquatic physical therapy (group or individual) and physical conditioning group at Saga Swimming School (São Paulo, Brazil) were invited to participate in this study. Measuring instrument used was SF-36 applied before and after 24 aquatic interventions. Participants were divided in 2 groups of interventions for statistical analysis, individual aquatic therapy and group activities. Results: Twenty-nine voluntaries, 6 males and 23 females were included in this study. Eight participants performed individual activities age between 24 to 80 years old, and 21 (twenty-one) group intervention average age of 48.5 years old. Individual aquatic therapy frequency varies from one to three times a week and 45 minutes duration with different disorders. Group interventions were limited to maximum of 8 subjects and 45 minutes of session. People submitted to individual treatment reached best results when their scores compared with the other participants of this research.

Conclusion: The possibility to identify activities limitations allows planning and conducting physical therapy treatment to achieve the best result possible in a short period. SF-36 shows to be sensitive in the population analyzed and presents relevant aspects to be investigated before and after aquatic physical therapy intervention.

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