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Hydrotherapy for the Treatment of Rheumatic Diseases
Types of Rheumatic Diseases
- Inflammatory arthritis.
- Degenerative arthritis.
Spondyloarthropathles.
Advantages of Hydrotherapy for the Treatment of Rheumatic Diseases
The advantages of Hydrotherapy for rheumatic conditions are similar to those for all conditions. Of particular value are the warmth of the water, which decreases pain and muscle spasm and buoyancy, which relieves the stresses on joints especially those involved in weight bearing.
Contraindications
The contraindications of Hydrotherapy for the rheumatic disorders are common to all pool users: cardiac or respiratory failure, infective skin conditions, excessively low, high or uncontrolled blood pressure active urinary infections, urinary or fecal incontinence and morbid hydrophobia.
There are no contraindications peculiar to the rheumatic diseases patient, except for those people in the early stages of recovery from a generalized flare of rheumatoid arthritis, where over activity or exertion could cause a recurrence of the symptoms of pain and swelling. Abnormal physiological measurements, for example altered blood pressure or diminished vital capacity, should form no barrier to the person participating in Hydrotherapy providing the condition is recognized and taken into account. Occasionally a patient will complain of hypersensitive skin in response to pool chemicals, chlorine or bromine, the reactions to both varying from mild irritation to severe itching and rashes. This may be a drug-induced reaction. A person with a single inflamed joint need not be excluded from the pool provided a splint adequately restrains the affected joint.
While not being a contraindication to hydrotherapy, a person with osteoporosis should be treated with caution, bearing in mind that even slight degree of overexertion or sudden movement can lead to fractures. As well as Hydrotherapy, the patient should be encouraged to participate in weight-bearing exercises to stimulate the bone, as there seems to be little evidence from scientific studies on he effect of exercising in water and the effect of the non-weight-bearing exercises on bone density. Recent research indicates that swimming increases bone density. For the severely osteoporotic hydrotherapy may be the only safe and painless exercise medium.
Primary aims of treatment
The primary aims of treatment for most rheumatic conditions are:
- relief of pain, swelling and stiffness
- promotion of relaxation
- joint mobilization
- muscle strengthening
- improvement of coordination and functional ability
- improvement of morale
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