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aquatic rehabilitation

Tatiana Sukhodolova, Arnd Weber, Jingxin Zhang, Christian Wolter
To compensate for fairway enlargements and the hydraulic impacts of navigation activity, an artificial rehabilitation structure was constructed in the urban, navigable River Spree in 2004. This wave-protected, shallow littoral zone proved to be highly effective in reducing vessel-induced waves and provided suitable conditions for the development of aquatic plants. However, in time it became less suitable for other aquatic organisms due to hypoxic conditions in late summer. This study aimed to comparatively calculate and analyze the oxygen balance of the rehabilitation structure and the main channel five years after the construction in 2009...
October 4, 2016: Science of the Total Environment
Andresa R Marinho-Buzelli, Hossein Rouhani, Kei Masani, Mary C Verrier, Milos R Popovic
Balance training in the aquatic environment is often used in rehabilitation practice to improve static and dynamic balance. Although aquatic therapy is widely used in clinical practice, we still lack evidence on how immersion in water actually impacts postural control. We examined how postural sway measured using centre of pressure and trunk acceleration parameters are influenced by the aquatic environment along with the effects of visual information. Our results suggest that the aquatic environment increases postural instability, measured by the centre of pressure parameters in the time-domain...
September 28, 2016: Gait & Posture
Jessy Lauer, Stéphane Vigier, Frédéric Delage, Alain Meudec, Jean-Michel Pollet, João Paulo Vilas-Boas, Annie Rouard
OBJECTIVE: Aquatic shoulder exercises are widely implemented into rehabilitation programs to provide early muscle strengthening and improved joint mobility. However, since the drag - the force exerted by the water on the moving segments - is very hard to measure, an in-depth knowledge of internal joint load is lacking, which ultimately prevents healthcare professionals from understanding all clinical implications. For the first time, shoulder joint moment, work, and power were calculated through a novel, validated numerical approach coupling fluid flow simulations and inverse dynamics...
September 2016: Annals of Physical and Rehabilitation Medicine
Sophie Heywood, Jodie McClelland, Benjamin Mentiplay, Paula Geigle, Ann Rahmann, Ross Clark
OBJECTIVE: To investigate the effectiveness of aquatic exercise in improving lower limb strength in people with musculoskeletal conditions. DATA SOURCES: A systematic search used 5 databases, including MEDLINE, CINAHL, Embase, SPORTDiscus, and The Cochrane Library. STUDY SELECTION: Randomized controlled trials evaluating aquatic exercise with a resistance training component for adults with musculoskeletal conditions compared with no intervention or land-based exercise were identified...
September 22, 2016: Archives of Physical Medicine and Rehabilitation
Heidi Kempert, Ethan Benore, Rachel Heines
OBJECTIVE: To discuss whether patient reported measures would be clinically sensitive and useful for identifying functional change within an intensive chronic pain program setting. Children and adolescents' perception of their abilities is a natural target of rehabilitation therapies. Perceived functioning is often impaired when experiencing chronic pain and is a meaningful goal of rehabilitation therapy. This study examines two patient reported measures administered as part of physical therapy for chronic pain...
September 14, 2016: Archives of Physical Medicine and Rehabilitation
Samantha E Scarneo, Hayley J Root, Jessica C Martinez, Craig Denegar, Douglas J Casa, Stephanie M Mazerolle, Catie L Dann, Giselle Aerni, Lindsay J DiStefano
CONTEXT: Neuromuscular training programs (NTPs) improve landing technique and decrease vertical ground reaction forces (VGRF) resulting in injury risk reduction. NTPs in an aquatic environment may elicit the same improvements as land-based programs with reduced joint stress. OBJECTIVE: To examine the effects of an aquatic NTP on landing technique, as measured by the Landing Error Scoring System (LESS) and VGRF, immediately and 4-months following the intervention...
August 24, 2016: Journal of Sport Rehabilitation
Jessy Lauer, Annie Hélène Rouard, João Paulo Vilas-Boas
Sound inverse dynamics modeling is lacking in aquatic locomotion research because of the difficulty in measuring hydrodynamic forces in dynamic conditions. Here we report the successful implementation and validation of an innovative methodology crossing new computational fluid dynamics and inverse dynamics techniques to quantify upper limb joint forces and moments while moving in water. Upper limb kinematics of seven male swimmers sculling while ballasted with 4kg was recorded through underwater motion capture...
October 3, 2016: Journal of Biomechanics
Sarah Chard
PURPOSE: To identify the individual and social experiences underlying the initiation and satisfaction with aquatic exercise among persons with MS. METHODS: A convenience sample (n = 45) of persons aged ≥18 with MS who had engaged in water-based exercise within the previous six months completed a 60-90 min semi-structured telephone interview regarding their aquatic exercise experiences. RESULTS: An aquatic exercise history was not a prerequisite for the adoption of aquatic exercise...
June 26, 2016: Disability and Rehabilitation
Murray A Rudd, Sheri Andres, Mary Kilfoil
Accounting for non-market economic values of biological diversity is important to fully assess the benefits of environmental policies and regulations. This study used three choice experiments (species-, guild-, and ecosystem-based surveys) in parallel to quantify non-use values for little-known aquatic species at risk in southern Ontario. Mean willingness-to-pay (WTP) ranged from $9.45 to $21.41 per listing status increment under Canada's Species at Risk Act for both named and unnamed little-known species. Given the broad range of valuable ecosystem services likely to accrue to residents from substantial increases in water quality and the rehabilitation of coastal wetlands, the difference in WTP between species- and ecosystem-based surveys seemed implausibly small...
September 2016: Environmental Management
Sophie Heywood, Jodie McClelland, Paula Geigle, Ann Rahmann, Ross Clark
BACKGROUND: Exercises replicating functional activities are commonly used in aquatic rehabilitation although it is not clear how the movement characteristics differ between the two environments. A systematic review was completed in order to compare the biomechanics of gait, closed kinetic chain and plyometric exercise when performed in water and on land. METHODS: Databases including MEDLINE, CINAHL, SPORTDiscus, Embase and the Cochrane library were searched. Studies were included where a functional lower limb activity was performed in water and on land with the same instructions...
July 2016: Gait & Posture
Samantha E Scarneo, Hayley J Root, Jessica C Martinez, Craig Denegar, Douglas J Casa, Stephanie M Mazerolle, Catie L Dann, Giselle Aerni, Lindsay J DiStefano
CONTEXT: Neuromuscular training programs (NTPs) improve landing technique and decrease vertical ground reaction forces (VGRF) resulting in injury risk reduction. NTPs in an aquatic environment may elicit the same improvements as land-based programs with reduced joint stress. OBJECTIVE: To examine the effects of an aquatic NTP on landing technique, as measured by the Landing Error Scoring System (LESS) and VGRF, immediately and 4-months following the intervention...
May 2, 2016: Journal of Sport Rehabilitation
Jaydev B Mistry, Randa D K Elmallah, Anil Bhave, Morad Chughtai, Jeffrey Jai Cherian, Tanner McGinn, Steven F Harwin, Michael A Mont
Rehabilitation following total knee arthroplasty (TKA) continues to pose a challenge for both patients and providers. In addition, guidelines vary considerably between institutions, which often leave therapy regimens to the discretion of the provider. The lack of clear guidelines for rehabilitation may contribute to inadequate recovery of strength and range-of-motion, resulting in less optimal functional outcomes. Therefore, the aim of this review was to highlight and discuss a variety of post-TKA rehabilitative modalities currently available and to provide evidence regarding efficacy and practicality...
April 2016: Journal of Knee Surgery
Craig P Hensley, Douglas R Dirschl
Isolated cuneiform fractures are rare and are often missed on plain radiographs, leading to delayed diagnosis and delayed return to sport. The authors of this study present a 32-year-old male ice hockey player who sustained trauma to his dorsal midfoot from a slap shot. Radiographs were negative for fracture. After inability to wean out of the controlled ankle movement boot, magnetic resonance imaging was ordered, demonstrating a middle cuneiform fracture. The patient was seen in physical therapy, where aquatic therapy, strength training, and cardiovascular conditioning were progressed...
July 2016: American Journal of Physical Medicine & Rehabilitation
N J Cronin, A M Valtonen, B Waller, T Pöyhönen, J Avela
BACKGROUND: Reflex excitability is increased in hemiplegic patients compared to healthy controls. One challenge of stroke rehabilitation is to decrease the effects of hyperreflexia, which may be possible with water immersion. Methods/Aims: The present study examined the effects of acute water immersion on electrically-evoked Hmax:Mmax ratios (a measure of reflex excitability) in 7 hyperreflexive hemiplegic patients and 7 age-matched healthy people. Hmax:Mmax ratios were measured from soleus on dry land (L1), immediately after (W1) and 5 minutes after immersion (W5), and again after five minutes on land (L5)...
March 2016: Journal of Musculoskeletal & Neuronal Interactions
Kalle Olli, Riina Klais, Timo Tamminen
Blooms of nitrogen-fixing cyanobacteria are recurrent phenomena in marine and freshwater habitats, and their supplying role in aquatic biogeochemical cycles is generally considered vital. The objective of this study was to analyse whether an increasing proportion of nitrogen-fixing cyanobacteria affects (i) the composition of the non-diazotrophic component of ambient phytoplankton communities and (ii) resource use efficiency (RUE; ratio of Chl a to total nutrients) - an important ecosystem function. We hypothesize that diazotrophs increase community P use and decrease N use efficiencies, as new N is brought into the system, relaxing N, and concomitantly aggravating P limitation...
September 2015: Journal of Ecology
Thoralf R Liebs, Wolfgang Herzberg, Wolfgang Rüther, Martin Russlies, Joachim Hassenpflug
OBJECTIVES: To determine the lifetime quality-adjusted life years (QALYs) gained by total joint arthroplasty (TJA), and assess the QALYs attributed to specific postoperative rehabilitation interventions. DESIGN: Secondary analysis of 2 multicenter, randomized controlled trials (RCTs) with 3-, 6-, 12-, and 24-month follow-up. SETTING: Two university hospitals, 2 municipal hospitals, and 1 rural hospital. PARTICIPANTS: Patients (N=827) who underwent total hip arthroplasty (THA) or total knee arthroplasty (TKA)...
May 2016: Archives of Physical Medicine and Rehabilitation
Roger Holmes, David G Armanini, Adam G Yates
Best management practices (BMPs) are increasingly being promoted as a solution to the potentially adverse effects agriculture can have on aquatic systems. However, the ability of BMPs to improve riverine systems continues to be questioned due to equivocal empirical evidence linking BMP use with improved stream conditions, particularly in regard to ecological conditions. Explicitly viewing BMP location in relation to hydrological pathways may, however, assist in establishing stronger ecological linkages. The goal of this study was to assess the association between water chemistry, benthic macroinvertebrate community structure, and the number and location of agricultural BMPs in a catchment...
May 2016: Environmental Management
Sarfraz Hashim, Xie Yuebo, Muhammad Saifullah, Ramila Nabi Jan, Adila Muhetaer
Today's ecology is erected with miscellaneous framework. However, numerous sources deteriorate it, such as urban rivers that directly cause the environmental pollution. For chemical pollution abatement from urban water bodies, many techniques were introduced to rehabilitate the water quality of these water bodies. In this research, Bacterial Technology (BT) was applied to urban rivers escalating the necessity to control the water pollution in different places (Xuxi River (XXU); Gankeng River (GKS); Xia Zhang River (XZY); Fenghu and Song Yang Rivers (FSR); Jiu Haogang River (JHH)) in China...
2015: BioMed Research International
Sophie Thomson, Chris Jukes, Jeremy Lewis
BACKGROUND: Surgery to repair rotator cuff (RC) tears is a commonly performed orthopaedic procedure with the aim of reducing pain and improving function. Surgery is followed by rehabilitation and recommendations for postoperative rehabilitation include; exercise therapy, continuous passive motion machines and aquatic therapy. Currently, there is uncertainty in the literature as to what constitutes best postsurgical rehabilitation. OBJECTIVE: To systematically review postsurgical research investigations to provide clinical guidance regarding postsurgical management...
March 2016: Physiotherapy
Xian-ming Bao, Dong-xiang Gu, Ting-ting Wu, Zu-liang Shi, Guo-feng Liu, Han Shi-qun, Shi-qun Zhou, Qing Zhou
It is an efficient and effective ecological restoration method by using the adaptability, large biomass of aquatic plants to purify the polluted water at present. However, there is a lack of systematic research on the impact on the physiological ecology of aquatic plants and its environmental effects of algae blooms cluster in summer. The aim of this paper is to reveal the mechanism of macrophytes demise in a shallow ecosystem by studying the influence on photosynthesis of water hyacinth caused by the cynaobacterial blooms gathered, and also to provide the theoretical basis for full effects of purification function of macrophytes to reduce the negative effects on the aquatic plants after algae blooms gathered during the higher temperature (not lower 25 degrees C) through simulating experiments...
June 2015: Huan Jing Ke Xue= Huanjing Kexue
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