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40 Cards in this Set
- Front
- Back
define hydrodynamics
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how to use the physical properties of water to reach functional goals
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buoyancy
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an UPWARD force acting in the opp dir of gravity
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what does force in water equal to
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the weight of the volume of the displaced water
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what is the relative density or specific gravity of water
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1.0
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what happen if the RD is lesser than 1
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it'll float
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what is the RD of human body with inflated lung
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.97
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what is the RD of lean body mass
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1.1
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RD of adipose tissue
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.90
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what is center of buoyancy and what is it for human
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center of gravity of the displaced fluid; T2-T4
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what is center of Gravity for human
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S2
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name the three type of buoyancy exercises:
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buoyancy supported exercise; buoyancy assisted exercise; buoyancy resisted exercise
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which water exercise is equal to gravity minimized and it's effect and how it moves
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buoyancy supported exercise; pain relief; early movement; movement perpendicular to the water surface
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which water exercise is equal to active assisted exercise and it's effect; how it moves
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buoyancy assisted exercise; increase rom, early strenghening, mm re-education; movement upward toward the surface
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which water exercise is equal to resisted exercise and how it moves
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buoyancy resisted exercise; move down, opposing the buoyancy.
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how can you adjust the buoyancy resisted exercise
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increase surface area, speed, effort, equipment, flotation can also increase resistance.
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disadvantage of buoyancy resisted exercise
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max effort is required for max benefit
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what is the effect of buoyancy on weight bearing
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upward force of buoyancy reduce the effects of weight bearing and loading forces
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approximate the levels of reduction in water in standing at ASIS, Chest, and neck
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depth at ASIS= 50%
depth at chest= 75% depth at neck= 95% |
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what is hydrostatic pressure
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any pressure exerted by fluid on a body at rest
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FACT: more assistance/resistance is felt near the surface of the water
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FACT: longer lever arm provides more assistance/resistance
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FACT: Floating device may be used to alter assistance/resistance by moving the center of buoyancy
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FACT: with body weight reduced, mobility is increased
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up to what level of body will buoyancy have no more effect on body weight/weight bearing
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up to the depth of C7
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what is the effect of increasing depth
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increase pressure
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what is the effect of increase pressure
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centralization of peripheral blood flow; Starling reflex (HRxSV=CO), centralization increases CO without corresponding increase in HR (increase pressure help squeeze out the blood w/o extra effort from pt)
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what does HIP stands for and what does it mean?
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hydrostatic indifference point (located at the height of the DIAPHRAM; the depth at which hydrostatic pressure on the LE and abdomen is equal to the hydrostatic pressure of the water.
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why is HIP important
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it's important for pt with cardiac problem. Even though their HR will not increase, their CO will and we won't know that.
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what can deeper immersion do?
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cause centralization> inc CO w/o inc HR; can cause dec HR;
>can reduce swelling >increase diuresis (dehydration) >caution deep immersion for those with chest expansion problems (vital capacity must be at least 1500 cm3) |
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what is fluid dynamics; what are they
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forces of fluid that contribute to resistance and movement; viscosity, turbulence, drag/draft
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what is viscosity
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internal friction between molecules, causing resistance to flow
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what is the relationship between force and viscosity
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more physical force increase viscosity; inc temperature decrease force
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turbulence
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the interrupted flow of molecules
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factors effecting turbulence
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resistance/speed (direct); sz and shape; pressure differentiation (higher in front); streamlining
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what is drag result of
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result of pressure differentiation
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what is drafing used for?
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use as an assistive or resistive tool, depending on whether the pt is in the front (resistive) or behind (assistive)
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what is the resistance of water in comparison to air
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12-15x more resistance
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what can water do for the postural mm and balance mechanics
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pressure differentiation and turbulent flow
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what are the precautions to water aerobics
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cardiac condition, extreme high BP, respiratory prob/COPD/lim capacity, diabetes (poor circulation), MS (work better in cooler water), recently healed wounds, absent or impaired peripheral sensation, incontinence, fear of water, pool chemical sensitivity, any precaution to land based exercise that is mitigated (lessen) by water
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contraindications to aquatic exercises
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open wound (unless covered by bio-occlusive dressing), skin disorders, contagious skin disease, untreated UTI, respiratory tract infection, uncontrolled seizure, fever, cardiac instability, excessive fear of water, gastrostomy, tracheotomy, any precaution to land based exercise that is mitigated (lessen) by water
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how to ensure safety in water
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proper screening of individuals, be alert of medical conditions, have lifeguard on site
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requirement for integration of water and land based exercises
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PT have a thorough knowledge of water, constant reevaluation and reexamination, avoid duplication of exercises between the two
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