Tratamiento complementario de la fibrosis quística con terapia acuática. A propósito de un caso / Supplementary treatment of cystic fibrosis with hydrotherapy. A case report

Antecedentes y objetivo: La fibrosis quística (FQ) produce una afectación multisistémica, por lo que la hidroterapia puede aportar numerosos beneficios en su tratamiento. El objetivo de este estudio es la presentación de la efectividad de un programa de hidroterapia en una paciente pediátrica con FQ. Descripción del caso: Niña de 23 meses de edad con FQ que presenta dificultad respiratoria. Intervención: El programa de tratamiento consiste en la realización de 5 sesiones de hidroterapia de 30 min de duración cada una. Resultados: Se muestran mejoras en los signos vitales y las capacidades de la paciente (movilización de secreciones y expectoración), generando efectos positivos sobre su calidad de vida. Discusión: Otros autores han relacionado este tipo de tratamiento con trastornos respiratorios en edades pediátricas y en edad adulta, confirmando igualmente los beneficios que se han obtenido en el caso clínico planteado

Background and objective: Cystic Fibrosis (CF) leads to a multisystemic involvement. Hydrotherapy shows many positive effects. The aim of this study is to show the effectiveness of a hydrotherapy program in a patient with CF. Case description: The patient is a 23 month-old girl with CF and respiratory distress. Intervention: The treatment program consisted of the fulfilment of five 30-minute hydrotherapy sessions. Results: There was an improvement in in patient vital signs and capacities (mainly in terms of mobilisation of secretions and expectoration), generating positive effects on her quality of life. Discussion: Other authors have associated this type of treatment with respiratory disorders, and have confirmed its benefits in paediatric and adult patients, including those obtained in the case presented

O potencial terapêutico de uma oficina no território: autonomia e noção de pertença / El potencial terapéutico de un taller en el territorio: la autonomía y el sentido de pertinência / The therapeutic potential of a workshop in the territory: autonomy and sense of belonging

Objective: This study describes the therapeutic potential of a workshop in the territory for users of the Psychosocial Care Center and discuss the proposed therapy workshop and user interaction with the territory. Methods: Descriptive and exploratory research. The data resulted from participant observation and interviews as two coordinators. Thematic kind of content analysis was used for data processing. Results: As a result we obtained two thematic categories: Pool and the territory, and Benefits of a Pool Workshop. Conclusion: The workshop held in the territory allows the user to see himself/herself as part of it and also reframe the ways of living in that territory. The notion of belonging, social acceptance and citizenship are keys in building the social subject.

Objetivo: Descrever o potencial terapêutico de uma oficina no território para os usuários de saúde mental e discutir a proposta terapêutica da oficina e a interação dos usuários com o território. Método: Trata-se de estudo descritivo-exploratório. Os dados resultaram da observação participante e das entrevistas com os coordenadores, sendo utilizada a Análise de Conteúdo do tipo Temática para o tratamento dos dados. Resultados: Apresentaram-se duas categorias temáticas: Piscina e o território; e Os benefícios da Oficina de Piscina. Conclusão: A oficina realizada no território permite que o usuário se perceba parte dele e, ainda, ressignificar as formas de viver naquele território, bem como a noção de pertença, de aceitação social e cidadania que são fundamentais na construção do sujeito social.

Objetivo: El presente estudio describe el potencial terapéutico de un taller en el territorio, para los usuarios del Centro de Atención Psicosocial y discutir el taller de terapia propuesta y la interacción del usuario con el territorio. Método: La investigación descriptiva y exploratoria. Los datos de resultado de la observación participante y entrevistas como dos coordinadores. Tipo temático de análisis de contenido fue utilizado para el procesamiento de datos. Resultados: Como resultado se obtuvieron dos categorías temáticas: Piscina y el territorio; y Privilegios taller. El taller realizado en el territorio permite que el usuario se da cuenta parte de ella y también replantear las formas de vivir en ese territorio. Conclusión: La noción de pertenencia, aceptación social y la ciudadanía son clave en la construcción del sujeto social.

Efectos de un programa de Ai Chi acuático en pacientes con fibromialgia. Estudio piloto / Effects of a programme of aquatic Ai Chi exercise in patients with fibromyalgia. A pilot study

Introducción. La fibromialgia es un trastorno reumático que presenta sintomatología física, psicológica y social. El objetivo del presente estudio es analizar los beneficios de un programa de Ai Chi en el medio acuático sobre la calidad de vida, depresión y dolor en pacientes con fibromialgia. Pacientes y métodos. Se realizó un estudio experimental con 20 pacientes diagnosticadas de fibromialgia de dos localidades distintas. Las dimensiones del estudio fueron la capacidad funcional (Fibromyalgia Impact Questionnaire), la valoración del dolor (escala analógica visual) y la salud física y mental (Short Form-36). Las evaluaciones se llevaron a cabo en el momento basal y al finalizar las 20 sesiones. Resultados. Finalizadas las diez semanas de tratamiento, se obtuvieron diferencias significativas (p < 0,05) en prácticamente todas las variables valoradas. Conclusión. Un programa de Ai Chi en el medio acuático contribuye a mejorar la salud física y mental, el dolor y la calidad de vida de pacientes con fibromialgia (AU)

Introduction. Fibromyalgia is rheumathological disease a combination of physical, psychological and social limitations. The aim of the present study is to determinate the benefits of Ai Chi program on quality of life, depression and pain. Patients and methods. An experimental study was performed with 20 fibromyalgia patients two different cities. Outcome measures were functional capacity (Fibromyalgia Impact Questionnaire), pain (Visual Analogue Scale) and quality of life (Short Form-36). Measures were performed at baseline and after ten weeks post-intervention. Results. After ten weeks of treatment, the results showed significant reduction (p < 0,05) in virtually all outcome measures. Conclusion. An Ai Chi aquatic therapy programme contributes to reduce pain and improve quality of life as well as physical and mental health in patients with fibromyalgia (AU)

[The changing position of balneo- and hydrotherapy in medicine]. / A balneo-, hidroterápia helyének változása a medicinában.

Therapy with water has been known for thousands of years. Hot water bath was always pleasant for people. During the 19th century it was applied for the treatment of several diseases and modern medicine should not miss it. Today balneotherapy may help gymnastic procedures and it is commonly used in combination with other types of physiotherapy, too.

New circulating-water devices warm more quickly than forced-air in volunteers.

BACKGROUND: Newer circulating-water systems supply more heat than forced-air, mainly because the heat capacity of water is much greater than for that of dry warm air and, in part, because they provide posterior as well as anterior heating. Several heating systems are available, but three major ones have yet to be compared directly. We therefore compared two circulating-water systems with a forced-air system during simulation of upper abdominal or chest surgery in volunteers. METHODS: Seven healthy volunteers participated on three separate study days. Each day, they were anesthetized and cooled to a core temperature near 34 degrees C, which was maintained for 45-60 min. They were then rewarmed with one of three warming systems until distal esophageal core temperature reached 36 degrees C or anesthesia had lasted 8 h. The warming systems were 1) energy transfer pads (two split torso pads and two universal pads; Kimberly Clark, Roswell, GA); 2) circulating-water garment (Allon MTRE 3365 for cardiac surgery, Akiva, Israel); and 3) lower body forced-air warming (Bair Hugger #525, #750 blower, Eden Prairie, MN). Data are presented as mean +/- sd; P < 0.05 was statistically significant. RESULTS: The rate of increase of core temperature from 34 degrees C to 36 degrees C was 1.2 degrees C +/- 0.2 degrees C/h with the Kimberly Clark system, 0.9 degrees C +/- 0.2 degrees C/h with the Allon system, and 0.6 degrees C +/- 0.1 degrees C/h with the Bair Hugger (P = 0.002). CONCLUSIONS: The warming rate with the Kimberly Clark system was 25% faster than with the Allon system and twice as fast as with the Bair Hugger. Both circulating-water systems thus warmed hypothermic volunteers in significantly less time than the forced-air system.

Hydrotherapy combined with Snoezelen multi-sensory therapy.

The aim of this article is to present a new and challenging model of treatment that combines two therapeutic interventions: hydrotherapy and Snoezelen or controlled multisensory stimulation. The combination of the two therapeutic approaches enhances the treatment effect by utilizing the unique characteristics of each approach. We believe that this combined model will further enhance each media to the benefit of the clients and create a new intervention approach. This article relates to a hydrotherapy swimming pool facility that has been established at the Williams Island Therapeutic Swimming and Recreation Center, Beit Issie Shapiro, Raanana in Israel, after acquiring many years of experience and gaining substantial knowledge both in the field of hydrotherapy and Snoezelen intervention. Beit Issie Shapiro is a non-profit community organization providing a range of services for children with developmental disabilities and their families. The organization provides direct services for nearly 6,000 children and adults each year. This article provides an overview of hydrotherapy and Snoezelen and presents a case study, which will demonstrate the new model of treatment and show how this new and innovative form of therapy can be used as a successful intervention. We believe it will open a path to enriching the repertoire of therapists helping people with special needs. This article is also addressed to researchers to provide ideas for further studies in this area.

Influencia do treinamento fisico no meio aquatico para mulheres na terceira idade / Influence of the aquatic physical exercise on third age womem

Este estudo procurou verificar os efeitos da pratica de exercicios fisicos, em meio aquatico , para pessoas a partir da terceira idade como elemento de promocao da saude.Fizeram parte da amostra 25 sujeitos do sexo feminino na faixa etaria de 57 a 77 anos de idade.Foram realizadas avaliacaoes dos componentes: de antropometria, cardiorespiratorio, flexibilidade coluna/quaril, forca, resistencia muscular localizada, abdominal e forca de preensao manual(AAHPERD,1980;SOARES$SESSA,1983).Foi empregada a estatistica descritiva(media, desvio-padrao e percentual) e a estatistica inferencial atraves do teste "t"de Student, sendo o nivel de significancia estabelecido em p menor 0,05.Ocorreram meloras, estatisticamente significativas, na forca e resistencia muscular abdominal e na capacidade cardiorespiratoria.Como pode ser visto o ganho na esfera psicossomatica foi subjetivamente muito superior que os dados objetivamente coletados e acompanhados pela nossa equipe

Hydrotherapy pools of the future--the avoidance of health problems.

The need to minimize the threat of infection to patients and the high incidence of health problems in hydrotherapy pool workers, have led to recommendations especially tailored to the design and operation of the water and air treatment plant of hydrotherapy pools. Hitherto unpublished surveys are detailed which confirm that pathogenic species of Pseudomonas aeruginosa in pools (in which ears may be wetted) cause a high incidence of otitis externa, but rarely cause body rashes (pseudomonas folliculitis) unless there has also been prolonged skin wetting. In brominated pools contact dermatitis is common and can be distinguished clinically from pseudomonas folliculitis by the onset of a pruritic rash less than 12 hours after exposure to the pool and reactivation of the rash on re-exposure to the brominated pool.