EXERCISE THERAPY TITLE
: METHODS IN HYDROTHERAPY
PREPARED PREPARED FOR : MADAM NOR AZIZAH PREPARED PREPARED BY
: NURDINA AFINI BINTI IZAMUDIN (031390)
DATE OF SUBMISSION
:
17th Feb!"# $013
HYDROTHERAPY
2/17/2013
BAD RAGAZ RING METHOD
WHAT IS BAD RAGAZ RING METHOD ?
The b"% "&"' & *eth+% , " -+..e-t+ +/ the"e!t- te-h!e, e/+*e% the 2"te th"t h"e bee %ee.+e% th+!&h #e", the the*". 2"te, +/ B"% R"&"'4 S2t'e."%5 St.. e+.&4 the *eth+% , !,e% te"t+"..# /+ *!,-.e e6e%!-"t+4 ,te&the&4 ,". t"-t+e.+&"t+4 e."8"t+4 "% t+e hbt+ 2"te5 "te, !!e +ete, +/ b!+#"-#4 t!b!.e-e4 h#%+,t"t- e,,!e4 ,!/"-e te,+4 "% the*". -""-t# "e !,e% t+ /"-.t"te eh"b.t"t+ " +&"* +/ e."8"t+4 ,t"b.'"t+4 ; +&e,,e e,,te e8e-,e,5
<.et, 2th "".#,, "% .*t"t+ +/ *+e*et the =+t, 2ee te"te% b# e/+*& "&e +/ *+t+ e8e-,e, 2h.e ,!+te% + /8e% te"t*et b+"%, the 2"te5 St", 2ee !,e% t+ h+.% the -.et /*.# ."-e4 + "., 2ee "tt"-he% t+ the ,%e +/ ++. t+ +%e " h"% h+.% /+ -.et, e8e-,& the 2"te5 I 19>74 "%"-e, te-h!e, %ee.+e% b# D5 ?!/e +/ 2.b"%4 @e*"# 2ee t+%!-e% t+ B"% R"&"' b# Ne.e I,e5
?!/e, e8e-,e, e/e% the *eth+% t+ h+'+t". te"t*et te-h!e 2h-h the -.et 2", ,!+te% /.+"t& + h, b"- b# /.+t"t+ &, "+!% the e- "% the e.- e&+ "% !%e the ee, ; ".e,5 The *+%/e% te-h!e 2", !,e% /+ ,t"b.'"t+ + "-te e,,te e8e-,e,5 ?!/e -++"te% the -+-et, +/ the e!+h#,+.+ +/ t"&4 "% %ee.+e% e8e-,e, th"t -+,,te% +/ ,*.e -h", +/ *+e*et ",,& /+* =+t t+ =+t4 *".# " ,&.e ."e +/ *+t+5 He -+te%e% th"t "-te *+e*et, "2"# /+* "% b"- t+2"% the /8e% +t +/ the the",t, h"%, /"-.t"te% ,t"b.'& e"-t+, "%"te% t+ the t", --!*,t"-e,4 "t!"..# +--!& *+e*et ,#e&e,4 "% ,+t+-"..# e,,te% e8e-,e, +/ "&+,t ; "t"&+,t *!,-.e &+!,5 It "%e% !,e +/ -.+,e% et- -h" e8e-,e " ,"/e4 ,!+te e+*et 2h.e e=+#& the h#,+.+&- bee/t, +/ 2"* 2"te5
A/te ?!/e4 the !,e +/ b!+#"-#4 t!b!.e-e4 ,!/"-e te,+4 "% the the*". -""-t# +/ 9$ %e&ee / 2"te t+ e%!-e "4 -e",e ,+/t t,,!e -+*."-e4 e%!-e *!,-.e t+e4 "% +*+te e."8"t+ 2ee !%e,t++% ", !!e -.-". ,t"te&e, th"t %//eet"te% 2"te /+* ."% e8e-,e5
th the "% &+2th ; "--et"-e +/ ++-ete e!+*!,-!." /"-.t"t+ (/)4 D5 Z4 *e%-". %e-t+ "t B"% R"&"' "% h, *e%-". te"* e/e% "% *+%/e% ?!/e, e8e-,e,5 Thee %*e,+". %"&+". *+e*et, 2ee %ee.+e% "% "%%e% t+ !/e, +&". e8e-,e "tte5 I 1974 h#,+the",t, B%&et %", "% Cee" ."&&"tt -++"te% M"&"et ?+tt, PNF "tte,4 e,!.t& the te-h!e +2 t+%"# ", the B"% R"&"' R& Meth+% (BRRM)5 The *eth+% -+t!e, t+ e+.e4 "% , be-+*& +!." S2t'e."%4 @e*"#4 E&."%4 A!,t"."4 S+!th A/-"4 the Ute% St"te,4 "% e.,e2hee5
Goals of treatment
BRRM +%e, /te +,,b.te, /+ ""t+ +/ e8e-,e /+ the e!+.+&-4 +th+"e%-4 ; he!*"t+.+&- -.et5
15 T+e e%!-t+ $5 Re."8"t+ 35 I-e",& "&e +/ *+t+ 5 M!,-.e e6e%!-"t+ >5 Ste&the& 5 S". t"-t+e.+&"t+ 75 I*+& ".&*et ; ,t"b.t# +/ the t! 5 Pe""t+ +/ the .+2e e8te*te, /+ 2e&ht be"&5 95 Re,t+"t+ +/ +*". "tte, +/ !e ; .+2e e8te*t# *+e*et,5 105 I*+& &ee". e%!"-e 115 T"& /!-t+". -""-t# +/ the b+%# ", " 2h+.e5
Te!n"#$e
Ste,,& the ee% /+ the the",t t+ +%e ,t"b.t# /+ the -.et "% ,t.. be /.e8b.e 2th ".-"t+4 thee "e thee 2"#, 2h-h the the",t "-t, e."t+ t+ the -.et5
% Iso&"net"all' : The",t +%e, /8"t+ 2h.e the -.et *+e, th+!&h the 2"te ethe
t+2"%4 "2"# /+*4 + "+!% the the",t5 The -.et %ete*e, the e,,t"-e e-+!tee% b# the ,ett& the ,ee% +/ *+e*et th+!&h the 2"te5 % Isoton"all': The the",t "-t, ", " *+"b.eG /8"t+ +t5 E8: the -.et -" be !,he%
+ ,2!& t+ the %e-t+ +/ h, + he "-te *+e*et5 Th, "-t+ .e"%, t+ " -e",e e,,t"-e t+ th"t *+e*et5 <+e,e.# *+e*et -" be ",,,te% b# " the",t !,h& the %e-t+ ++,te t+ the -.et, te%e% *+t+5 % Isometr"all': The -.et h+.%, " /8e% +,t+ 2h.e be& !,he% th+!&h the 2"te b#
the the",t5 P+*+te, ,t"b.'& -+t"-t+,5
B"% R"&"' R& *eth+% e8e-,e, -" be %%e% t+ "tte, /+ the t!4 "*,4 "% .e&,5 The# -" ".,+ be -"te&+'e% ", !."te". + b."te".5 B."te". "tte, "e /!the %e/e% ", ,#**et- + ",#**et-5 M+,t "tte, e*h",'e e-+-". *+e*et "tte,5 Re-+-". *+e*et, "e +t ".2"#, e*h",'e% 2th -et" -.et -+%t+, "% --!*,t"-e,5 I &ee".4 the "tte, "e e/+*e% ,!e /.+"t&4 #et " /e2 "* "tte, "e e/+*e% +e "% " /e2 t! "tte, ,%e .#&5 Be-"!,e +/ the
/.e8b.t# +/ the "tte, "% the "%"t"b.t# +/ the te-h!e4 " ".*+,t /te "et# +/ e8e-,e, -" be %ee.+e% b# the the",t t+ *"8*'e -.et +!t-+*e,5
HALLIWICK METHOD
WHAT IS HA((IWIC) METHOD ?
The H"..2- -+-et , " "+"-h t+ te"-h& ".. e+.e4 "t-!."4 /+-!,& + th+,e 2th h#,-". "%+ .e"& %//-!.te,4 t+ "t-"te 2"te "-tte,4 t+ *+e %ee%et.# 2"te4 "% t+ ,2*5 The H"..2- -+-et *"# be e&"%e% ", " !e,". "+"-h t+ te"-h&5 H+2ee4 t *".# /+-!,e, + ,!b=e-t, 2th h#,-". "%+ .e"& %//-!.te,4 "% t e/e, t+ "+!, "-tte, e/+*e% the 2"te4 (,!-h ",4 /+ ,t"-e) %ee%et *+e*et "% ,2**&5 It , b",e% + " be.e/ the bee/t, th"t %ee /+* "-tte,e8e-,e, e/+*e% the 2"te4 "% ,et, +!t the e-e,,"# /!%"*et"., /+ .e"&5 The,e bee/t, e/e t+ h#,-".4 e,+".4 e-e"t+".4 ,+-". "% the"e!t",e-t,5
T!e ten*+o"nt +ro,ramme
The Te6P+t P+&"**e +%e, the b",, /+ "-t-". 2+ b# b&& t+ðe the /!%"*et"., +/ the H"..2- <+-et " e",#6t+6/+..+2 .+&-". ,t!-t!e5 th the Te P+t, 2e -" ,ee " +-e,, +/ %ee.+*et th+!&h mental a-.$stment /alane ontrol "% mo0ement 2h-h .e"%, t+ e,+". %ee%e-e the ,
2"te5 Met". A%=!,t*et 6 e/e, t+ the ,2**e, "b.t# t+ e,+% /.e8b.# t+ %//eet e+*et,4 ,t!"t+, + t",,5 The .e"e 2.. ee% t+ %ee.+ the "b.t# t+ e,+% "!t+*"t-"..#4 %ee%et.# "% "+"te.# t+ " "et# +/ ,t!"t+, the 2"te5 B"."-e <+t+. - the "b.t# t+ ,t"# -+t+. 2h.e *"t"& + -h"&& +,t+ the 2"te5 I " e2 e+*et + ,t!"t+4 "-he&*"t"& -+t+. , +/te %//-!.t /+ the be&e "% thee *"# be e8-e,,e *+e*et5 The ,2**e ee%, t+ .e" " /e %e&ee +/ b"."-e -+t+. +%e t+ eet !2"te% *+e*et, "% "-hee e//-et +,t!". -+t+.5 M+e*et 6 e/e, t+ the "b.t# t+ e/+* %e,e% *+e*et, ,+ ", t+ "--+*.,h " "-tt# 2th e//-e-# "% ,..4 b+th th+!&h *et". +&"'"t+ "% h#,-". -+t+.5 The,e thee -+-et,4 Met". A%=!,t*et4 B"."-e <+t+. "% M+e*et4 "e the e,,et". -+*+et, +/ *+t+ .e"&5
T!e Hall"1"& Ten Po"nt Pro,ram
At the Halliwick c!ce"t #$ a%e a&ke' c!&ta!tl# t &l(e #$% )ala!ce "%)le*& i! t%ial a!' e%%% &it$ati!& th%$+h The Te! Pi!t P%+%a*, The Te P+t, "e " +-e,, +/ %ee.+*et 2h-h .e"%, t+ e,+". %ee%e-e the 2"te th+!&h the e,,et". -+*+et, +/ *+t+ .e"&5 The te +t, +/ the H"..2- -+-et "e: 15
Met". A%=!,t*et :be& "b.e t+ e,+% "+"te.# t+ " %//eet e+*et4 ,t!"t+ + t",5 The .e"& +/ be"th -+t+.5
$5
D,e&"&e*et : " +&+& +-e,, th+!&h+!t the .e"& b# 2h-h the ,2**e be-+*e, h#,-"..# "% *et"..# %ee%et5
35
T",e,". R+t"t+ <+t+. : the "b.t# t+ -+t+. "# +t"t+ *"%e "b+!t " /+t6 t",e,". "8,5
5
S"&tt". R+t"t+ <+t+. : the "b.t# t+ -+t+. "# +t"t+ *"%e "b+!t " ,"&tt".6 t",e,". ("te++,te+) "8,5
>5
L+&t!%". R+t"t+ <+t+. : the "b.t# t+ -+t+. "# +t"t+ *"%e "b+!t " ,"&tt".6/+t". (.+&t!%".) "8,5
5
<+*be% R+t"t+ <+t+. : the "b.t# t+ -+t+. "# -+*b"t+ +/ +t"t+,5
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Uth!,t : t!,t& the 2"te "% e".'e #+! 2.. /.+"t "% +t ,5
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B"."-e ,t..e,, /.+"t& ,t.. "% e."8e% the 2"te5 Th, , %ee%et + b+th *et". "% h#,-". b"."-e -+t+.5 he b"."-e%4 +the "-tte, -" be e/+*e% *+e e",.#5
95
T!b!.et @.%& : " /.+"t& ,2**e , *+e% th+!&h the 2"te b# " ,t!-t+ 2th+!t "# h#,-". -+t"-t bet2ee the*5 The ,2**e h", t+ -+t+. !2"te% +t"t+, b!t *"e, + +!.,e *+e*et,5
105
S*.e P+&e,,+ "% B",- S2**& St+e : the %ee.+*et /+* ,*.e +!.,e *+e*et, *"%e b# the ,2**e t+ " ,t+e 2h-h *"# be %%!". t+ e"-h ,2**e5
BENE2ITS O2 HA((IWIC) METHOD3
The b!+#"-#4 e,,t"-e4 t!b!.e-e4 h#%+,t"t- e,,!e "% ,-+,t# the 2"te he. t+ e",e e,,!e + the *!,-.e, "% =+t,5 Th, *"# he. t+ %e-e",e " "% e%!-e ,te,,5
The bee/t, +/ the 2"te ".+& 2th H"..2- e8e-,e +&"* -": •
Ste&the -+e-te t,,!e
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I-e",e /.e8b.t#
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O8#&e"te *!,-.e t,,!e
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He.& #+! t+ ,.ee bette
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W!at "s Wats$ Massa,e T!era+'?
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"t,! the"# -+,,t, +/ *+e, "% ,tet-he, %+e t+ the be"th 2h.e be& he.% "% /.+"te% b# " "t,! "-tt+e b+%# te*e"t!e 2"te5 It, !,e4 .e *",,"&e4 /+ the"# "% /+ ,te,, "% " e%!-t+ *"e the "t,! the 2+.%, /,t /+* +/ The*". A!"tB+%#2+ 5 I "%%t+ the *e%t"te ,t"te, "% -+e-t+ t %!-e, *"e "t,! *+e th" b+%#2+5 Thee , +e -h""-te,t- th"t *"e, "t,! ,t"% +!t /+* *",,"&e "% ,+ *"# +the /+*, +/ b+%#2+ , th"t t &e, #+! the ++t!t# t+ &+ be#+% the h#,-".5 he #+! b+%# e."8e, ,+ %ee.# 6 ", t -" the 2"* 2e&ht.e,,e,, +/ "t,! 6 the *% -" -e",e t, -h"tte5 A% 2he the b+%# "% *% "e !et4 2h"t #+!e .e/t 2th , the /!%"*et". e,,e-e +/ #+! be&4 *"& t " t!e *%b+%# e8ee-e5 "t,! The"# J "te K Sh"t,! "t,! be&" "t H"b H+t S&,4 <"./+"4 2hee H"+.% D!.. -"*e t+ te"-h the Ze Sh"t,! he h"% ,t!%e% "" Ze Sh"t,! -++"te, ,tet-he, 2h-h e.e",e b.+-"&e, ".+& +! *e%",4 the -h"e., th+!&h 2h-h +! -hG + ./e /+-e /.+2,5 I the +et ,tet-h& , " ee +.%e the"# th" "-!!-t!e 2h-h /+-!,e, + +t, ".+& the,e *e%",5 It ,te&the, *!,-.e,4 "% -e",e, /.e8b.t# "% "&e +/ *+t+5 H"+.% D!.. /+!% the,e e//e-t, -" be "*./e% "% *"%e *+e +/+!% b# ,tet-h& ,+*e+e 2h.e /.+"t& the* b+%# te*e"t!e 2"te5
WATS4 THERAPY BENE2ITS3
"t,! e//e-t, " &e"te -e",e the "&e +/ *+t+ th" t"%t+". *eth+%,5 B# ,!+t&4 +-& "% *+& the 2h+.e b+%# 2h.e ,tet-h& " .e& + "*4 "t,! .e,,e, the e,,t"-e th"t +--!, 2he " .*b , 2+e% ,+."t+5 he the 2h+.e b+%# , -+t!". *+e*et4 e"-h *+e /.+2& &"-e/!..# t+ the e8t4 thee , + 2"# t+ "t-"te 2h"t, -+*& e8t "% b!.% ! e,,t"-e5 th+!t "4 the b+%# -" *+e be#+% th+,e .*t"t+, /e" 2+!.% +the2,e *+,e5 Ne2 ./e , ,tet-he% t+ .+& e&.e-te% -+e-te t,,!e "% the e,t-te% b+%# , ,h+2 e2 +,,b.te, +/ /ee%+*5 "t,! +*+te, " %ee ,t"te +/ e."8"t+ 2th %"*"t- -h"&e, the "!t++*- e+!, ,#,te*5 Th+!&h !et& the ,#*"thet- "% eh"-& the "",#*"thet- e+!, ,#,te*,4 "t,! h", +/+!% e//e-t, + the e!+*!,-!." ,#,te*5 The ,#*"th+.#t- e//e-t, +/ "t,! .e"% t+ eh"-e*et +/ the "",#*"thet- e+!, ,#,te* Ph#,+.+&-". -h"&e, the +--! th+!&h+!t the b+%#5 The,e -h"&e, *"# -.!%e: •
De-e",e% he"t "te
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I-e",e% %eth +/ e,"t+
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I-e",e% ehe". ",+%."t"t+
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De-e",e% "-t"t+ +/ ,t"te% *!,-.e, (,e.et".)
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De-e",e% ,",t-t#
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De-e",e% *!,-.e ,",*
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De-e",e% et-!." "-t"t& ,#,te* (RAS) "-tt#
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Eh"-e% **!e ,#,te* e,+,e
"t,! he., %e-e",e *!,-.e te,+ "% -e",e "&e +/ *+t+5 The ,!+t +/ the 2"te +%e, e.e/ /+* -+*e,,+ /+-e, the =+t,5 The *+e*et, th+!&h the 2"te +%e &et.e ,tet-h& t+ ".. "&e, /+ the ,e "% e8te*te, 2h.e the,e =+t, "e !.+"%e%5
AI HI
W!at "s A" C!"?
A
A
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2"te5 •
I, " e/e-t e."8"t+ te-h!e /+ h&h.# ,te,,e%4 +e6-h"..e&e% e+.e5
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I, %e". /+ -e"t& *+e% "&e +/ *+t+ "% *+b.t#5
-ate% *(e*e!t a!' *$&ic a%e $&e' t e!c$%a+e a &tate %elae' awa%e!e&&, A
AI CHI THERAPY BENE2ITS3
A
A
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A
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The 2"* 2"te "..+2, /+ ,.+24 e."8e% *+e*et "% -e",e% b.++% /.+2 t+ =+t,4 te%+,4 *!,-.e, "% .&"*et,5
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It -" ".,+ **'e +b.e*, ",,+-"te% 2th -+%t+, ,!-h ", +.#*#".&" he!*"t-" "% he!*"t+% "tht,5
I te*, +/ *et". he".th4 A
A8et#
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F"t&!e
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Dee,,+ I T"%t+".
A" C!" P!'s"al Mo0ement Pr"n"+les
A
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Atht,
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Fb+*#".&" ,#%+*e (FMS)
•
•
B"."-e %e/-t,
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D"bete,
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M!.t.e ,-.e+,, (MS)
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Othe e!+.+&-". "% +th+e%- +b.e*, A
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M+e 2th the 2"te (*!,-.e, "% =+t, 2.. e."8 "% e#e, be-+*e "t.# -.+,e%)5
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M+e "t!"..# !t. the *+t+, /.+2 e",.#4 2th + ,t"&5
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A
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B# e.*"t& ".. +the th+!&ht,4 #+! 2.. "-hee " !t# +/ *+e*et "% -+,-+!,e,,5 A2"ee,, +/ the *%, e,e-e the "+!, "t, +/ the b+%# , t"!&ht th+!&h the te-h!e, +/ A
Reett+: Dee e."8"t+ -" +.# +--! 2he #+! /ee. ,t"b.e the 2"te "% -+/%et #+! "b.t# t+ /+..+2 the +&e,,+5 Reett+ "..+2, !, t+ %+ th,5 The eett+ A
Pe.- *e-h"-, "% ".&*et5 <+e-t ".&*et , -!-".5 T2,t, -e"te% b# the t! ,t"b.t# *+e*et, "e e!t".'&4 -.e",&4 "% +&"-5 The# *+e %&e,t+ "% e*+e ,.!&&,he,,4 "% "e e//e-te e.e&: •
B"-"-he,
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RE2ERENCES 56
!tt+3771116a#$a8/alane6om72"tness*an-*E9er"ses7a"*!"*t!ermal*a#$at"*
e9er"ses6!tml:64R;l1#Wl)Wl2 .AE@$rl!tt+=A;2;2a#$at"t!era+'"n"n-"a6/lo,s+ot6om;2+ ;2/a-*ra,a*r"n,*met!o-*/a-*ra,a* r"n,6!tml@e"9->4ar'Esm"Ae9'IH1CA@$s,A2>.CNGXBPS#s(MrlM t9A#W&GS*A4>@/0m/068;8;;=F-6/m&