:Definition

Hydrotherapy is a tool for rehabilitation that was used in the past

centuries and it is as important now as it was in the past. It is the
use of the power of the water in treating many conditions using

.specific exercises

?When hydrotherapy is recommended

The physiotherapist determines if patient needs hydrotherapy after

assessing the condition. It can be used in treating neurological, ,
bstetric, sport injury, rheumatic, pediatric, and musculoskeletal o
oblems. It is depend on the physiotherapist goal from hydrotherapy pr

.nd the desired therapeutic effects a

Therapeutic effects

These therapeutic effects are resulted from the unique physical properties of water
which result in certain physiological changes during exercising and immersion in the
:water. These therapeutic effects include

Maintaining or improve posture and balance -1

Reducing pain and muscle spasm -2

Maintaining or increase range of motion -3

Increasing endurance to excise-4

Strengthening muscles and re-educate paralyzed muscle-5

Improving circulation -6

Enhancing functional activities -7

Reducing load on the joints -8

Reducing edema -9
Enhancing the breathing -10

:Psychological effects

The ability to acquire skills that may be difficult or impossible on the land and being
independent in water can improve self confidence and morale which can be later
carried in the land. Being in the pool with other and sharing in group activity can
.improve social aspect and encourage patient to perform better

Absolute contraindication

:Absolute contraindications include (www.holycross.org.uk) -1

Shortness of breath at rest-2

Fever -3

Resting angina-4

Acute vomiting and diarrhea-5

Medical instability following acute episodes-6

Proven chlorine-7

Uncontrolled cardiac failure-8

Uncontrolled fecal incontinence-9

Renal failure -10

Known aneurism-11

Tuberculosis -12

Relative contraindication
:Relative contraindications include (www.holycross.org.uk)

Irritated skin-1

Poorly controlled epilepsy -2

Open wound-3

Unstable diabetes -4

:Precautions

:Precautions include (www.holycross.org.uk)

Behavioral problems-1

Contact lenses-2

Infections-3

Controlled epilepsy-4

Hemophilia-5

Fear of water-6

Hearing aids-7
Hypo or hypertension-8

Pregnancy if temperature more than 35-9

Widespread MRSA-10
Sexually transmitted infections -11

Fungal infection-12

Early kidney disease -13