Aquatic exercises for trunk balance improvement in Post-polio syndrome patients
two cases report
DOI:
https://doi.org/10.34024/rnc.2010.v18.8517Keywords:
Hydrotherapy, Postpoliomyelitis Syndrome, BalanceAbstract
Objective. To describe the effects of the aquatic exercises in wheel chair patients with Post-Polio Syndrome (PPS), in view of trunk balance, pain, and consequent improvement of the activities of daily life. Method. Research carried through in the warm swimming pool of UNIFESP/EPM. We had studied 02 patients with the diagnosis of PPS, which carry through hydrotherapy program twice a week, for 45 minutes each session, during 24 weeks. Evaluations consisted of Scale of Daily Life Activities (Barthel), Scale of Balance (Berg Scale), Analogical Visual Scale (AVS) and Manual Measurement Test (MMT), before and after the hydrotherapy program. The method included a protocol of exercises for trunk muscles, emphasizing rectum abdominal, internal and external obliquies. Also we enclosed respiratory, and relaxing exercises. Results. After 24 weeks of training the patients had presented improvement in the following aspects: the strength degree increased from 4 to 5 in trunk’s extension and rotation, trunk balance increased a mean of 13,4%, activities of daily life (transferences, urinary control and locomotion) increased a mean of 27,7%, and for pain we observed a decreased of 69,3%. Conclusion. A program of aquatic exercises in patients with PPS brought benefits for strength, pain, trunk balance, and activities of daily life.
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References
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