Hydrotherapy For Hips And Knees
A recent review of Literature and research into the effects of Hydrotherapy in Hip and Knee pain found the following:
Hydrotherapy is Beneficial Prior to Surgery
- In 2009 Gill et al found that land based and pool based exercise can improve both pain and physical function in patients with OA of the hip or knee.
- Those participants who completed the pool based exercise had less pain immediately after the session and the next day, compared to the land based exercise group.
- Providing home based exercises outlined by a physiotherapist was found to give further improvement.
- This can provide significant benefits for patients who are trying to delay the need for a joint replacement, but also for those awaiting surgery.
Hydrotherapy is Beneficial Immediately after Joint Replacemet
- In 2009 Rahmann et al identified the benefits of commencing hydrotherapy exercise immediately after hip and knee replacement surgery.
- Hydrotherapy assisted joint range of movement, pain and reduced swelling.
- It was proposed that this occurred due to changes in the autonomic and circulatory systems when in water.
- It was found that specific hydrotherapy exercises guided by a physiotherapist provided better results than increased treatment on the ward or generalised hydrotherapy.
- Improved mobility after 14 days was noted in the specific hydrotherapy group compared to the groups who had not received the hydrotherapy program.
- No adverse effects were reported throughout the study and appropriate care was taken with all surgical wounds.
- The conclusions from the research indicate that patients can gain a significant advantage to their recovery when commencing hydrotherapy after a joint replacement.
LifeCare Physiotherapists would be happy to discuss any of your patients hydrotherapy needs.
It is advised that anyone undertaking a Hydrotherapy program undergo a full assessment prior to commencing in the pool, and receive an individualised program provided by their Physiotherapist.
Gill SD, McBurney H, Schulz DL. Land-based versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial. Arch Phys Med Rehabil 2009; 90: 388-394
Rahmann AE, Brauer SG, Nitz JC. A specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: a randomized controlled trial. Arch Phys Med Rehabil 2009; 90: 745 -755
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The hip joint is formed by the head of the femur (thigh bone) and the acetabulum of the pelvis (a concave dome shaped area in the pelvic bone).
Footballer’s groin usually refers to one of three conditions or a combination of them.