Loading of the Lower Limb when Walking Partially Immersed: Implications for Clinical Practice

Harrison, R. A.; Hillman, M.; Bulstrode, S J

doi:10.1016/s0031-9406(10)61377-6

Cited by 140 publications

(128 citation statements)

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“…Oxygen consumption and HR was significantly lower at umbilicus vs. midthigh and patella and similar to ankle depth. With a depth at the anterior superior iliac spine (ASIS), body weight is reduced by approximately 57% (Harrison, Hillman, & Bulstrode, 1992). In terms of stature, the ASIS is approximately the same height as the umbilicus.…”

Section: Influence Of Water Depthmentioning

confidence: 99%

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The Effect of Water Depth on Energy Expenditure and Perception of Effort in Female Subjects While Walking

Alkurdi¹,

Paul²,

Sadowski³

et al. 2010

IJARE

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Section: Influence Of Water Depthmentioning

confidence: 99%

“…The magnitude of vertical GRF is related to water depth. Dependent upon water depth (i.e., umbilicus vs. 7th cervical vertebra), a subject may experience a reduction of ∼57-85% in body weight, respectively (Harrison, Hillman, & Bulstrode, 1992). Therefore water depth can be adjusted to accommodate an overweight or obese individual's orthopedic condition.…”

mentioning

confidence: 99%

The Effect of Water Depth on Energy Expenditure and Perception of Effort in Female Subjects While Walking

Alkurdi¹,

Paul²,

Sadowski³

et al. 2010

IJARE

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“…5) can be utilized to gradually apply increased load through the knee joint and assist in the development of a normal gait pattern. Walking in chest-deep water results in a 60 to 75% reduction in weight bearing, while walking in waist-deep water results in a 40 to 50% reduction in weight bearing [11,12].…”

Section: Post-operative Weight Bearingmentioning

confidence: 99%

ACL Rehabilitation Progression: Where Are We Now?

Cavanaugh

Powers

2017

Curr Rev Musculoskelet Med

116

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Purpose of Review With the increase of publications available to the rehabilitation specialist, there is a need to identify a progression to safely progress the patient through their postoperative ACL reconstruction rehabilitation program. Rehabilitation after ACL reconstruction should follow an evidence-based functional progression with graded increase in difficulty in activities. Recent Findings Clinicians should be discouraged not to use strict time frames and protocols when treating patients following ACL reconstruction. Rather, guidelines should be followed that allow the rehabilitation specialists to progress the patient as improvements in strength, edema, proprioception, pain, and range of motion are demonstrated. Prior to returning to sport, specific objective quantitative and qualitative criteria should be met. The time from surgery should not be the only consideration. Summary The rehabilitation specialist needs to take into account tissue healing, any concomitant procedures, patellofemoral joint forces, and the goals of the patient in crafting a structured rehabilitation program. Achieving symmetrical full knee extension, decreasing knee joint effusion, and quadriceps activation early in the rehabilitation process set the stage for a safe progression. Weight bearing is begun immediately following surgery to promote knee extension and hinder quadriceps inhibition. As the patient progresses through their rehabilitative course, the rehabilitation specialist should continually challenge the patient as is appropriate based upon their goals, their levels of strength, amount of healing, and the performance of the given task.

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“…For instance, hydrostatic pressure enhances venous return and cardiac preload, consequentlyy reducing strain on the cardiopulmonary system [3]. Buoyancy alleviates stress on weight-bearing joints by providing body-weight support [4,5] and enables various body movements that cannot be performed on the ground. Based on these studies, aquatic exercises have recently attracted attention as a rehabilitation strategy after stroke.…”

Section: Introductionmentioning

confidence: 99%

Effects of Aquatic Pole Walking on the Reduction of Spastic Hypertonia in a Patient with Hemiplegia: A Case Study

Obata¹,

Ogawa²,

Hoshino³

et al. 2017

Int J Phys Med Rehabil

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Here we report an acute effect of aquatic pole walking (PW) training intervention on a 64-year-old male patient with chronic hemiparesis and symptoms of spasticity in the right lower limb. A comparison of over ground walking before and after 20 minutes of aquatic PW training revealed a significant improvement in gait performance. As a main result, the average speed of walking after the intervention was 0.16 m/s after the intervention as compared to 0.04 m/s in the initial condition. The time taken for each stride cycle was drastically decreased, mainly due to shortening of the stance time. Underlying the improved gait performance was the emergence of functional muscle activity in the paralyzed and spastic leg muscles. The result observed in this patient should be further tested among a large population of patients presenting similar symptoms. Moreover, the basic mechanisms underlying aquatic PW intervention should be further elucidated.

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Loading of the Lower Limb when Walking Partially Immersed: Implications for Clinical Practice

Cited by 140 publications

References 1 publication

The Effect of Water Depth on Energy Expenditure and Perception of Effort in Female Subjects While Walking

The Effect of Water Depth on Energy Expenditure and Perception of Effort in Female Subjects While Walking

ACL Rehabilitation Progression: Where Are We Now?

Effects of Aquatic Pole Walking on the Reduction of Spastic Hypertonia in a Patient with Hemiplegia: A Case Study

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