HomeHealth articlesrheumatoid arthritisWhat Are the Benefits of Hydrotherapy in the Management of Rheumatoid Arthritis?

Benefits of Hydrotherapy in Management of Rheumatoid Arthritis.

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Hydrotherapy improves the quality of life for people with rheumatoid arthritis by reducing joint stress, increasing mobility, and reducing pain.

Written by

Dr. Pallavi. C

Medically reviewed by

Dr. Anuj Gupta

Published At August 17, 2023
Reviewed AtMarch 22, 2024

Introduction

For the treatment of various types of arthritic issues, hydrotherapy is an excellent water exercise method. The buoyancy of the water significantly lessens the strain on the joints, which makes it easier to carry out the necessary range-of-motion training. Rheumatoid arthritis (RA) sufferers may find that exercise significantly reduces symptoms and simplifies daily tasks.

Workouts for rheumatoid arthritis are designed to improve a patient's strength, flexibility, range of motion, and cardiovascular fitness, and water workouts address all of these issues. The strain on the joints is relieved by hydrotherapy, a form of low-impact water exercise. This exercise regimen is the best option for rheumatoid arthritis since it can be modified based on the patient's fitness and ability.

What Is Hydrotherapy?

Hydrotherapy is a type of physical therapy that uses water for therapeutic purposes. It is often referred to as aquatic treatment or water therapy. It uses water in various settings, including swimming pools, whirlpools, hot tubs, and even natural water bodies, to support recovery, rehabilitation, and general wellness. Hydrotherapy has a long history in several civilizations worldwide and has been widely used for many years. The particular characteristics of water, such as buoyancy, temperature regulation, and hydrostatic pressure, are well known and make it the perfect medium for treatments.

In hydrotherapy, the buoyancy of the water is quite important. The buoyant force the body feels while submerged in water counteracts the effects of gravity, easing the strain and weight on joints, bones, and other body parts. This buoyancy produces a low-impact environment that promotes pain-free movement and greater mobility, particularly for people with musculoskeletal disorders or injuries.

The hydrostatic pressure used in hydrotherapy is yet another crucial component. The water's pressure on the body helps to improve lymphatic drainage, circulation, and the reduction of edema and inflammation. People who suffer from ailments like arthritis, edema, or circulation issues may find this very helpful.

Hydrotherapy also emphasizes the control of temperature. Depending on the desired therapeutic outcome, the ambient temperature of the water used in hydrotherapy might change. Although cold water may decrease inflammation and soothe discomfort, warm water assists in soothing muscles, lessening stiffness, and improving blood flow. The individual's unique condition and therapy determine the best water temperature. Professionals with training, such as physical therapists or hydrotherapists, frequently supervise hydrotherapy sessions. They create individualized treatment programs and track progress.

What Are the Benefits of Hydrotherapy for Rheumatoid Arthritis?

Rheumatoid arthritis, an inflammatory condition, is characterized by reactive oxygen species (ROS), free radicals, and immune cells that produce joint damage and inflammation. Hydrotherapy can aid in preventing further harm. According to research, rheumatoid arthritis patients who combined hydrotherapy and pharmaceutical treatments saw less ROS-related damage. In general, moderately intense hydrotherapy exercises are advised for rheumatoid arthritis treatment.

Benefits of Hydrotherapy

  • Improves Quality of Life: According to research, hydrotherapy reduces rheumatoid arthritis symptoms, including pain and joint soreness, while reducing stress, improving mood, and improving the overall quality of life. With the help of this form of physical therapy, rheumatoid arthritis patients may exercise more easily and reduce their risk of damage.

  • Removal of Fear of Exercise: Even though exercise has demonstrable advantages for persons with arthritis, some people might be less willing to exercise if they feel pain. This barrier can be removed by hydrotherapy. The water supports the weight, relieves joint stress, and lessens pain. Additionally, the warmth of the water promotes circulation and eases discomfort.

  • Increase in Strength: Walking through water or moving the arms and legs against it causes resistance. This opposition increases the strength.

  • Increase in Aerobic Capacity: Additionally, it raises aerobic capacity, which is beneficial for heart health. The likelihood of heart disease is higher in those with rheumatoid arthritis.

What Are the Different Types of Exercises Employed in Hydrotherapy for Rheumatoid Arthritis?

The degree of fitness can be taken into account while modifying hydrotherapy workouts. Everyone can benefit from water exercise, regardless of their level of expertise or where they are in their fitness path. Individuals should exercise at their own pace and drink plenty of water. Never forget to pay attention to the feelings and take a break if they are uncomfortable.

People with rheumatoid arthritis can engage in a variety of hydrotherapy exercises, including:

1. Range-of-Motion Exercises: Mild motions increase joint flexibility and mobility. Utilizing the buoyancy and lessened impact of the water, these workouts extend the range of motion of the injured joints. Knee extensions, ankle pumps, wrist rotations, and shoulder circles are a few examples.

2. Hydrostatic Pressure Exercises: Utilizing the force that water exerts to workout under hydrostatic pressure can minimize joint swelling and improve circulation. These workouts entail putting the afflicted joints under water and gently moving against the resistance the water provides. For example, slowly bend and straighten the knees or elbows while keeping them immersed.

3. Strengthening Exercises: Targeting muscular strength and endurance to promote joint stability using strengthening activities. Water offers resistance to motions, making it the perfect setting for developing muscles without putting undue stress on the joints. Examples include hip kicks, arm curls, and resistance training with floating devices or water weights.

Procedure to Perform Hip Kicks

  • Hold it tightly as one leans on the pool's edge for support.

  • Start with the leg that is furthest from the edge of the pool. Maintaining the leg straight, lift it in front until it is parallel to the edge of the pool, then drop it back to the starting point and repeat.

  • Raise the same leg to the side, lower it, and do it again.

  • Turn around and use the other leg to perform both motions while clutching the pool's edge with the other hand.

  • Three sets of ten kicks each for the leg should be repeated.

Procedure to Perform Forward Lunges

  • For support, choose a position on the pool's edge.

  • Take a huge stride forward, and while maintaining the head above water, drop oneself onto the front leg. Make sure the front knee stays under the toes to protect it.

  • Go back to the starting point.

  • Use other legs to perform the same motion.

  • Ten lunges on each leg should be performed three times.

4. Walking: Exercises involving walking or marching in the water lessen the impact on the joints by using the buoyancy of the water. This workout enhances general endurance, leg strength, and cardiovascular fitness. Changing the direction and speed of movement might present new difficulties. This involves Standing in a pool, taking 10 to 20 steps forward, and returning to where one started. It should be continued for 5 minutes.

5. Exercises for Stability and Balance: It enhances proprioception and balance, which are crucial for stability and fall prevention. These exercises could involve standing on one leg, transferring the weight from one leg to the other, or making small, balanced movements from side to side or forward to backward.

Conclusion

In the treatment of rheumatoid arthritis, hydrotherapy has proven to be an effective therapeutic strategy. It is a highly successful therapeutic method due to its special qualities and advantages, which include pain relief, increased joint mobility, muscular strengthening, cardiovascular fitness, and psychological well-being.

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Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

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