Aquatic physical therapy for a poliomyelitis survivor with tracheostomy and ventilatory support: a case report
DOI:
https://doi.org/10.11606/issn.2317-0190.v18i1a103510Keywords:
Poliomyelitis, Tracheostomy, Physical Therapy Modalities, HydrotherapyAbstract
Survivors of polio exhibit significant impairment of respiratory function. Aquatic physical therapy is recommended for this population, however, the presence of tracheostomy produces greater difficulty in treatment when using water because of the difficulty involved in moving the patient. The aim of this study is to assess the benefits that a tracheostomized patient with noninvasive ventilatory support, may have with an aquatic therapy approach. The patient underwent an intervention/treatment of twenty sessions of aquatic therapy. The fatigue, pain and quality of life scales were used for evaluation and the parameters were analyzed: Oxygen Saturation (SaO2), heart rate (HR), Respiratory Rate (RR). It was a striking improvement in the scores of all scales used for fatigue: initial 55 and final 28, demonstrating an absence of fatigue at the end of the study. This factor was also observed in the quality of life mainly in the initial (29.16) and final (50) periods of vitality. The HR, RR and SaO2 did not change significantly, demonstrating the safety during the treatment. The pain ceased in the major joints at the end of treatment. The results showed that the use of water was favorable for the treatment of the patient, ensuring safety, reducing fatigue and pain, thereby improving the quality of life.
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