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      • 류마티스 관절염의 수중치료

        김태열,김계엽,Lambeck, Johan 대한물리치료학회 2000 대한물리치료학회지 Vol.12 No.3

        Hydrotherapy is aimed at evoking short-term and long-term adaptation-mechanisms of patients. This meansthat a patient should be able to adapt to the changed environment, both mentally and physically. Hydrotherapy is widely used to treat patients with generalised rheumatic diseases. Hydrotherapy may be applied as a single therapy, in combination with other therapeutic interventions or as one part of a complex series of stimuli as e.g. during spa therapy. A treatment regimen in water is constructed according to the same rules as dry land exercise. However, methods specifically designed or adjusted for hydrotherapy can be used. The Halliwick is suitale in particular to facilitate arthrokinetic reactions as a part of training postural stability. The Bad Ragaz Ring is a hydortherapy modification of proprioceptive neuromuscular facilitation. Patterns of arms, legs and trunk are used to increase muscle function and flexibility. Other techniques are applicable in water too: mobilization and manipulation techniques of the joints can be integrated in hydrotherapeutic methods. The continuous research is needed for many interesting issues of hydrotherapy in new future.

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        김태열,윤희종,Kim, Tae-Youl,Yoon, Hee-Jong,Lambeck, Johan 대한물리치료과학회 1998 대한물리치료과학회지 Vol.5 No.3

        The Halliwick method was developed by Mr. James McMillan, a Canadian engineer of fluid mechanics. In 1949 he started to teach physically handicapped girls to swim at the "Halliwick school for crippled Girls" in London. The Halliwick method has four important basic units, as is shown in Fig 1. This constribution only deals with the structures or the practical part of the method. This part is also known as the 10-point programme. Before the characteristics of the 10 points are dealt with seperately, a few general remarks about these ponits have to be discussed. Of all things happening in the water, fun is the most important one. Swimming is fun! Swimming is taught in an order McMillan describes as: mental Adjustment(M.A), balance restoratiion(B.R.), inhibition(Inh.), and facilitation(Fac.). The 10 points of structure are linked to each other as well as to the learning process as is shown in Fig 3. The Halliwick method, which was devised by James McMillan, has proved to be a very successful way of establishing the basic principles as they have described in this article.

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