HYDROCINESOTHERAPY AS A COMPONENT OF PHYSICAL THERAPY IN PERSONS WITH MUSCULAR DYSTROPHY

Abstract

Duchenne muscular dystrophy (DMD) is the most common of a heterogeneous group of clinical, genetic, and biochemical disorders that share muscular clinical and dystrophic features. Despite the fact that global trends in the treatment of DMD are used in Ukraine, we were unable to find studies on the use of hydrokinesitherapy (HKT) in this pathology. We also conducted a search for publications in the databases of scientific and methodical literature that paid attention to the use of hydrokinesiotherapy for children with Duchenne muscular dystrophy over the past 10 years, using such keywords as hydrokinesiotherapy, water exercises, physical therapy in water, aquatherapy. The purpose of the study is to identify the availability of scientific literature on the use of hydrokinesitherapy as a component of physical therapy in persons with muscular dystrophy. Studying this literature, we found that the application of HKT went in such main directions as: comparison of motor function on land and in water; evaluation of the clinical effectiveness of HKT; determining whether HKT is effective from the point of view of functional mobility; examination of the effect of HKT on the speed and energy expenditure during locomotion while sitting on a flat surface and functional access in persons with DMD; description of the evolution of the end of immersion time in patients with DMD; assessment of respiratory changes and functional outcomes in DMD patients. Conclusions: the number of publications studying the issue of hydrokinesitherapy in DMD has not significantly increased over the past five years, but it is quite limited. We agree with previous researchers that there is no consensus on which exercises should be used in DMD, but an important condition is that the patient should not be fatigued. In the future, it is necessary to analyze the peculiarities of hydrokinesotherapy methods for DMD and their effectiveness.