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Aquatic physiotherapy: the benefits of intervention in the aquatic environment

O International Organisation of Aquatic Physiotherapists (IOAPT), the speciality group of World Physiotherapy that Order of Physiotherapists integrates, has chosen this Friday, 22 March, as a day dedicated to the Aquatic PhysiotherapyHe also proposed that members highlight it as a way of raising awareness and informing the public about this specific area of physiotherapy intervention.

As a member of IOAPT, the Order of Physiotherapists is represented by Thematic Working Group (WG) on Aquatic Physiotherapy and associates itself with this date, highlighting the role of Aquatic Physiotherapy.

A Aquatic Physiotherapy incorporates a whole process of:

  • their own clinical reasoning, based on an individual assessment, supported by the use of specific measuring instruments for the aquatic environment, preferably adapted and validated for the Portuguese population;
  • diagnosis in physiotherapy;
  • formulating objectives and intervention programmes;
  • application of methods, techniques and strategies specific to the aquatic environment;
  • evidence-led practice.

A Aquatic Physiotherapy It can be carried out as a single form of treatment or as a complement to another type of treatment/intervention, and usually takes into account three aspects: therapeutic, preventive/educational and recreational. 

The Physiotherapist is a health professional with specialised and differentiated skills, who uses the effects of the physical-chemical and thermal properties of water, combined with in-depth knowledge of human movement and the physiological effects in this environment, to intervene in conditions that affect movement, function, health and well-being.

In this context, physiotherapists can work in swimming pools, whether community, therapeutic/hospital or thermal, individually or in groups, in a public or private practice profile, demonstrating that the use of the aquatic environment can make a difference in the quality of treatment/intervention and facilitate a better quality of life and better functional results in various clinical conditions.

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Pedro Maciel Barbosa

Specialist physiotherapist at the Matosinhos Local Health Unit Sub-coordinator for Primary Health Care, Matosinhos Local Health Unit Visiting Assistant Professor at the Porto School of Health Member of the Board of Directors of the Foundation for Health - SNS Member of the General Council of the Order of Physiotherapists

Carlos Sand

Carlos Areia has been a physiotherapist since 2013, and has worked in various hospitals, clinics and clubs in both Portugal and the UK. He began his academic career at Oxford University in 2016, where he led a clinical trial comparing physiotherapy vs surgery in anterior cruciate injuries in 32 hospitals in England. In 2018 she moved to the neurosciences department, where she developed her own studies on remote monitoring of vital signs, which were implemented during the pandemic. Here he discovered his passion for data, and in 2022, he joined Digital Science as a Data Scientist. He completed his PhD earlier this year, and has more than 60 publications in journals such as The Lancet, BMJ, Cochrane, among others. He is also an honorary lecturer at Oxford Brookes University and a consultant in clinical research.

Eduardo José Brazete Carvalho Cruz

PhD in Physiotherapy from the University of Brighton, UK. Post-Doctorate in Epidemiology from the National School of Public Health at the New University of Lisbon.
Coordinator of the Studies and Planning Office of the Order of Physiotherapists. Coordinating Professor of the Physiotherapy Department of the School of Health of the Polytechnic Institute of Setúbal (ESS-IPS). President of the ESS-IPS Technical-Scientific Council. Coordinator of the Physiotherapy Department at ESS-IPS. Integrated Researcher at the Comprehensive Health Research Centre (CHRC) (a partnership between FCM-UNL, the National School of Public Health, the University of Évora, the Lisbon Institute of Global Mental Health and Santo Espírito Hospital, Terceira Island, Azores).

Sara Souto Miranda

Sara Souto Miranda has a bachelor's and master's degree in physiotherapy from the University of Aveiro, and a postgraduate qualification in adult respiratory physiotherapy from the same institution. In 2023 she completed her double doctorate in Rehabilitation Sciences/Health, Medicine and Life Sciences at the Universities of Aveiro and Maastricht (Netherlands) and is currently working as a technical-scientific advisor to the Studies and Planning Office (GEP) of the Order of Physiotherapists, and as a guest lecturer at the Piaget Institute in Vila Nova de Gaia. As a member of the Respiratory Research and Rehabilitation Laboratory at the University of Aveiro (Lab3R), she has carried out applied research in which she has assessed and treated patients with respiratory pathology, having taken part in 6 research projects. Throughout her career she has published 19 scientific articles in international peer-reviewed journals with an impact factor, 1 book chapter and more than 50 abstracts in conference proceedings. She was a research volunteer at the Ciro rehabilitation centre (Centre for expertise in chronic organ failure) in the Netherlands, and is currently a member of the Guideline Methodology Network of European Respiratory Society. She was honoured by European Lung Foundation e European Respiratory Society for carrying out patient-centred research, by the Directorate General for Higher Education with a merit grant for his master's degree, and by the Ciro Centre with a grant to support research abroad.

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