The Halliwick Concepts focuses on the biophysical principles of motor control in water, in particular developing a sense of equilibrioception and core stability. The Halliwick Ten-Point-Program implements the concept in a progressive program of mental adjustment, release, and development of motor control, with an emphasis on rotational control, and implements a program to teach the balance of physically handicapped people control, swim, and independence. Halliwick Aquatic Therapy (also known as Water Specific Therapy, WST), applies the concept in patient aquatic therapy to applications in the rehabilitation of injuries and disabilities.
Video Halliwick
Konsep Halliwick
The Halliwick concept was originally developed by fluid mechanics engineer James McMillan in the late 1940s and 1950s, at Halliwick School for Girls with Disabilities in London, to teach physically disabled people who were independent in water. Based on fluid mechanics, McMillan develops therapeutic teaching and approaches to improve equilibrioception and core stability.
According to Halliwick Concept, the physical properties of water form the basis for therapeutic intervention:
- Turbulence, Flow, and Endurance: The turbulent water provides resistance; Therefore the balance is lost slowly and there is time to react and learn motor control.
- Floating rate: Buoyancy provides an easy way to change position, which affects the vestibular system in sensory integration.
- Floating Style, Gravity, and Swivel Torque: Floating force against the force of gravity and create rotational torque (metacentric effect). This torque can be used to increase the load on the connective tissue.
The first part of the concept, the Halliwick Ten-Point-Program, combines biophysical principles and focuses on mental adjustment, disengagement, and development of motor control, with emphasis on rotational control, and is applied to teach participation in water activities, independent moves in water, and swimming. McMillan emphasizes participation and independence: a willingness to lose balance and know how to stand again.
The second part of the concept, Halliwick Aquatic Therapy (also known as Water Specific Therapy, WST), applies the basic biophysical principles and principles underlying the Ten-Point Program to plan and apply patient-specific water therapies.
Maps Halliwick
Technique
The Halliwick Ten-Point-Program
The first part of Halliwick Concept implements the Halliwick Ten-Point-Program to develop balance control, swimming skills, and indendent:
- Mental Adjustment: adjusts turbulence and buoyancy, learns to control the breath, fosters confidence and good attitude.
- Release: reduces dependence on instructors, changes instructors, practices independently.
- Transverse Rotation Control: the learning movement in the sagittal plane around the transverse axis, in particular, regains the upright position from the horizontal position, and the horizontal position of the upright position; finally learning somersaults.
- Sagit Rotation Motion Control: movement of learning in the field across the sagittal axis, controlling activities involving flexion of the side of the body, such as stepping on the side.
- Longitudinal Rotation Control: movement of learning around the longitudinal axis, controlling activities that involve rolling over.
- Combined Rotation Controls: learn to control rotation combinations that run in a single motion; after learning swimmers can control the position in the pool and safe.
- Mental Revenge or Reversal: learn about buoyancy, especially that water is always pushed up.
- Balance in Silence: Learn to keep your body relaxed while floating and with turbulence.
- Turbulent Launch: Learn to control body position when moved by the instructor.
- Simple Progression and Swimming Basis: evolves from simple push movements to the coordinated arm, leg, head, and body movement required for swimming.
Halliwick Aquatic Therapy
The second part of Halliwick Concept, known as Halliwick Aquatic Therapy (also called Water Specific Therapy, WST) is an aquatic therapeutic approach developed in Bad Ragaz, Switzerland since 1974. Halliwick Aquatic Therapy is a water-motor-oriented (re) learning approach , which includes elements of the Ten-Point Program. It uses a holistic task-directed approach in the context of the International Classification of Functions, Disability and Health (ICF), in particular postural control, muscle stiffness normalization, and facilitation of movements to achieve functional objectives on land. It also follows the guidelines of physiology training and clinical reasoning in various patient populations. Most Halliwick therapy is active (dynamic) to facilitate sensory movement and input. Halliwick also has a passive (static) component, which, for example, involves selective activation of muscles and the stabilization of certain joints by the therapist. Halliwick Aquatic Therapy is a problem-solving approach, where client-specific possibilities and constraints are analyzed to plan systematic interventions to help clients achieve functional improvement.
Apps
The Halliwick Ten-Point-Program has been applied to teach swimming to the disabled, as well as more widely as a common approach to teaching swimming and working with disabilities.
Halliwick Aquatic Therapy is mainly used in neurorehabilitation and pediatrics. It has a resemblance to Bobath and Conductive education. In neurological and pediatric rehabilitation, clients may experience early mobility. The mechanical advantage of water supports the ability of the stem in how to mobilize and stabilize. In this sense Halliwick is a motion therapy induced by constraints without loss of gravitational compensation. Many activities can easily be repeated and varied and clients can learn a balance strategy and stumble-, which has a carry-over effect on dry land. This application in the fall prevention is extended by using obstacles or Ai Chi.
Halliwick also enables graded activity programs: with low mechanical impact and increased physiological demand, chronic and other chronic back pain patients can increase their functional capacity in a largely fun way.
References
External links
- The history of Halliwick's development in England (1949 - 1970): https://archive.is/20121224035228/http://www.halliwick.org.uk/html/history.htm
- McMillan History Movie: http://www.halliwick.net/en/video
Source of the article : Wikipedia