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Exercise in 94°F Water for a Patient With Multiple Sclerosis

C Peterson, PT, MS, is Physical Therapist Clinician II, Marianjoy RehabLink, 26 W 171 Roosevelt Rd, Wheaton, IL 60189 (USA)

Background and Purpose. The purpose of this case report is to describe the examination, intervention, and outcome of a patient with multiple sclerosis (MS) who participated in a comprehensive rehabilitation program that included aquatic therapy with a pool temperature of 94°F. There are few descriptions of aquatic exercise programs on muscle force, exercise tolerance, and functional outcomes in individuals with MS, and most authors recommend a water temperature of less than 85°F to prevent an exacerbation of symptoms. Description. The patient was a 33-year-old woman. Before, during, and after the aquatic program, she was monitored for body temperature, heart rate, blood pressure, and perceived exertion. She was also assessed for muscle force and functional abilities. Outcomes. The patient did not experience heat sensitivity or fatigue throughout the program, and her manual muscle test grades and mobility improved. Discussion. This patient's participation in aquatic therapy, in conjunction with land-based interventions, may have been associated with the improvement in functional abilities.

Key Words: Hydrotherapy • Multiple sclerosis • Physical therapy • Rehabilitation • Temperature