Hydrokinesiotherapy, or rehabilitation in water, known since Roman times, is a special therapy that uses movement in water.
It is still used today and considered to be very effective and advantageous for articular and functional recovery in the presence of both chronic and acute diseases. The water facilitates functional recovery, reducing fatigue and pain.
The particularity of this type of treatment lies in the water, not so much for its muscle relaxant effects, but for the diversity of sensory stimuli that it offers. Considering posture as the body’s best response to environmental stimuli in relation to the body segments’ sense of position and the body’s sense of balance in space, we can say we consider water as an extremely stimulating proprioceptive environment.
The advantage lies in the fact that, working with different physical laws, it requires the implementation of motor behaviour and strategies that are completely foreign to acquired and compensating automatisms. In our environment the human body must first of all oppose the force of gravity and generate movement to perform actions; often when you develop functional overloads, muscle imbalances or muscle tendon and joint diseases, these synergies are altered and certain muscle groups fail to take action in motor sequences.
Hydrokinetic therapy is useful in the postoperative recovery of shoulder, knee and hip surgery, after multiple traumas, on the spine in surgery or after application of peridural blocks for the maintenance of good functionality of the articular surfaces.
Re-education in water, combined with the traditional systems, is the main source of treatment for adhesive capsulitis in the shoulder: a gradual articular movement is regained with passive kinesis, while rehabilitation in water restores the proprioceptive function of the recovered articular movement.