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Implementation of the Vienna Hydrotherapy Group for Laryngectomees--a pilot study
R Crevenna1, B Schneider, C Mittermaier
1Department of Physical Medicine and Rehabilitation, University of Vienna Medical School, Waehringer Guertel 18-20, A-1090, Vienna, Austria. richard.crevenna@univie.ac.at
Summary
Hydrotherapy is safe and effective for laryngectomized patients, improving physical function and well-being. This pilot study demonstrates the feasibility of a hydrotherapy group for individuals who have undergone laryngectomy.
Area of Science:
- Rehabilitation Medicine
- Aquatic Therapy
- Laryngology
Background:
- Laryngectomy presents significant challenges including stoma management, altered breathing, and voice production.
- Water aspiration is a life-threatening risk for laryngectomized individuals without proper precautions.
Purpose of the Study:
- To establish a hydrotherapy group for patients post-laryngectomy.
- To assess the feasibility and therapeutic outcomes of this intervention.
Main Methods:
- A pilot study involving six male laryngectomized patients.
- An 8-week structured hydrotherapy program conducted thrice weekly using a specialized underwater device.
- Objective measures included posturography and ergometry; subjective measures used Visual Analog Scales (VAS) and the SF-36 Health Survey.
Main Results:
- Significant improvements were observed in postural control (p<0.028) and endurance capacity (p<0.028).
- Patients demonstrated enhanced 6-minute walking test distances (p<0.028).
- VAS scores indicated improvements in endurance, fatigue, expectoration, mobility, flexibility, postural control, and general well-being (p<0.05).
- The SF-36 Health Survey revealed enhancements in Physical Functioning, Vitality, Role-Physical, and Social Functioning (p<0.05).
Conclusions:
- A hydrotherapy group intervention for laryngectomized patients is safe and feasible.
- The findings suggest hydrotherapy is an effective rehabilitation strategy for this population.