Splošne teme 2 / General themes 2 Fizioterapija 2013, letnik 21, suppl 1 Koristi terapevtskega potapljanja v moderni hidroterapiji Branko Ravnak, inštruktor potapljanja CMAS M21, 2, Alenka Fidler, prof. ped. in biol. 1 1Mednarodna zveza društev IAHD Adriatic, Maribor, Slovenija; 2Terme Zreče, Slovenija Korespondenca/Correspondence: Branko Ravnak; e-pošta: branko.ravnak@siol.net Uvod: Potapljanje je lahko del rehabilitacije in rekreacije za ljudi s posebnimi potrebami. Primerno je tako za posameznike po poškodbi hrbtenjače kot tudi za ljudi z duševnimi in fizičnimi omejitvami, kot so cerebralna paraliza, živčno-mišična obolenja, multipla skleroza, astma, amputacije, diabetes, slepota in gluhost. V določenih segmentih je potapljanje primerno tudi za starejšo zdravo populacijo, ki želi obnoviti, ohraniti ali izboljšati kakovost svojega življenja. Metode: Od leta 2002 je 1Mednarodna zveza društev IAHD Adriatic razvila veliko programov, v katere so bile vključene omenjene skupine, ki so jih skrbno spremljali zdravstveni in potapljaški strokovnjaki z vsega sveta. Programi se izvajajo v bazenih kot del moderne hidroterapije in v odprtih vodah kot osnovno in napredno usposabljanje za potapljače. Rezultati: V zadnjih desetih letih smo opazili, da so bili vplivi potapljanja majhni, vendar zelo koristni. Hidroterapija je zaradi redne telesne dejavnosti, izboljšane socialne interakcije in psiholoških prednosti precej pripomogla k izboljšanemu zdravstvenemu stanju in k večji kakovosti življenja invalidnih potapljačev. Zaključki: Čeprav invalidi, ki so bili do zdaj vključeni v naše programe, niso imeli omembe vrednih zdravstvenih zapletov, smo prepričani, da je še naprej treba nameniti veliko pozornost kakršnim koli spremembam. Sistematično zbiranje, dokumentiranje in obdelava pridobljenih podatkov povečujejo naše znanje in prispevajo k temu, da je potapljanje postalo dostopnejše in varnejše za vse več ljudi s posebnimi potrebami. Ključne besede: hidroterapija, terapevtsko potapljanje, poškodba hrbtenjače, invalidnost, duševne motnje. Splošne teme 2 / General themes 2 Fizioterapija 2013, letnik 21, suppl 1 The benefits of therapeutic scuba diving in modern hydrotherapy Background: Scuba diving can be a part of rehabilitation and recreation for groups of people with disabilities. It is suitable for individuals after spinal cord injury and also for others with mental and physical restrictions like cerebral palsy, nerve and muscular disorders, sclerosis multiplex, asthma, amputations, diabetes, blindness and deafness. To a certain extent it can be used for the healthy older population who needs to recover, preserve or improve their quality of life. Methods: Since 2002 1 International association for handicapped divers Adriatic has developed a wide range of programs in which all the mentioned groups have been included and carefully monitored by medical and diving specialists worldwide. Programs are performed in swimming pools as a part of modern hydrotherapy and in open water as basic and advanced diving training. Results: For the last ten years we have noticed that immediate effects of diving are minor and mainly beneficial. However, improved health and quality of life of disabled divers could be the result of hydrotherapy, regular physical activity, improved social interactions, psychological benefits of achievements and fulfilled life. Conclusions: In spite of the fact that up until now disabled participants have not had any noteworthy medical complications, we believe that vigilance must be maintained. Systematic data collection, their analysis and documentation of experiences increase our knowledge and contribute to dive safety for people with disabilities. Keywords: hydrotherapy, therapeutic diving, spinal cord injury, physical disabilities, mental disabilities. Literatura/Literature 1. Breskovic T, Denoble P, Palada I, et al. (2008): Venous gas bubble formation and decompression risk after scuba diving in persons with chronic spinal cord injury and able-bodied controls. Spinal Cord 46, 743–7. 2. Fidler A, Gajšek U (2010). Therapeutic SCUBA diving as a part of rehabilitation for adults with mental and physical disabilities. International conference on diving and hyberbaric medicine / 36th Annual Meeting of the European Underwater and Baromedical Society, EUBS, 14-18 September 2010, Istanbul. 3. Fidler A, Ravnak B. (2012): Koristi terapeutskog ronjenja kod osoba sa smetnjama u razvoju. Aktuelnosti u edukaciji i rehabilitaciji osoba sa smetnjama u razvoju. Zbornik rezimea, Novi Sad: Društvo defektologa Vojvodine, 109. 4. Mikl Mežnar B (2008). Scuba diving - a leisure activity for handicaped people. 7th Mediterranean Congress of Physical and Rehabilitation Medicine. Slovenija, Portorož: September, 18–21. 5. Mikl Mežnar B, Ravnak B (2006). Potapljanje za ljudi s posebnimi potrebami. Rehabilitacija. 3 (4): 114–5. 6. Mikl Mežnar B, Ravnak B (2003). Potapljanje za ljudi s posebnimi potrebami. Zbornik 4. slovenskega kongresa športne rekreacije. Slovenija, Terme Čatež: Olimpijski komite Slovenije, 14.–15. november 2003, 217–20. 7. Ravnak B, Mežnar BM, Ćukušić I (2009). Diving for handicapped people in the wider adriatic region. Biomedical Society and British Hyperbaric Association Annual Meeting; Proceedings, Aberdeen, Scotland (August 25th–28th 2009), 77–80.