Recreational swimming as a rehabilitation and habilitation method for patients after cervical spine surgery: a clinical case of a recovered patient with vertebral artery decompression (Kimmerle anomaly resection) and a history of severe vestibulo-ataxic syndrome

Recreational swimming is a highly effective rehabilitation method for neurological and orthopedic conditions, offering relief to the musculoskeletal system, reducing pain, and improving coordination. However, standard aquatic therapy protocols are often not applicable for patients who have undergone surgical decompression of the vertebral arteries (e.g., Kimmerle anomaly). Due to a long history of vertebrobasilar insufficiency, vestibulo-ataxic syndrome, and concomitant kinesiophobia, these patients experience high levels of anxiety and psychological barriers to aquatic activities. A clinical case of a patient who underwent two years of successful hydrotherapy after resection of the Kimmerle anomaly was analyzed. Subsequently, practical guidelines for organizing safe and effective recreational swimming were developed. These include the requirements for pool infrastructure (temperature, depth, lighting, and visual environment), special equipment (such as wetsuits, goggles, and nose clips), and the qualifications of rehabilitation trainers. Particular attention is paid to providing psychological support, following the principles of gradual adaptation, and monitoring conditions such as blood pressure and hydration. Group lessons are conducted with the support of a trained partner (buddy) to minimize fear, ensure predictability, and transform swimming from a source of stress into a tool for relaxation and socialization.

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