Aquatic Exercise for Rehabilitation and Training



16 CECs / Book & DVD

Prescribing the right aquatic exercise program for those with functional limitations is challenging, in part because the literature on water exercise is limited. That prescription is made all the more difficult when working with clients and patients with a wide range of limitations. The authors guide readers in choosing the right exercises for their clients—including the appropriate exercise frequency, intensity, and duration—based on each client’s abilities and limitations. 

Aquatic Exercise for Rehabilitation and Training also has the following features:

  • Descriptions of the physiological responses—including those of the pulmonary, renal, musculoskeletal, and neuromuscular systems—to immersion and water exercise, preparing clinicians for how the body reacts to an aquatic environment 
  • Indications and contraindications for participation in water programs, providing an understanding of how the physical properties of water and exercise combine advantageously
  • Descriptions of the responsibilities of various aquatic team members and patient management across the full spectrum of care

Aquatic Exercise for Rehabilitation and Training is liberally illustrated and comes with a DVD that demonstrates nearly half of the book’s exercises and highlights key points for each. The DVD also contains printable evaluation sheets that will help you identify your clients’ needs, evaluate specific therapies based on those needs, and choose the best therapies for your clients.

Using case studies as examples, Aquatic Exercise for Rehabilitation and Training presents current concepts, explains how to apply them, and assists readers in determining optimal intervention plans for each client. The text covers the gamut of aquatic exercise for rehabilitation and training, addressing all populations and ages. The authors provide information for adapting programs for various clientele: injured athletes, older adults, and people with special exercise needs, such as patients with cerebral palsy, brain injury and stroke, multiple sclerosis, and rheumatoid arthritis. 

Use Aquatic Exercise for Rehabilitation and Training with confidence as you design exercise programs for your clients. Learn how to assess your clients’ needs, provide specialized training for various populations, and prescribe neuromuscular training, core musculoskeletal training, and upper- and lower-quarter musculoskeletal training. This book and DVD are valuable resources, no matter who your clients are, as you help them rehabilitate and train in water.

Chapter 1. Introduction and Historical Overview
Lori Thein Brody, PT, PhD, and Jean Irion, PT, EdD, SCS, ATC
History of Aquatic Healing and Rituals 
Modern Origins of Aquatic Therapy 
Current Status of Aquatic Rehabilitation 
Indications and Advantages of an Aquatic-Based Program 
Contraindications and Precautions for an Aquatic-Based Program 
Aquatics programs

Chapter 2. Aquatic Service Providers
Charlotte Norton, DPT, MS, ATC, CSCS, and Lynette Jamison, MOT, OTR/L, CPO 
Lyton Model for the Aquatic Team
Licensure, Registration, Certification and Title Acts 
Function of Each Team Member in the Aquatic Continuum 

Chapter 3. Aquatic Properties and Therapeutic Interventions 
Jean M. Irion, PT, EdD, SCS, ATC 
Physical Properties of Water
Fluid Dynamic Properties of Water

Chapter 4. Physiological Responses to Immersion and Aquatic Exercise
Dawn T. Gulick, PT, PhD, ATC, CSCS, and Paula Richley Geigle, PT, PhD 
Pulmonary System
Renal System
Musculoskeletal System
Neuromuscular System

Part II. Philosophy and Technique Elements 

Chapter 5. The Halliwick Concept
Johan Lambeck, PT, and Urs N.Gamper, PT 
Historical Overview
Treatment Classification 
Halliwick and ICF
Learning Stages
Function Level Applications
Activity Level Applications
Participation Level Applications
Specific Skill Training

Chapter 6. The Bad Ragaz Ring Method
Urs N. Gamper, PT, and Johan Lambeck, PT 
Physiotherapeutic and Mechanical Principles
Proprioceptive Neuromuscular Facilitation 
Treatment Goals 
Application of Techniques
Treatment Time
Exercise Progression
Movement Patterns
Patterns of the Lower Extremities
Patterns of the Trunk
Patterns of the Upper Extremities

Chapter 7. Ai Chi
Ruth Sova, MS, ATRIC 
Historical Overview 
Breathing Patterns 
Movement Principles
Stance and Movement Patterns
Ai Chi Benefits
Applications in Patient Populations

Chapter 8. Watsu
Lynette Jamison, MOT, OTR/L, CPO 
History and Philosophy
Treatment Progression
Training and Certification
Physiological Effects
Psychological Effects
Treatment Applications
Precautions and Contraindications

Chapter 9. Swim Stroke Training and Modification for Rehabilitation
Emily Dunlap, PT 
Swim Training in an Aquatic Therapy Treatment Plan
Swim Training Progression
Recovery Skills
Static Floating Control
Basic Water Safety Skills
Swim Training Equipment
Swim Strokes and Modification
Injury Modifications

Part III. Client Elements 

Chapter 10. Assessment and Evaluation
Paula Richley Geigle, PT, PhD 
Clinical Decision Making 
Initial Assessment and Evaluation
Medical Clearance
Informed Consent
Water Safety Screening
Vital Sign Baseline Data
Documenting Aquatic Programming and Progression
Discharge from Aquatic Programming

Chapter 11. Specialized Aquatic Cardiovascular Training
Dawn T. Gulick PT, PhD, ATC, CSCS 
Monitoring Cardiovascular Performance
Cerebral Palsy
Brain Injury & Stroke
Multiple Sclerosis
Rheumatoid Arthritis
Cardiopulmonary Disease
Older Populations 
Injured Athletes

Chapter 12. Neuromuscular Training 
David M. Morris PT, PhD, and Paula Richley Geigle, PT, PhD 
Rehabilitation of Individuals with Neurological Disorders
General Guidelines for Treatment Design
Aquatic Techniques for Neurorehabilitation Application
Balance and Postural Control 
Aquatic Wellness Programs

Chapter 13. Core Muscloskeletal Training
Lori Thein Brody, PT, PhD 
Functional Anatomy
Activities to Improve Mobility 
Activities to Increase Muscle Performance
Core Emphasis Cardiorespiratory Training
Specific Exercise Recommendations

Chapter 14. Upper-Quarter Musculoskeletal Training
Lori Thein Brody, PT, PhD 
Functional Anatomy
Indications for Aquatic Therapy
Activities to Improve Mobility
Activities to Improve Muscle Performance
Upper Quarter Focus Cardiorespiratory Training
Specific Exercise Recommendations

Chapter 15. Lower-Quarter Musculoskeletal Training
Lori Thein Brody, PT, PhD 
Functional Anatomy
Indications for Aquatic Therapy
Activities to Increase Mobility
Activities to Improve Muscle Performance 
Cardiorespiratory Training with a Lower Extremity Emphasis
Specific Exercise Progressions 

Chapter 16. Case Scenarios of Individuals with Specific Needs
Paula Richley Geigle, PT, PhD 
Traumatic Brain Injury and Postpartum
Spina Bifida
Femur Fracture in a Man with a Diagnosis of Cerebral Palsy