Aquatic Exercise for Rehabilitation and Training

Aquatic Exercise for Rehabilitation and Training

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    Print Course

    Course components are delivered as printed products: Aquatic Exercise for Rehabilitation and Training Print CE Course reviews literature regarding the benefits of aquatic exercise using a variety of therapeutic interventions, including the Halliwick concept; the Bad Ragaz ring method; ai chi, watsu; swim stroke training; aquatic cardiovascular training; neuromuscular training; and core, upper-quarter, and lower-quarter musculoskeletal training. Learn how to apply aquatic activities to progress individual clients and adapt these activities to individuals with various disease-specific conditions. Case studies are presented and discussed throughout the course.

    This is an advanced course for physical therapists, physical therapy aides, therapeutic aquatic specialists, and fitness and wellness professionals with previous aquatic training and experience. The course concludes with a continuing education exam for credit through participating organizations.

    Course Objectives
    • Facilitate safe and efficient use of the aquatic environment for rehabilitation and
      training.
    • Instill clear understanding of indications and contraindications for treatment in
      the aquatic environment.
    • Illuminate the underlying properties of water.
    • Review the physiology of immersion and its relationship with exercise.
    • Review and highlight the application of various aquatic exercise theories to specific client cases.
    • Understand the client management model in the aquatic environment.
    Skills Active / REPs pre requisites can be found here:
    www.HumanKinetics.com/partners/partners/SkillsActive

    Table of Contents

    Part I: Core Elements

    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
    Summary

    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
    Summary

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

    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
    Summary
    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
    Summary

    Chapter 6. The Bad Ragaz Ring Method
    Urs N. Gamper, PT, and Johan Lambeck, PT
    Physiotherapeutic and Mechanical Principles
    Proprioceptive Neuromuscular Facilitation
    Indications
    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
    Summary

    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
    Summary

    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
    Summary

    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
    Summary
    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
    Summary

    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
    Pregnancy
    Cardiopulmonary Disease
    Fibromyalgia
    Obesity
    Older Populations
    Injured Athletes
    Summary

    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
    Summary

    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
    Summary

    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
    Summary

    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
    Summary
    References

    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

    Audience

    A continuing education course for aquatic specialists, physical therapists and physiotherapists, physical therapy assistants, occupational therapists, and athletic therapists and trainers.

    About the Author

    Lori Thein Brody, PT, PhD, SCS, ATC, is a senior physical therapist in Madison, Wisconsin. Her aquatic therapy experience includes nearly 20 years of treating a variety of patients. Brody is a frequent contributor to the body of knowledge in rehabilitation, including a popular text on therapeutic exercise, teaching continuing education courses, and providing postprofessional coursework.

    Brody received the Ron Peyton Award in 2006 for sports physical therapy. In her leisure time, she enjoys swimming, running, biking, and snowshoeing.

    Lori is a coeditor and chapter author for the Aquatic Exercise for Rehabilitation and Training textbook.

    Paula Richley Geigle, PT, PhD, is an assistant professor in the department of physical therapy and rehabilitation science at the University of Maryland School of Medicine. Geigle’s 27 years of clinical practice as a generalist includes aquatic intervention. Part of her research agenda focuses on incorporating aquatic exercise in managing the negative health outcomes of cancer and aging.

    Geigle is past president of the Aquatic Physical Therapy Section of the American Physical Therapy Association (APTA) and served as coeditor of the Journal of Aquatic Physical Therapy. She received the Outstanding Research Award in 2006 from the Aquatic Physical Therapy Section of the APTA. In her spare time she plays tennis, hikes with her golden retrievers, and reads.

    Paula is a coeditor and chapter author for the Aquatic Exercise for Rehabilitation and Training textbook.

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