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. Aquatic Exercise for Rehabilitation and Training shows professionals how to design aquatic rehabilitation and exercise programs for various groups and individuals across the life span. The authors guide readers in choosing the right exercises for their clients"including the appropriate exercise frequency, intensity, and duration"based on each clients abilities and limitations.

The authors compiled literature on water exercise from around the world and applied the information to a variety of situations. The book presents several current theories as well as a historical view for each theory and description of treatment implementation. The theories and principles are presented with the use of a regional- and system-based approach. 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 books 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 is a valuable resource, no matter who your clients are, as you help them rehabilitate and train in water.

Contents
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

Audiences

Reference for physical therapists, physical therapy assistants, occupational therapists, and athletic trainers. Also a reference for specialists in aquatics, fitness, and general rehabilitation.

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.

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 to manage 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.