1. Verbally justify why aquatic therapy may be the treatment of choice if (a) the patient is difficult to support or handle, (b) the patient is in pain, or (c) if the therapist cannot adequately access the patient’s body on land, (d) the patient has lower extremity swelling.
2. Verbally describe 3-4 aquatic precautions and contraindications specific to the patient with musculoskeletal complaints.
3. Given a case scenario, make an argument for and against the relative merits of allowing patients with a specific precaution to participate in aquatic therapy.
4. Gather, organize, and synthesize information regarding what payers (including Medicare) have to say about aquatic therapy for the patient with musculoskeletal complaints.
5. Make a 3 minute verbal “case” for providing aquatic therapy services for a patient with a specific musculoskeletal condition. Be able to identify, locate, and analyze supportive research to bolster your case.
6. With supervision and insruction, progress a specific aquatic task from a lower level of function towards increased independence. Repeat without supervision or instruction.
7. Demonstrate 3-4 aquatic therapeutic movements, tasks, or exercises designed to:
- increase strength
- improve ROM
- decrease pain and muscle spasm
- improve trunk stability
- improve posture, weight-bearing, balance, gait and proprioception
- improve functional skills
8. Select, justify the choice, then demonstrate 1-2 aquatic tasks or activities from each of the following specialty techniques (as each relates to the client with musculoskeletal complaints):
- Aquatic adaptations of the Berg
- Aquatic manual therapy and stretching
- Aquatic yoga
- Bad Ragaz Ring Method
- Functional skills training
- Progressive resistive exercise
- Proprioceptive neuromuscular facilitation (PNF)
- Salzman Blanket Drills (SBDs)
- Trunk stabilization
9. Working with a partner, develop and implement a 15-minute aquatic treatment plan (including equipment selection) for 1-2 of the following conditions:
- s/p fracture, internal trauma, sprain, strain or dislocation
- s/p joint replacement (e.g. TKR)
- s/p tendon or ligament repair (e.g. ACL)
- chronic pain syndromes (e.g. fibromyalgia)
- back and neck dysfunction