LEARNING OBJECTIVES
Upon completion of this course, participants will be able to:
1. Describe why aquatic therapy may be the treatment of choice if (a) the patient is difficult to support or handle on land, (b) the therapist cannot adequately access the patient’s body on land, (c) the patient is fearful of falls; (d) the patient has ataxia, incoordination or proprioceptive deficits; (e) the patient cannot tolerate upright positioning; (f) the patient has respiratory complications; (g) the patient has post-surgical pain and edema (lecture)
2. Recite 3-4 aquatic precautions and contraindications specific to the geriatric patient (lecture)
3. Demonstrate 1-2 aquatic tasks or activities from each of the following specialty techniques (as each relates to the geriatric client): Aquatic adaptations of the Berg; Salzman’s Aquatic Blanket Drills (ABDs); Aquatic manual therapy and stretching; Aquatic Sensory Integration (ASI); Functional skills training; Progressive resistive exercise; Proprioceptive neuromuscular facilitation (PNF); Trunk stabilization/ Core training; Unpredictable Command Technique; Watsu (lab)
4. Locate what aquatic protocols exist in the geriatric scientific literature and assess them for usability in the clinic (lecture).
5. Integrate aquatic interventions appropriately into existing land-based protocols (lecture).
6. Create and instruct simple aquatic home programs for home-bound or institution-dwelling patients which incorporate the patient’s family or caregiver (lab)
7. Access free online resources to help craft additional progressions for the geriatric client (lecture)
8. Perform 3-4 aquatic therapeutic movements, tasks, or exercises designed to:
· Increase ROM
· Minimize contractures
· Improve motor planning
· Improve sensory feedback loops
· Enhance reaction time
· Create alternative cognitive pathways for functional task engrams
· Decrease pain
· Improve posture, weight-bearing, balance, gait and proprioception
· Improve strength
· Improve respiratory function
· Improve cardiac efficiency during exercise
· Decrease dependence on caregivers (lab)
With a partner, design and implement a 15-minute aquatic treatment plan (including equipment selection) for 1-2 of the following:
· Arthritis
· S/p joint replacement
· Osteoporosis/ posture dysfunction
· COPD
· Balance dysfunction (lab)