2243 – Pain Mini-Track

Intermediate / Land Workshop


Sanibel, FL / Wednesday, June 20, 2018 – 7:45-11:00 am – 3.0 credit hours

(Classroom: 7:45-11:00 am)


Faculty: Connie Jasinskas, MSc – Vertical Techniques for Chronic Pain

Terri Mitchell, BA, PTA, ATRIC – Early Ortho Intervention


Vertical Techniques for Chronic Pain

COURSE DESCRIPTION: Pain impacts function. People living with persistent pain commonly exhibit muscle guarding, inappropriate muscle recruitment, and/or inappropriate motor sequencing. These movement characteristics are often the beginning of a downward spiral, as increased pain couples with decreased physical activity. The resulting structural degradation will impact alignment, balance, gait/ambulation, endurance, strength, ROM, body composition, ADLs, social interaction, mental and physical health. With better understanding of neuropathic pain, people in pain can learn to offset functional changes and improve quality of life. This course is intended for anyone treating, educating, and optimizing function in patients with chronic pain. Research supports: people participating in aquatic therapy report decreased pain, improved exercise adherence, and increased function.



1)  Examine researched theoretical information about persistent pain.

2)  Determine reasoning and strategies for small group and 1:1 education: helping patients understand the mechanisms of neuropathic pain and the benefits of warm water immersion.

3)  Practice progressive vertical aquatic strategies for pain-affected patients.


FACULTY: Connie Jasinskas, MSc, has been bringing passion and humor to her work as an international author and educator since 1984. AquaStretch™ Foundations and AquaStretch™ Certificate Course co-author, Connie specializes in AquaStretch™ and aquatic rehab for chronic pain, breast cancer, musculoskeletal and systemic health issues. Visit her websites to learn more: www.AquaStretchCanada.com and www.FortheLoveofFit.com.


Early Ortho Intervention

COURSE DESCRIPTION: What is the history of aquatic therapy for joint replacement patients? How long do doctors prefer the patient waits until they can get into the pool after a total joint replacement? Are the new surgical techniques and minimally invasive surgeries affecting our job security for aquatic physical therapy? This course will review past case histories of joint replacements in the pool from 1991 to present. Surgical techniques, water proof occlusive materials, infection control and doctor references will be discussed and provided in this informative lecture. Terri Mitchell, PTA, has been working in the pool with total joint replacement patients as soon as two days post-op for the past 26 years.



1)  Identify traditional joint replacements for hips and knees.

2)  Examine minimally invasive joint replacements for hips and knees.

3)  Investigate the latest surgical techniques for THR and TKR.

4)  Recognize infection control and proper application of Tegaderm.

5)  Obtain doctor references.

6)  Determine the benefits of aquatic therapy for total joint replacements.


FACULTY:  Terri Mitchell, PTA, ATRIC, has been involved with aquatic fitness since 1982. She is a Training Specialist with the Aquatic Exercise Association, a Licensed Physical Therapist Assistant (PTA) specializing in aquatic therapy, and instructor of a variety of aquatic fitness classes to persons of all ages and abilities. Terri holds certifications from AEA, ATRI, and IAR; and is a Certified Personal Trainer for both land and water. She is co-author of “Applications of PNF Techniques in the Aquatic Setting” manual and co-producer of “PNF in the Pool” video. She is the 2001 recipient of ATRI’s Dolphin Award and the 2010 recipient of the ATRI Professional Award.