2246 – Chronic Issues Mini-Track

Intermediate / Land Workshop and Lecture


Sanibel, FL / Friday, June 22, 2018 – 8:30-11:30 am – 3.0 credit hours

(Classroom: 8:30-11:30 am)


Faculty: Camella Nair, Swami, C-IAYT – PTSD and Aqua Yoga (Land Workshop)

David Berry, PhD, AT, ATC, ATRIC – Evidence-Based Practice for Chronic Issues (Lecture)


PTSD and Aqua Yoga

COURSE DESCRIPTION: Stress can affect nerves and hormones as well as the mind and muscles, leaving clients feeling lethargic and un-motivated. In conscious yoga the heart rate can be gently elevated in order to allow the liver to release more energy as glycogen to cultivate more positivity. It is estimated that around 7.8% of us experience PTS at some point in their life but the physiological and emotional symptoms can be felt across a broader percentage as we all experience stressful situations off the battle field. Conflict at work, death of a loved one, sleep deprivation or break up of a marriage are a few examples that suggest it is a conservative number and more of us are indeed affected. In the water, the gains in proprioception can help us to find our place of balance and contentment once again in order to move on with our lives sooner.



1)  Review symptoms of PTS and overlap with general stress factors that will affect us all in time.

2)  Describe how the land-based yoga therapists are tackling this problem with their clients.

3)  Explore techniques in the pool to help reduce stress, gain better clarity, improve breathing and gain greater body awareness.

4)  Experience how aqua yoga can help to bring balance back to the entire endocrine system including hypothalamus, pituitary, adrenal, thyroid, pancreas, testes, ovaries, pineal and thymus glands.

5)  Experience savasana or total relaxation in the pool to release fascia.

6)  Work on dismantling erroneous breathing patterning.

7)  Explore the cultivation of compassion and taking strength from one another in small group sessions.


FACULTY: Camella Nair, Swami, C-IAYT, is one of the few ordained female Swamis currently teaching in the Kriya Lineage. It is an unbroken line of gurus dating back thousands of years. She pioneered Aqua Kriya Yoga 20 years ago. Through student passion, advocacy and love for yoga, Camella eventually wrote a book and designed a pioneering 2-level teacher training program in Aqua Kriya Yoga. She is a certified Yoga therapist, addressing the gap between yoga and accessibility in the water. She contributes articles and blogs in fields ranging from prenatal, to yoga philosophy, and breaking the taboo around death and dying. She is an affiliate with Yoga for Arthritis and a Blue Mind Ambassador.


Evidence-Based Practice for Chronic Issues

COURSE DESCRIPTION: Aquatic-based exercise can help people with chronic diseases. For people with arthritis, it improves the use of affected joints without worsening symptoms.9 People with rheumatoid arthritis have more health improvements after participating in hydrotherapy than with other activities.10 Aquatic-based exercise also improves the use of affected joints and decreases pain from osteoarthritis.11 Evidence relative to control suggests that aquatic-based exercise and training is beneficial for improving wellness, symptoms, and fitness in adults with fibromyalgia. An aquatic Ai Chi program appeared to be a valid treatment option for patients diagnosed with mild to moderate Parkinson's Disease for the treatment of pain, balance and functional capacity13, while a regular supervised aquatic exercise program arrested chronic kidney progression.14 Research has revealed that aquatic exercise enhanced the aspects of multiple sclerosis patients’ quality of life and should be considered along with other methods of treatment for improvement in quality of their lives.15 Aquatic-based exercise and training is now considered safe and is believed to provide a promising treatment approach which may be used to assist in the management of COPD, but only after understanding the physiological effects of head out of water immersion (HOWI) exercise.16


This session will examine the current scientific evidence for, application of and effects of aquatic-based exercise and training on symptoms and function associated with chronic disease. We will attempt to answer the question, “What are the effects of aquatic-based exercise and training interventions in the treatment of people (adults and children) with chronic diseases on outcomes such as pain, balance, quality of life?”



At the conclusion of this session, participants will be able to:

1)  Define the terms chronic disease, chronic illness, co-morbidities among other relevant terms.

2)  Define and describe the characteristics of different types of chronic diseases accounting for the nation’s health care costs.

3)  Identify and distinguish how aquatic-based exercise and training interventions may improve exercise capacity and health-related quality of life in people with chronic diseases.

4)  Explain and value why the properties of water allow for the physiological changes seen with aquatic-based exercise and training interventions in people with chronic disease.

5)  Identify, analyze, and interpret the current scientific evidence to determine the effectiveness and efficacy of aquatic-based exercise and training interventions, especially as they are related to patient outcomes (e.g., multidimensional unction, self-reported physical function, pain, stiffness, muscle strength, submaximal cardiorespiratory function, withdrawal rates and adverse effects).

6)  Design, implement, and compare and contrast (via case examples) aquatic-based exercise and training interventions including training procedures, equipment, and safety concerns when interacting with people with chronic disease.

7)  Assemble best practice guidelines for aquatic-based exercise and training interventions concerning dose, intensity, and frequency. 

8)  Demonstrate the training techniques and procedures discussed above (via video in the lecture where applicable).


FACULTY: David C. Berry, PhD, AT, ATC, ATRIC, is a Professor, Athletic Training Program Director at SVSU, and author (Emergency Trauma Management for Athletic Trainers). He serves as an active member of the Board of Certification, American Red Cross Scientific Advisory Committee, and the Sports Education Council (Michigan Cardiovascular Institute) educating the community and professionals on emergency planning and sudden cardiac awareness.



1.     Centers for Disease Control and Prevention. Chronic Disease Prevention and Health Promotion. Retrieved August 6, 2017 https://www.cdc.gov/chronicdisease/index.htm

2.     Centers for Disease Control and Prevention. The Four Domains of Chronic Disease Prevention. Retrieved August 6, 2017 https://www.cdc.gov/chronicdisease/resources/publications/four-domains.htm

3.     Freeman D. Top Causes of Chronic Pain. WebMD. Retrieved August 6, 2017 http://www.webmd.com/pain-management/features/causes-pain#1

4.     US Census Bureau. Statistical Abstract of the United States: 2012. Arts, Recreation, and Travel: Participation in Selected Sports Activities 2009

5.     U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans: Be active, healthy, and happy! In Chapter 2: Physical Activity Has Many Health Benefits. 2009.

6.     Chase NL, Sui X, Blair SN. 2008. Swimming and all-cause mortality risk compared with running, walking, and sedentary habits in men. Int J of Aquatic Res and Educ. 2(3):213-23.

7.     Broman G, Quintana M, Engardt M, Gullstrand L, Jansson E, and Kaijser L. Older women’s cardiovascular responses to deep-water running. J Aging Phys Act. 2006;14(1):29-40.

8.     Cider A, Svealv BG, Tang MS, Schaufelberger M, and Andersson B. Immersion in warm water induces improvement in cardiac function in patients with chronic heart failure. Eur J Heart Fail. 2006;8(3):308-13._  Chase NL, Sui X, Blair SN. 2008. Swimming and all-cause mortality risk compared with running, walking, and sedentary habits in men. Int J of Aquatic Res and Educ. 2(3):213-23.

9.     Westby MD. A health professional's guide to exercise prescription for people with arthritis: a review of aerobic fitness activities. Arthritis Rheum. 2001;45(6):501-11.

10.  Hall J, Skevington SM, Maddison PJ, Chapman K. A randomized and controlled trial of hydrotherapy in rheumatoid arthritis. Arthritis Care Res. 1996;9(3):206-15.

11.  Bartels EM, Lund H, Hagen KB, Dagfinrud H, Christensen R, Danneskiold-SamsŅe B. Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database Syst Rev. 2016;3:CD005523.

12.  Bidonde J, Busch AJ, Webber SC, Schachter CL, Danyliw A, Overend TJ, Richards RS, Rader T. Aquatic exercise training for fibromyalgia. Cochrane Database of Systematic Reviews 2014;10. Art. No.: CD011336.

13.  Pérez de la Cruz S. Effectiveness of aquatic therapy for the control of pain and increased functionality in people with Parkinson's disease: a randomized clinical trial. Eur J Phys Rehabil Med. 2017;19. doi: 10.23736/S1973-9087.17.04647-0. [Epub ahead of print]

14.  Pechter Ü, Raag M, Ots-Rosenberg M. Regular aquatic exercise for chronic kidney disease patients: a 10-year follow-up study. Int J Rehabil Res. 2014;37(3):251-5. doi: 10.1097/MRR.0000000000000063.

15.  Rafeeyan Z, Azarbarzin M, Moosa FM, Hasanzadeh A. Effect of aquatic exercise on the multiple sclerosis patients' quality of life. Iran J Nurs Midwifery Res. 2010;15(1):43-7.

16.  McNamara RJ, Alison JA, McKeough Z. Water-based exercise in chronic obstructive pulmonary disease. Physical Therapy Reviews. 2011;2.  DOI: 10.1179/1743288X10Y.0000000024