3612 Spasticity and Contractures

Advanced / Pool Workshop


Sanibel, FL / Friday, June 22, 2018 8:30-11:45 am 3.0 credit hours

(Classroom: 8:30-10:00 am / Pool: 10:15-11:45 am)


Faculty: Julia Meno, CTRS, CMT, ATRIC


COURSE DESCRIPTION: We will discuss and recognize the differences and types of spasticity and contractures as well as examine available assessment tools for aquatic application. The aquatic practitioner will gain valuable insight to the use of aquatic therapy to maximize relaxation and increase tissue elasticity and joint mobility, as well as, to facilitate a functional response for stabilization. The aquatic practitioner will be introduced to the need for neuromuscular balance through appropriate use of ROM, velocity, breath, timing and resistance. The gradual release of agonist - antagonist using select treatment strategies from Aquatic PNF Patterns, Bad Ragaz Ring Method, Halliwick, and Myofascial Aquatics will be practiced along with hands on applications of tactile cuing and manual aquatic treatments.



1)  Examine spasticity specific aquatic therapy accommodations and aquatic factors to consider for individuals with spasticity and/or contracture.

2)  Focus on treatment goals depending upon level of spasmodic activity.

3)  Practice the inhibitory/facilitatory philosophy of the Halliwick Method through disengagement and changing directions through the transverse plane.

4)  Learn select myofascial aquatic techniques used for decreasing muscle tone and increasing pain-free ROM.

5)  Demonstrate a PNF upper and lower extremity pattern utilizing rhythmic initiation and rhythmic stabilization.

6)  Learn select Bad Ragaz treatment patterns and their specific applications to reduce muscle tone, elongate shortened musculature, and inhibit muscle over-activity during active movements.

7)  Demonstrate isokinetic closed chain exercises to facilitate co-ordination and timing of movement patterns.


FACULTY: Julia Meno, CTRS, CMT, ATRIC, is the founder/owner of Therapeutic Aquatics, Inc. and provides individual Myofascial Aquatic Body Work, AquaStretch and adaptive aquatic classes. She is the author and publisher of The Bad Ragaz Ring Method Visual Instructional Manual and Video; and co-producer of the PNF in The Pool and Myofascial Aquatic Body Work DVDs. She received the 2014 Aquatic Therapy Professional Award and the 2002 ATRI Tsunami Spirit Award.