2312 – Emerging Trends with Aquatic Applications

Intermediate / 3-hour Workshop


Faculty: Ruth Sova, MS, ATRIC



Emerging (old and new) techniques and concepts such as Loaded Movement Training (LMT), Corrective Exercise Programming, Myofascial Compression, Slow Motion Walking (SMW), and PNF Stretch are growing quickly in land-based programs. We’ll define them and then show aquatic application for each one. We will review the concepts of LMT and offer exercises using LMT for shoulders/neck and hip/back, and balance deficits. Corrective Exercise Programming will be explained with exercise options for neuro, upper quadrant, and lower back. Myofascial Compression and PNF Stretching will be incorporated into exercises in the Corrective Exercise Program and also as stand-alone exercises. Slow Motion Walking (SMW) will be incorporated into the Corrective Exercise Programming and used for balance with gait.


Corrective Exercise Training is one of the new training concepts that, after assessment, covers three basic components: massage or myofascial release, stretch, and strengthen. We’ll apply the concept to shoulders and give you a specific protocol to use. We’ll give modifications and precautions to allow you to use the protocol with your clients.


Loaded Movement Training is an emerging trend as an effective way to help clients develop total-body strength by training all of the muscles together as one system. Loaded movement training is movement-based resistance training that combines full-body, task-oriented movement patterns with load. Benefits include:

Š  Integration of a variety of physiological systems.

Š  Lower compressive forces on the joints and skeletal structures of the body.

Š  Improving multidirectional stability, mobility, strength and power.

This concept of loaded movement training is supported by a wide variety of evidence from research literature.


Suspension Exercise is a new, versatile exercise for younger and older adults. It requires core activation and stabilization, while increasing upper- and lower-body muscular strength, power and endurance. The physiological mechanisms involved in acute and chronic exercise are not yet explained, but preliminary research describes responses similar to those elicited by resistance training. We’ll review the possible benefits for clinical and sports populations.


Myofascial / Ischemic Compression: We will identify and treat trigger points of myofascial origin by ischemic or myofascial compression among patients with low back pain. Thumb pressure is used for the identification, localization and treatment of trigger points and tender spots within the muscles of the lumbar, pelvic, femoral and gluteal areas. The management of low back pain of myofascial origin by ischemic compression can be used in any setting, without the need of specialized equipment. In addition to clinical effectiveness within a wide range of safety, this approach is easy on the practitioner, effective in reducing tenderness, and well tolerated by the patient. Ischemic Compression uses the same or different trigger points so a resurgence of local blood flow will occur upon release. https://en.wikipedia.org/wiki/Ischemic_compression - cite_note-1 Ischemic compression is commonly applied to trigger points, where enough sustained pressure is applied to a trigger point with a tolerable amount of pain, and as discomfort is reduced, additional pressure is gradually given. 


Proprioceptive Neuromuscular Facilitation (PNF) Stretching techniques are commonly used in the athletic and clinical environments to enhance both active and passive range of motion (ROM) to optimize motor performance and rehabilitation. PNF Stretching is the most effective stretching technique when the aim is to increase ROM, particularly in respect to short-term changes in ROM. The superior changes in ROM that PNF Stretching often produces compared with other stretching techniques are usually attributed to autogenic and/or reciprocal inhibition.  The PNF Stretch technique will be demonstrated in UE and LE application.


Slow Motion Walking (SMW): Many people can ride a bike without falling over, yet only a very few can sit on an unmoving bike and say the same. Why? Because continuous forward movement can mask a myriad of balance deficiencies. Just as cycling involves superfast corrections to a thousand invisible almost-falls, walking with a body weakened by modern living results in one controlled fall after another. How do we find these controlled falls? You can identify any muscles that are “helping” when they shouldn’t be and others that aren’t doing their job. The muscle patterns we develop to cope with a balance exercise reappear when we actually need to balance.



1)    Experience LMT for shoulder/neck issues, as well as hip/back issues. 

2)    Follow a simple shoulder assessment.

3)    Review simple self-applied muscle tissue tone restoration examples.

4)    Identify stretching exercises for the shoulder.

5)    Practice a corrective technique using exercises focusing on deep tissue muscles.


FACULTY: Ruth Sova, MS, ATRIC, an internationally known speaker, author and consultant, is the founder of six different businesses including the Aquatic Therapy & Rehab Institute, the Aquatic Exercise Association, Living Right Magazine, America’s Certification Trainers, Armchair Aerobics Inc., and the Fitness Firm. A leader in the health and wellness industry, she also draws on her vast experience as an entrepreneur to teach others what it takes to assume the risk of business and enterprise. Ruth is on the Wisconsin Governor’s Council on Physical Fitness and is the author of numerous articles and eleven books on her specialties of wellness and business. She is the recipient of numerous awards including the Sevier-McCahill Disability International Foundation Award; and the John Williams, Jr. International Swimming Hall of Fame Adapted Aquatics Award. Known for her high energy and practical teaching approaches, Ruth has brought thousands of people over the years to understand the benefits of water exercise.