2314 – Hip/Knee/Shoulder Progressions and Modifications

Intermediate / 3-hour Workshop


Faculty: Ruth Sova, MS, ATRIC



We get stuck in a rut using the same exercises for almost all patients but what can we do? There are only a finite number of moves the body can perform. This workshop will help anyone with a heavy patient load especially if working with varied abilities and issues. The SCRAMBLED acronym will be taught, which makes the work easy. It’s simple to apply while writing or creating a protocol, for poolside when looking for a modification or progression, or for working groups at different levels.



1)  Create progressions, variety and modifications in exercises and protocols

2)  Expand your exercise toolbox

3)  Always have a new or alternative exercise for your clients at your fingertips

4)  Explain the SCRAMBLED Concept


FACULTY: Ruth Sova, MS, ATRIC, founder/president of ATRI, is an internationally known speaker, author and consultant. She 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 the author of numerous articles and 15 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.