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Balance Education

ATRI Online Ed Information



$59 – 1-hour course

$84 – 1.5-hour course

$109 – 2-hour course

$159 – 3-hour course

$199 – 4-hour course

$275 – 6-hour course

$325 - 7-hour course

$375 – 8-hour course

$695 – Specialty Certificate Program (for Course Numbers 1611, 2237, 2311, 2318, 2319 only)


Once you have accessed the online course there is no refund available. If you cancel in writing within 3 months of purchase and have not accessed the course there is a 75% refund. This cancellation policy applies for all ATRI Online Education. Any cancellation policy you may see in the online registration process does not apply to ATRI Online Education.


No preparation is required for the courses. You may take time to review or ‘fast forward’ during the course.



How it works:

After you click below to register and pay for a course:

Your information will be sent to Linda Scott, who will register you on the Online Ed website and e-mail you your username, password and the link for your course. Linda’s e-mail is


After you begin taking the course:

You will be able to download and print the course handouts and materials as well as watch the course on your computer.

ATRI faculty members are often available for email questions after the course is completed. You will find their contact information in the course proceedings.



Balance Course Information

1313 – GaitWay to Mobility
1617 – Better Balance with the Clockwork Approach / Unpredictable Command Technique

Beginner / 3-hour Course
Faculty: Katrien Lemahieu, MSEN, ATRIC – Better Balance with the Clockwork Approach
Donna Lewen, BA, ATRIC – Unpredictable Command Technique

Better Balance with the Clockwork Approach
COURSE DESCRIPTION: The clockwork approach is a visualization technique on the large and small clock arrows of a clock, for both anchored moves and stepping skills to achieve better balance during proper alignment. It gives a great variation for muscle and mind connected exercises, helps participants achieve more efficient gait, balance and functioning, and it’s fun! In this workshop, many combinations will be learned and practiced, including the following:

  • Ab/adduct
  • Flex/extend
  • Internal/external rotation
  • Circumduction
  • Touches
  • Lunges


  • Loaded Movement Training
  • Deeper water
  • With turning and weight shifting
  • Heavy concept

Clinical purpose:

  • Balance
  • Coordination
  • Fall prevention
  • Tolerance to complete weight shifts and transfers
  • Trunk glide

1) Examine the clockwork approach.
2) Determine the essentials for balance and fall prevention.
3) Incorporate techniques of Loaded Movement Training.
4) Connect muscle and mind and vice versa through turns and shifts.
5) Apply the Clockwork Approach for different populations.

FACULTY: Katrien Lemahieu, MSEN, ATRIC, has 20-plus years of experience in aquatics and has been a presenter worldwide since 2005. She studied physical education and holds a degree in Special Movement Education with an emphasis in Motoric Remedial Teaching and a focus on pediatrics. She has developed three e-learning programs on aquatic fitness (AquaMagicMoves) and is CEO of two educational institutes for aquatics: Kataqua for aquatic fitness and ProOZo for swimming. She is the organizer of the annual European Aquatic Fitness Conference (EAFC).

Unpredictable Command Technique
COURSE DESCRIPTION: This workshop will focus on the Unpredictable Command Technique and integrate the Folstein Mini-Mental State Exam to challenge patients and clients to increase their proprioception, balance, and reaction time to decrease falls. We retrain our thought processes and learn to do tasks that we do not normally do in our regular activities. The reason for this is so that our mind and body can work together in case of an emergency.

We include the use of sensory information (smell, taste, touch, sight and hearing) and the central nervous system collects this information in order to provide awareness of movement or body position. Normally, knowing where we are is unconscious thought, but as we age, this can change. As we age, we take our proprioceptive skills for granted, and as a result, we notice that we can’t do the same things we did when younger. Sensory receptors in the joints, muscles and connective tissues gather information about the body’s position, process the information, and enable the central nervous system to make the appropriate response. For example, if you start to fall, proprioception allows the brain to know the fall is occurring, and what corrections need to be made to regain your balance. Messages are sent to the muscles to contract and avoid falling.

1) Implement the Unpredictable Command Technique into water aerobics and water walking.
2) Discover simple foot exercises to improve balance.
3) Implement techniques from the Mini-Mental State Exam in the pool.
4) Retrain our thought processes and learn to do tasks that we do not normally do in our regular activities so that our mind and body can work together in case of an emergency to prevent falls.

FACULTY: Donna Lewen, BA, ATRIC, has dedicated her life to aquatics for more than 25 years, and currently works with aging adults and persons with disabilities. She was an Arthritis Foundation Trainer for over 20 years, a consultant at Ability360, and an AquaStretch™ Facilitator/Trainer. She was the recipient of the 2016 ATRI Aquatic Therapy Professional Award, the 2012 ATRI Tsunami Spirit Award, and the 2013 Arthritis Foundation Regional Public Service Award-University of Pittsburgh Community Service Award. She continues her studies in Energy Medicine, and is a Reiki Master/Trainer. Beyond her active practice, she offers intuitive guidance and wellness coaching.

3206 - Effective Balance and Mobility Protocols

Advanced / 3.0 credit hours

(Classroom Viewing Time: 90 minutes / Pool Viewing Time: 90 minutes)

Faculty: Beth Scalone, PT, DPT, OCS, ATRIC


Balance is essentially motor control, meaning we have to be able to maintain our center of gravity over our base of support in not just static positions but as we move about. There are several body systems that contribute to balance and motor control. Lecture will focus on the various systems that influence balance to assist the aquatic therapist in developing an efficient and successful aquatic exercise program based on which systems are involved in a client’s balance and mobility issues. Current aquatic therapy research is summarized with clinical significance reviewed to allow the aquatic therapist to make evidence-based clinical decisions.

The pool lab portion of the course will present various aquatic balance activities/protocols and progressions for functional mobility, based on the individual body systems related to balance.


  • Describe the different body systems that influence balance.
  • List common impairments and mobility challenges related to each body system influencing motor control.
  • Apply current research into clinical decision-making process in respect to aquatic exercise and individuals with balance impairments and functional limitations.
  • Instruct, cue and progress a specific aquatic exercise program to address individual balance and functional mobility impairments.

FACULTY: Beth Scalone, PT, DPT, OCS, ATRIC, is a licensed physical therapist with many years of experience in orthopedic and aquatic therapy. As the owner of North County Water and Sports Therapy Center in San Diego (, she continues with hands-on clinical care in addition to her role as educator. Since graduating from the University of Connecticut in 1991, Beth has belonged to the American Physical Therapy Association and has achieved certification as a Clinical Specialist in Orthopedic Physical Therapy. In January 2006, she graduated from Boston University with a Doctor of Physical Therapy degree. Additional certifications include Certified STOTT Pilates™ instructor and Master Instructor for the Burdenko Method.

Beth not only provides continuing education for health care professionals, she is an adjunct faculty in the San Diego Mesa College PTA program, teaching Orthopedic Rehabilitation and Introduction to Pathology courses. She also provides the learning module/instruction on aquatic therapy to the University of St. Augustine San Diego Campus DPT program. She is the recipient of the 2010 ATRI Tsunami Spirit Award and the 2012 ATRI Professional Award.