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Chronic Conditions

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, 2318, 2319, 2804 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.

Click Here to Register and Pay for the Online Course(s) of your choice

Chronic Conditions Course Information

1317 – Chronic Conditions

Beginner / 2-hour Land Workshop with Application to Land and Water


Faculty: Donna Lewen, BA, ATRIC

COURSE DESCRIPTION: Learn to effectively design an aquatic class to be maximally effective for people with diabetes, arthritis, obesity and chronic pain – four conditions seen most with the aging population. Common concerns and exercise guidelines will be learned and implemented in this course. This is a great continuing edprogram for Aquatic Specialists wanting to expand their post-rehab programming. This program is part of the ACSM Exercise is Medicine Program.



1)  Examine differences and similarities in arthritis, diabetes, obesity and chronic pain diagnoses.

2)  Determine differences and similarities in water exercise approaches for these diagnoses.

3)  Explore the benefits of working in the aquatic environment versus the land environment.

4)  Develop and implement a program to benefit all four diagnoses.

1609 – Tai Chi Arthritis

Beginner / 1-hour Course

Faculty: Bonnie Hopps, Arthritis Foundation Instructor/Trainer


Explore why this style of Tai Chi is so beneficial for participants with arthritis, as well as people suffering with any chronic illness. We will cover an in-depth warm-up and the first six basic moves, both in standing and sitting positions. This is a land-based Tai Chi program that can stand-alone or be added to any existing exercise program.



1) Discover how this particular type of Tai Chi can be beneficial for people with arthritis.

2) Explore a safe and interesting program, which is easy to learn for people of almost any physical condition     or age, and without any prior knowledge of Tai Chi.

3) Deliver maximum relief for the pain and stiffness of arthritis, utilizing the most appropriate style of Tai Chi.

4) Identify benefits to health in general and enhance relaxation.

2226 – Using Water to Treat Lymphedema

Intermediate / 2-hour Workshop

 Faculty: Lynette Jamison, MOT, OTR/L

 COURSE DESCRIPTION: Develop and implement an aquatic treatment plan that will augment a full lymphedema management program. Didactic evidence to support the use of an aquatic treatment plan for this patient population will be provided. Anatomy, physiology and some possible pathologies of the lymph system will be discussed. Treatment and after-care protocols will be presented including Manual Lymph Drainage, aquatic exercise and use of compression bandages and garments. Specific exercises will be practiced in water. Case studies will be presented. Information regarding specific training for Manual Lymph Drainage and compression products will also be available.



1)  Describe the pathways of the lymph system.

2)  Justify using aquatic exercise versus land-based exercise using evidenced-based information.

3)  Develop an aquatic exercise program for a patient with lymphedema to enhance lymph drainage and circulation.

2242 – Improving Outcomes for Pain Patients

Intermediate / 3-hour Workshop

Faculty: Anita Davis, PT, DPT, MSM, D-AAPM


This presentation is designed for therapists, assistants and trainers with a desire to learn about central processing of pain in the brain. Many factors influence the perception of pain. One theory that explains this is the neuromatrixtheory. This theory proposes that pain is interpreted in the brain by several areas that work in synergy with each other. This course will review those areas known as the neuromatrix. Attendees will learn the function of these areas and synergistic relationships of the matrix. Aquatic therapy is uniquely positioned to significantly alter the activity in the matrix and positively influence pain reduction. Knowing how the matrix works provides powerful support for aquatic treatment interventions. This course provides rationale to support the strategies used in the treatment of chronic pain conditions. Attendees will learn how and which aquatic therapy interventions can modify the input into the brain to change the signals in the pain matrix and facilitate pain reduction. Participants will review case descriptions in small groups and develop a treatment plan with rationale for selected implementation. Participants will share their results with verbal, and when possible, actual demonstration. Specific interventions discussed will include: Ai Chi, BackHab, Bad Ragaz, Watsu®, Unpredictable Command Technique.



1)  Identify centers of the brain that are active with noxious stimuli (the neuromatrix).

2)  Expore the synergistic relationships in the brain matrix with chronic pain.

3)  Establish a treatment environment to promote pain reduction.

4)  Modify the aquatic environment for maximal impact on pain reduction.

5)  Select effective aquatic treatment interventions to decrease activity in the pain matrix and subsequent pain.