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General 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.



General Course Information

1007 – Essential Equipment and Equipment Essentials
1200 - Intro to Aquatic Therapy and Rehab

Beginner / 8-hour Workshop



8:00 am-5:00 pm

Classroom: 8:00-10:00 am

Pool: 10:00 am-1:00 pm

Lunch Break – 1:00-2:00 pm

Classroom: 2:00-5:00 pm


Faculty: Ruth Sova, MS, ATRIC



“Intro” is an entertaining and informative workshop for those health professionals who would like to expand their skills into aquatic therapy and rehab. Aquatic therapy and rehabilitation is a growing market and provides an excellent service to clients. As a health professional, here’s the opportunity to enhance your career with the most current essential information you need to get started. Feel confidence in the concepts, compare the efficacy and outcomes to land-based therapy, try several popular aquatic therapy protocols during the in-pool lab, and access to resources for more in-depth knowledge. The seminar will include basic aquatic principles including buoyancy, resistance, and hydrostatic pressure, and how those principles change the biomechanics of movement patterns.


A review of outcomes (who aquatic rehab works for, indications and contraindications, what diagnoses it helps, why it’s helpful, and when to use it) and the concepts of aquatic therapy protocols are discussed. We will determine the concepts and methodology of popular aquatic therapy and rehabilitation techniques, patient populations that these modalities can work for, and discuss competency and where to learn more about each.


Participants will determine which techniques are safe and appropriate for which specialized clientele. Specific aquatic therapeutic interventions for older adults, the obese, children, people with arthritis, Fibromyalgia, back pain, knee pain, diabetes, CAD, asthma and COPD, cerebral palsy, hearing and vision impairments, CVA, hip replacements, DD, GI track problems, Parkinson’s, MS, osteoporosis, shoulder problems, prenatal women, and athletes are discussed.


Finally, this presentation will allow participants to experiment with the basic concepts of Ai Chi, Ai Chi Ne, Aquatic Feldenkrais®, Bad Ragaz, Aqua Pilates, PNF, Halliwick, Massage, Energy Work, UCT, the Burdenko Method, BackHab, and Watsu® in the pool.



  1. Participants will be introduced to basic hydrodynamic principles and their beneficial effects on clients.
  2. Participants will experience several major aquatic protocols.
  3. Participants will compare very different aquatic protocol concepts.
  4. Participants will match their client situations with one or two aquatic protocols.
  5. Participants will analyze modifications and precautions, indications and contraindications of each aquatic protocol with each client need.
  6. Participants will access aquatic therapy and rehabilitation resources.
1619 – Exercise Design for Improving ADLs

Beginner / 1.5-hour Land Workshop


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


If we want our baby boomers to grow as independent elders, we must integrate ADLs in our regular training programs with the intent of improving their ADLs on a permanent level. Based on research that will be discussed in class, using the Hife program (high intensity weight bearing exercise program) and the Berg scale as models, specific exercise design including activities of daily living to improve balance, mobility and strength training of the lower limbs will be presented. Adaptations for individual issues will be addressed.



1)  Explore the importance of integrating ADLs in a regular training program and its effect on the results obtained among this population.

2)  Observe the difference between structured exercise and physical activity and how they are presented in this workshop.

3)   Experience how to develop balance, mobility and strength training of the lower limb as a class design for ADL improvements.

4)  Utilize the cueing and progression levels presented in this workshop to progress your own clients towards increased function and mobility.

5)  Apply modifications for orthopedic issues present in this population.

6)  Examine precautions and contra-indications related to this exercise program.

1625 – Healthier Alignment through Strengthen and Lengthen

Beginner / 4.0 credit hours
(Pool Viewing Time: 7:30-9:30 am / Classroom Viewing Time: 9:30-11:30 am)

Faculty: Katrien Lemahieu, MSEN, ATRIC

COURSE DESCRIPTION: Finding a weakness, imbalances or dysfunction can help in general rehab and improve overall health. Kinetic Chain Movement can help in strengthening and lengthening through easy and harmonious movements for all. Everyone benefits with stronger and longer muscles! 

1) Gain proper alignment for standing and in dynamic movement.
2) Explore and explain Kinetic Chain Movement.
3) Find weaknesses, dysfunction and imbalance.
4) Determine practical application in the aquatic environment.

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). 

1626 - Gentle Strength Training

Beginner / 4.0 credit hours

(Classroom Viewing Time: 2 hours / Pool Viewing Time: 2 hours) 

Faculty: Mary Wykle, PhD, ATRIC


Gentle strength training is important for every patient and client. Core and muscular strength are the keystone of balance and movement. Most patients and clients are recovering from illness, surgery, have chronic back pain or have just been physically inactive. Restoring a baseline of strength enables therapy and rehab to move forward with achieving functional goals. Gentle Strength Training provides a starting point from which to progress. Exercises use drag or resistive equipment. Beginning with the upper extremities, active exercises in all planes of motion occur while isometric stabilization throughout the lower extremities develops core and leg strength, assisting balance and separation of movement quality between the upper and lower extremities.  Progression proceeds to active exercises using resistive equipment in the lower extremities combined with upper extremity movements to assist coordination and agility.

Muscle strength, power and mass are all associated with functional capacity. Aquatic exercise including resistant/drag equipment show similar effects in both muscle capacity and physical functioning to suggest a carryover effect for aquatic exercise. Resistance training with land exercise has been shown to improve maximal muscle force, but this improvement does not always result in improvements in function. The aquatic environment provides situation of instability by using the effects of turbulence, which could promote greater improvements in body balance reactions. Gentle Strength Training will provide new ways to achieve greater results and ideas on progressions.


  • Determine the importance of general strength for all populations.
  • Explain the importance of the Abdominal Draw-In Maneuver (ADIM), the disassociation of upper and lower extremity movement combined with coordination and its role in balance.
  • Review research showing the improvement of strength in individuals.
  • Show progressions for the development of basic strength.
  • Practice the progression emphasizing the importance of incorporating all planes of movement.

FACULTY: Mary O. Wykle, PhD, ATRIC, presents for ATRI and AEA. Course development includes aquatic re-conditioning programs for the Army and USMC. Additional programs include Aqua Pi-Yo-Chi™, Core Stabilization and Safety Training. Aquatic recognitions include: AEA Global Award for Lifetime Achievement (2010); ISHOF Adapted Aquatics Award (2007); ATRI Aquatic Professional of the Year (2006); ATRI Tsunami Spirit Award (2004) and ATRI Dolphin Award (2002).

1809 – ATRI Certification QuickPrep

Beginner / 3-hour Lecture


Faculty: Ruth Sova, MS, ATRIC



This lecture will NOT give you enough information to pass the ATRI Certification Exam if you aren’t already prepared. This course is a last-minute review of things you should already know; of practice with the application-type of questions on the exam; of legal and safety exam objectives that are not covered in the Intro to Aquatic Therapy and Rehab course; and of general information regarding the exam. Legal and safety issues covered are scope of practice, ethical practices, emergency actions, risk management, client and personal safety.


  • Discuss the legal and safety objectives that aren’t covered in the Intro to Aquatic Therapy and Rehab course.
  • Examine types of questions on the exam and ways to analyze them.
  • Evaluate knowledge needed to sit for the exam.
  • Disseminate last-minute advice regarding test-taking.
1902 – Safety and Liability Protection Protocols

Beginner / 1.5-hour Lecture

Faculty: Mary Wykle, PhD, ATRIC


COURSE DESCRIPTION: Anytime a patient is accepted for aquatic therapy, the therapist accepts the liability for the safety of that patient. The goal of this course strives to provide solutions to common questions asked by therapists. As the field of aquatic therapy grows, the quality of service and care must be commensurate with current professional guidelines. Aquatic therapy professionals accept the ethical and legal commitment to abide by a standard of care that reinforces basic water safety and risk management criteria for patients and practitioners. Awareness and prevention of potential emergency situations with appropriate response increases the safety of all involved. Examples include ideas on ways to handle therapists working alone, how to handle a seizure, and slips or falls on the pool steps or deck. Attendees are welcome to present a problem, and the goal is to offer solutions for specific situations.

The discussion on safety and liability protection protocol presents basic knowledge of the risk and liability accepted when providing aquatic therapy and rehabilitation and solutions to minimize liability. Identification of potential risk areas such as the locker room and deck are crucial as the effect on patients physiologically, psychologically and emotionally extends to the locker room.


1)  Provide overview of the importance of safety in the aquatic environment.

2)  Explain and emphasize the implications of liability and negligence in aquatic therapy – ask attendees for problems and discuss solutions that can be applied to similar situations.

3)  Define solutions to amend current Emergency Action Plans (SOPs) to provide a safe, liability free setting for aquatic therapy.

4)  View video clips of assists that all working in aquatic therapy and rehab should be familiar with and able to do.

2215 – Posture and Core for the Aging Spine

Intermediate / 1-hour Land


Faculty: Maryanne Haggerty, MS-ExPhys


COURSE DESCRIPTION: This workshop will take an in-depth look at the aging spine and how to strengthen the torso. The aging spine presents many challenges that require posture and core conditioning and strengthening. Techniques for daily postural management are required for maintaining healthy spinal alignment. Core stabilization exercises will be addressed to develop trunk-centered movement leading to core strengthening.



  • Identify the anatomical components and effects of aging on the spine from the cervical, thoracic, lumbar, sacral, and coccyx areas of the spine.
  • Apply correct body mechanics for postural alignment that allows for the neutral spinal curves making way for neuromuscular efficiency.
  • Increase muscular endurance of spinal postural stabilizing muscles.
  • Develop core stabilizing muscles that strengthen the trunk and maintain the aging spine.
2244 - Optimizing ROM

Intermediate / 4.0 credit hours

(Pool Viewing Time: 2 hours / Classroom Viewing Time: 2 hours)

Faculty:  Connie Jasinskas, MSc

COURSE DESCRIPTION: This session will offer methods to restore/improve range of motion using a combination of Self-AquaStretch™ (SAS), and static/dynamic stretching techniques. SAS can improve clients’ ability to problem solve soft tissue pain and movement restriction. Combined with static and dynamic stretch techniques, SAS facilitates optimization of movement range for a variety of health issues. Client empowerment, improved body awareness, and self-efficacy are emphasized. People with neuropathic pain have been shown to have a positive response to SAS because it is self-administered. Static and dynamic stretches are enhanced following SAS. SAS and stretch techniques for the extremities, core, and neck will be demonstrated and practiced. This session is ideal for 1:1 client care as well as small-group therapy sessions.


  • Examine research-based evidence regarding stretching terminology, efficacy and application.
  • List benefits and use of Self-AquaStretch™/ Self-Administered Stretch (SAS) procedures and technique for restoration of movement range.
  • Discuss SAS protocols and instructional techniques relevant to client needs for fascial release, pain abatement, and restoration of range of motion.
  • Consider when and how to integrate stretching protocols into a rehab session.
  • Practice static and dynamic stretch techniques to compliment SAS, including stretches for the lower extremities, upper extremities, core and neck.
  • Use a case study approach to select and practice SAS and complimentary stretches appropriate for a variety of client needs.

FACULTY: Connie Jasinskas, MSc, has been bringing passion and humor to her work as an international author and educator since 1984. AquaStretch™ Foundations and AquaStretch™ Certificate Course co-author, Connie specializes in AquaStretch™ and aquatic rehab for chronic pain, breast cancer, musculoskeletal and systemic health issues. Visit her websites to learn more: and

2245 - Aquatic Walking/Running: From Rehab to Athletic Performance

Intermediate / 1.0 credit hour
(Pool Viewing Time: 1 hour)

Faculty: David Berry, PhD, AT, ATC, ATRIC

COURSE DESCRIPTION: Aquatic treadmill running has gained popularity because of its ability to decrease musculoskeletal impact placed on the ligaments, joints, and tendons. When coupled with land-based exercises, there are less direct ground impact forces as compared to running on land. Aquatic walking and running exercise could be a useful alternative to land-based exercise for injured athletes, those looking to maintain their training status, as well as at-risk populations. This session will examine the current scientific evidence for, application of, and effects of aquatic based training for underwater treadmill training across a spectrum of patients and clients.

1) Define the terms: aquatic running, aquatic treadmill running, underwater treadmill training.
2) Explain why underwater treadmill training is a method of gait and performance training that uses the characteristics of water.
3) Explain and value why the properties of water allow for the physiological changes seen with underwater treadmill training.
4) Identify, analyze, and interpret the current scientific evidence to determine the effectiveness and efficacy of aquatic treadmill running and underwater treadmill training, especially as they are related to patient outcomes.
5) Design, and implement an aquatic treadmill running and underwater treadmill training including general training procedures, equipment, and safety concerns.
6) Understand and appreciate the differences between the athletes and clients with respect to designing rehabilitation plans and the relationship of dose, intensity, and frequency when developing a training program.
7) Demonstrate the training techniques and procedures discussed above.

FACULTY: David C. Berry, PhD, AT, ATC, ATRIC, is a Professor, Athletic Training Program Director at SVSU, and author (Emergency Trauma Management for Athletic Trainers). He serves as an active member of the Board of Certification, American Red Cross Scientific Advisory Committee, and the Sports Education Council (Michigan Cardiovascular Institute) educating the community and professionals on emergency planning and sudden cardiac awareness.

2803 – Business Side to Aquatic Therapy

Intermediate / 3-hour Lecture


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

COURSE DESCRIPTION: Running an aquatic therapy program or business requires skills and knowledge not often taught in therapy school. Components to marketing, safety and staffing are discussed. This course is designed to provide key ideas, checklists and resources to guide the aquatic therapists in marketing their program. Safety and staffing issues are also presented.


Good documentation is essential in running an aquatic therapy business. It affects reimbursement, liability and overall professionalism of the program. Reimbursement and documentation will be discussed, along with the key aspects for effective documentation, reimbursement issues and Medicare requirements. This portion of the course is geared more towards the licensed therapist billing insurance, however, anyone who documents their sessions can benefit from the information. There will be opportunity to share experiences and ask questions.



1)    Examine marketing strategies to effectively promote an aquatic therapy program.

2)    List at least four things to consider with social media and marketing a healthcare business.

3)    Determine key safety components to an aquatic therapy program recognizing areas of risk and ways to reduce those risks.

4)    Determine the pros and cons of various staffing/pool scheduling combinations to determine best-case scenario for various types of programs.

5)    Identify key components to effective documentation.

6)    Provide justification and rationale for use of aquatic therapy to insurance companies and physicians.

7)    Recognize and correct common mistakes in documentation that leads to insurance denial.

8)    Determine local Medicare coverage and limitations for aquatic therapy.

3610 – Burdenko Method Certificate

Advanced / 6-hour Workshop


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


COURSE DESCRIPTION: The Burdenko Method is an active therapeutic approach using interplay between gravity and buoyancy to facilitate healing and minimize dysfunction for clients of all ages, levels, and diagnoses. The basic principles of the Burdenko Method will be presented followed by water exercise lab to reinforce these principles. At the end of the course, the participants will be able to apply the basic principles to design exercises to meet the specific needs of their patients, targeting the six essential qualities of movement: balance, coordination, flexibility, endurance, speed and strength.



  • State the six qualities of movement addressed in the Burdenko
  • Apply the basic principles and therapeutic benefits of the Burdenko Method to a variety of patient populations.
  • Implement the basic principles of the Burdenko Method into exercise prescription.
  • Select, design, and instruct patients in exercises that correspond to the six essential qualities of movement

     within the Burdenko Method.


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.

3613 – Loaded Movement Training

Advanced / 3-hour Workshop


Faculty: Terri Mitchell, BA, PTA, ATRIC


COURSE DESCRIPTION: An emerging trend known as Loaded Movement Training (LMT) is an effective training program which includes integration of physiological systems, lower compressive forces on the joints and skeletal structures of the body and multidirectional stability, mobility, strength and power. Taking the LMT concepts to the pool uses PNF patterns and buoyant and drag equipment to challenge and condition muscles and fascia and other systems of the body.



  • Describe the history of LMT and evidenced-based benefits.
  • Review four PNF patterns and the different lines of stress on LMT.
  • Differentiate between buoyant, drag and weighted equipment and its effect with LMT to build stability and mobility in the aquatic environment.
  • Identify patient diagnoses to benefit from PNF LMT in the pool.