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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.

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

General Course Information

1004 – Addressing Secondary Issues in Rehab

Beginner / 4-hour Workshop


Faculty: Anita Davis, PT, DPT, DAAPM



This session deals with how to recognize various secondary issues that may affect patient participation and outcome. Some factors that may negatively impact treatment include depression, varying degrees of attention, motivation, fear, avoidance, or even conversion disorders. Almost everyone can recognize when these are present; but it’s the skilled clinician who knows how to address them and maximize positive outcomes. This session will help clinicians define the behaviors that are seen with these challenging secondary issues. Aquatic interventions will also be discussed and practiced to enhance confidence in clinical practice.



1)  Recognize indications of depression which may negatively impact patient performance in active rehabilitation.

2)  Identify behaviors that suggest increased fear and avoidance of activity.

3)  Recognize when patients are overly attentive to symptoms.

4)  Revise aquatic therapy activities to focus patients’ attention.

5)  Select activities for immediate success to encourage patient attention and adherence.

6)  Implement activities with carryover to daily activities to increase motivation, adherence and attention to training.

1007 – Essential Equipment and Equipment Essentials - NEW!

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

Faculty: Ruth Sova, MS, ATRIC 

COURSE DESCRIPTION:  Opening a Therapy Pool? You’ll Want Essential Equipment… and Equipment Essentials. This course is a compilation from many aquatic therapy and rehab professionals and their suggestions for essential equipment. Equipment that every therapy pool should have is shown and used with suggestions for use. We review weighted, buoyant and resistant equipment. Comments from those taking the course include cleaning options, pediatrics application, and group use.

1) Review concepts regarding equipment placement and approximation/subluxation.
2) Examine equipment features for weighted, resistant, and buoyant equipment.
3) Compare flotation collars, belts, and wraps, and their features.
4) Consider unusual application of featured equipment.

FACULTY: Ruth Sova, MS, ATRIC, president of the Aquatic Therapy & Rehab Institute, served on the Wisconsin Governor’s Council on Physical Fitness, received the Governor’s Entrepreneurial Award, the IDEA Outstanding Business Award, the first Presidential Sports Award in aquatic exercise, and AEA’s Contribution to the Industry Award. She has authored eighteen books and over 50 DVDs and CDs. She is known for her work in aquatic fitness, aquatic therapy, BackHab, Ai Chi and creating connections with other aquatic, health and therapy organizations.


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.
1205 – Aquatic Rehab for Non-Therapists

Beginner / 3-hour Lecture


Faculty: Ruth Sova, MS, ATRIC


COURSE DESCRIPTION: Are you, as a non-therapist, concerned that you’re overstepping your scope of practice? Worried that you’re doing the wrong exercises? Are you unsure of yourself and how to promote your program? This course is for you, the non-therapist, who would like to work in the aquatic therapy and rehab field. It is also applicable to therapy clients who have been released from therapy but continue to need guidance. We will cover basic orthopedic and neurological conditions with precautions, contraindications and indications (what works). We’ll evaluate different techniques that can be used, and what, if any, additional training is necessary. Forms and a checklist will help participants understand, review and make a plan for treating the issues, pain or difficulties that are being experienced. A basic sample plan that can be applied to most conditions is reviewed. Another, more complex, plan is offered and discussed. This allows participants to see the breadth of the spectrum of options. Business information for terms that are ‘okay to use’ (the word ‘therapy’ is not), techniques that can be used, specific precautions and marketing will all be covered. Join us and help others by participating in this exciting field.


1)  Evaluate water temperature, depth, length of sessions, frequency of sessions, groups versus one-on-one for varied populations.

2)  Design an 8-week rehab plan for the population of your choice.

3)  Translate terminology into layman’s terms.

4)  Prepare a sample press release promoting your program.

5)  Create a treatment plan that you can use on Monday.

1304 – Land Functioning Outcomes with Pool Interventions

Beginner / 3-hour Workshop


Faculty: Maryanne Haggerty, MS


COURSE DESCRIPTION: This session will highlight how aquatic equipment can be used to directly transition a person from pool to land based muscular endurance and strength. Controversy on the issue of the aquatic environment using predominantly concentric contractions and not preparing people for gravity-based strength will be addressed. Using equipment that allows for force couples, concentric and eccentric contractions in the water, plus the additional properties of the water will produce a better than smooth transition. This course will assist you in making choices for designing aquatic exercises with equipment that makes the transition to land based exercise easier because of the benefits and additional exercise inherent to the properties of the water. Aquatic techniques will include mobility, stability, and strengthening exercises to achieve synergistic muscle balance and preparation for muscle conditioning needed for transitioning to land functioning.


1)  Gain proficiency in stabilization exercises of the trunk while activating low tone muscles for joint stabilization.

2)  Utilize equipment for different phases of rehabilitation from therapeutic needs to the transitioning conditioning phases.

3)  Evaluate and identify equipment that allows for force couples, concentric and eccentric contractions in the water.

4)  Compare the types of equipment that allow for forced couples to help transition a person to the land directly.

5)  Identify benefits to using equipment in the pool and the need for guided instruction for safe and effective use.

1305 – Manual Options for the Hand and Wrist

Beginner / 3-hour Workshop


Faculty: Donna Adler, BA, ATRIC


Learn where pain may refer from for common hand and wrist pain diagnoses. Review general myofascial release techniques, including skin rolling, oscillation and AquaStretch™ techniques to form an integrated approach. Dorsal and radial pain, thumb and wrist pain and epicondylar pain techniques will be explored.  Treating carpal-tunnel symptoms will also be explored.


1)  Review AquaStretch™ and integrated manual techniques.

2)  Examine trigger points and myofascial techniques for pain in the forearm, elbow hand, and fingers.

3)  Determine what causes trigger points to occur and reoccur.

4)  Identify considerations when evaluating a patient prior to treatment.

1318 – Inflammation and Aquatics

Beginner / 3-hour Workshop


Faculty: Donna Adler, BA, ATRIC

COURSE DESCRIPTION: Educate yourself on how the inflammatory response and the cycle of chronic disease work together. Learn to provide a therapeutic program to decrease inflammation, and provide your patients with ways to reprogram their response to stress. Learn the art of myofascial stretching through quick, simple ways to alleviate chronic pain symptoms.



1)  Examine the cycle of chronic disease, along with the benefits of diaphragmatic breathing (neurobiological effects) and Vagus Nerve Breathwork.

2)  Determine the effects of stress on the disease process.

3)  Reprogram your response to stress.

4)  Reprogram your Autonomic Nervous System.

5)  Create new thought patterns to alleviate chronic conditions.

6)  Explore pain relief strategies.

7)  Evaluate dehydration and chronic conditions.

1608 – A Touch of Watsu®

Beginner / 1-hour Course


Faculty: Minakshi, CMT


COURSE DESCRIPTION: Learn body mechanics necessary to securely support another, while holding points and giving Shiatsu stretches coordinated with the breath. WATSU® can be used in rehabilitation for passive range of motion, pain reduction, neuro, strokes, MS, etc. In this class we will explore range of movement for the shoulder, along with opening the chest and affecting the lungs.


“Arm Play” is a move that is especially helpful for people with strokes or mobility issues. In a different move, we will learn to palpate pressure points with the breath, along the muscles of the back, not only relieving tension in the spine, but affecting the internal organs via the spinal nerves. Partially because the bladder meridian can have an effect on all the energy channels and partially because of the holding aspect of WATSU®, even when we “treat” a specific symptom, the whole body is affected.


Because we practice passive movements in a low gravity, warm water environment, we support the brain in finding new pathways, which helps our clients with neuro-muscular disorders, CP and most generalized disorders. The environment and gentle nature of WATSU® are conducive to profound insights, understandings and positive change.



  • Practice correct body mechanics.
  • Experiment with a few Shiatsu points, meridians and stretches.
  • Examine how to let water support while expanding and relaxing the spine.
  • Experience coordinating individual WATSU® moves with the breath.
  • Align the receiver’s body correctly.
  • Assess breath and postural awareness.
  • Increase client’s tidal volume.
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 - NEW!

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 - NEW!

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).

1803 – Marketing

Beginner / 3-hour Lecture


Faculty: Ruth Sova, MS, ATRIC


COURSE DESCRIPTION: You have great ideas, you offer excellent services, you are excellent practitioners but sometimes you still have problems drawing people to your business or service. Whether you want referrals for your therapy practice or clients for your one-on-one or group programs, this course can help. Focus your marketing dollars in the best way, consider topics to use in a brochure, find words that ‘sell’ to promote yourself, review a format for press releases, and consider a list of ideas that can help you be financially successful. Whether you’re marketing your businesses, a specific service or program, or yourselves, you need to do it efficiently and effectively. This lecture will help to do that no matter how low your budget or how high our aspirations. We’ll get into specific situations so bring your problems, bring your goals, and bring your successes. It’ll be informal but you’ll accomplish a lot.


1)  Explore the true purpose of your business enterprise.

2)  Find your true market.

3)  Investigate how to use others to help promote your enterprise.

4)  Evaluate a variety of inexpensive ways for business exposure.

5)  Review words that sell.

6)  Examine a sample press release.

7)  Consider topics for inclusion in a brochure.

1804 – Grant Writing

Beginner / 1-hour Lecture


Faculty: Sue Grosse, MS

COURSE DESCRIPTION:  Anyone can write a grant. This session is geared to the beginning grant writer.  Learn how to seek out grant information, and develop proposals in response to RFPs (Request for Proposal). Gain hints on writing to the specific requirements and interests of granting organizations. Increase comfort with budget development. Become familiar with the grant review process. Think out of your comfort zone and discover grant writing!



1)  Describe the value of grant writing to aquatic programming.

2)  Locate RFPs.

3)  List 6 ways aquatics can be written into community programming grants in health and social services.

4)  Describe the differences between private and public funding.

5)  List sections of a formal grant proposal.

6)  Write descriptions addressing specifics of the RFP.

7)  Write a budget to accompany a grant proposal.

8)  Describe the grant review process.

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.

2209 – Progressions for Water Rehab – Vertical, Seated and Horizontal Applications

Intermediate / 3-hour Workshop


Faculty:  Ruth Sova, MS, ATRIC


Stymied wondering how to increase (or decrease) the difficulty of the exercise your client needs to repeat?  This course will review the application of inertia, acceleration, action/reaction, levers, planes, and drag/resistance. We’ll put the theory into actual exercises and give the progressions common terms that make them simple for us to use on a daily basis. Application to vertical, seated and horizontal exercises or techniques will be experienced, along with multi-planar movement and integration of multiple activities. These progressions can be used with endurance, ROM, balance, orthopedic rehab, and neurological clients. We will review the benefit and outcome of each progression used.


1)  Experience a focus on moving proximal-to-distal.

2)  Evaluate the benefits to integrated LE, UE, trunk and head movement.

3)  Analyze the difference turbulence, speed, and direction changes make to an exercise.

4)  Feel the neurological and balance benefits to incorporating multiplanar movement.

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.
2216 – Total Body Core with NZ Manufacturing

Intermediate / 1-hour Course


Faculty: Maryanne Haggerty, MS

COURSE DESCRIPTION: This showcase will highlight NZ Manufacturing’s products and their application for aquatic core stabilization for upper and lower extremity movement. Applications will be experienced for aquatic therapeutic exercise and muscular balance conditioning. Running mechanics will also be performed with added drag from variable resistances.


1)  Applly upper and lower extremity medicords and stretch cord sets.

2)  Use and apply the upper and lower body combo sets to aquatic therapeutic exercise and muscle balance conditioning.

3)  Apply the drag concept for running gait mechanics with variable resistance.

2217 – Sports Rehab

Intermediate / 4-hour Workshop


Faculty: Maryanne Haggerty, MS


Explore aquatic techniques that provide rehabilitative exercises for sports injuries. Using the properties of water to get your athletes back to their sport specific activities sooner, the focus of this course will be on improving technique and positioning form. Attention will be given to emphasizing a trunk-centered approach to muscle activation for joint stabilization. With the goal of muscle activation and joint stabilization the athlete is progressed to practicing the integration of total body coordinated movement as it applies to regaining athletic skills.


1) Provide instruction in practical aquatic techniques for sports rehabilitation.

2) Focus on improving the athlete’s technique and positioning form to return to activity sooner.

3) Examine a trunk-centered approach and muscle activation leading to joint stabilization.

4) Integration of coordinated total body movement.

5) Determine strength and conditioning to return to sport and prevent further injury.

2220 – Return to Running/Walking Function After Injury

Intermediate / 2-hour Workshop


Faculty: Melissa Lewis, MPT, ATRIC

COURSE DESCRIPTION: Explore common injuries experienced by runners, the healing process, as well as what is involved in rehabilitation. The course will also specifically focus on exercises that can be performed in the water to assist in healing and improved function of the runner. Literature regarding the use of water as part of the rehab process, including specific exercises, will be discussed.



1) Examine common injuries experienced by runners.

2) Demonstrate basic understanding of the healing process through discussion of specific cases.

3) Demonstrate an understanding of progression by designing an aquatic exercise program for the injured runner from basic to advanced exercises.

4) Explore when to transition clients from an aquatic-based program to a land-based rehab program.

2234 – A New Approach to Abdominal Exercises

Intermediate / 1-hour Land Workshop


Faculty: Eduardo Netto, MS


COURSE DESCRIPTION: This workshop will shine a bright light of understanding on why the core is so vital to good posture, stabilization of the body, and optimal functioning. Expand your knowledge on abdominal training and its biomechanical relationship to the entire kinetic chain when applied to the prevention of back pain, maintenance of good posture, and optimal sports performance.


1)  Assess the basics concepts of abdominal training.

2)  Examine recent research as it applies to core training.

3)  Establish safe exercise recommendations for core training.

2241 – Hypermobility

Intermediate / 1-hour Lecture


Faculty: Lynda Keane, BSc



Hypermobility Spectrum Disorder affects 20-40% of the population and often goes for many years without an official diagnosis. This course will help you understand what this condition is, how to recognize the signs and what it means to have this condition. We will take an in-depth look at the new classification, definition and characteristics of hypermobility spectrum disorder. By understanding the physiology and biopsychosocial effect that hypermobility can have on an individual, we will appreciate the impact and consequences that this condition can have on everyday life.


We will consider the adaptations needs for an individual who is probably challenged by the simplest activities of daily living. We will learn how to design a training program to suit a person’s individual needs, what we need to take into account when designing a program, and how to adapt a group class for stability challenged individuals.



  • Identify the new classification for Hypermobility Spectrum Disorder and its associated characteristics.
  • Explore the physiology of the condition and discover the signs of joint hypermobility.
  • Determine the biopsychosocial aspect and implications.
  • Examine what hypermobility means to an individual who has this condition.
  • Review the implications of exercise on the condition.
  • Analyze the adaptations needed to teach a client with hypermobility.


FACULTY: Lynda Keane, BSc, specializes in aquatic rehabilitation in the UK and has a degree in sports rehabilitation and injury prevention. She works with orthopedic and musculoskeletal clients including many with hypermobility. Lynda guest lectures at a UK University in aquatic therapy and writes and presents many workshops for Hydro-Actif.

2244 - Optimizing ROM - NEW!

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 - NEW!

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.

2605 – Watsu® Applied Clinically

Intermediate / 3-hour Workshop


Faculty: Ruth Meyer, MEd, RKT, ATRIC



Review client case histories to determine appropriate application of forms and orientation of Watsu®. Learn how to be fully present with the person in your arms to promote trust and relaxation using optimum Watsuchanics. Learn how to optimize the water to minimize the impact on you. You will practice the footwork and arm positions to establish a strong foundation for more advanced Watsu® work. Learn multiple Watsu® positions and moves and the integration of those moves into a flowing sequence to apply in the clinical setting.



1) Demonstrate the foot work and body mechanics of the basic Watsu® form.

2) Study transitions from opening (vertical) to the horizontal positions to closing (vertical) with appropriate body mechanics and consideration for the physical and psychological needs of the client in their arms.

3) Determine guidelines for the appropriateness of Watsu® for clients and learn techniques to facilitate optimal experience through tempo, hand placement, selection of positions and degree of movement.

4) Supplemental materials for intake and feedback from a Watsu® session.

5) Comprehend WABA terminology for footwork and body positions.

6) Identify strengths, modifications and limitations in self and client for Watsu® use (body size, proportions and dimensions, intimacy levels, psychological care, pool dimensions).

7) Develop a sequence of moves to integrate into an aquatic therapy program.

2629 – Introduction to Aquatic Osteopathy Concepts

Intermediate / 4-hour Workshop


Faculty: Michael Dufresne, BA, DO



The major therapeutic principles of traditional osteopathy and their adaptation into the aquatic environment will be described. The notions of therapeutic fulcrums in water are addressed along with technical applications of these principles.



1)   Define the six major therapeutic principles.

2)   Examine how warm water complements traditional osteopathy.

3)   Describe impact of warm water at an emotional level.

4)   Explore the pros and cons of the absence of external fulcrums.

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.

2809 – Effective Documentation

Intermediate / 1-hour Lecture


Faculty: Beth Scalone, PT, DPT, OCS


COURSE DESCRIPTION: This course will focus on successfully communicating through documentation. Key components to effective documentation are discussed with the focus on providing justification and medical necessity for aquatic therapy. Helpful hints in respect to clarity, wording and efficiency for documentation are presented. This course is not designed to teach the participant how to document but instead how to refine their documentation improving communication with insurance companies, physicians and other non-aquatic therapy providers.  



  • Explore key components to effective documentation.
  • Provide justification and rationale for use of aquatic therapy to insurance companies and physicians.
  • Recognize and correct common mistakes in documentation that leads to insurance denial.


3600 – Intro to Aquatic Manual Techniques

Advanced / 8-hour Workshop


Recorded in Sanibel, FL / Tuesday, June 27, 2017 – 8:00 am-5:00 pm

Pool: 8:00-10:00 am

Classroom: 10:00 am-12:00 pm

Lunch: 12:00-1:00 pm

Pool: 1:00-3:00 pm

Classroom: 3:00-5:00 pm


Faculty: Michael Dufresne, BA, DO



The aim of this course is to familiarize the attendee with the major therapeutic principles of manual (osteopathic) techniques and their adaptation into the aquatic environment. The notion of therapeutic fulcrum will be addressed along with the technical applications of these principles. 


Definitions of technical terminology and description of the major osteopathic tools including Functional Technique (Indirect Technique), Myofascial Release, Balanced Reciprocal Tension (Tensing), Compression/Decompression, Induction, Undulation/Oscillation, Pumping, Osteoarticular Adjustment (Thrust) will all be covered, applied and experienced. The CranioSacral system will be reviewed and used.


The major therapeutic principles of traditional osteopathy and their adaptation into the aquatic environment will be described. The notions of therapeutic fulcrums in water are addressed along with technical applications of these principles.



  • Identify and describe six major therapeutic tools of Aquatic Osteopathy.
  • Determine how warm water complements traditional Osteopathic Manipulations.
  • Explain the pros and cons of absence of external fulcrums.
  • Experiment with Compression/Decompression.
  • Experience Reciprocal Tension.
  • Apply hands-on undulation and fascia treatment.
3601 – Clinical Wassertanzen

Advanced / 3-hour Workshop


Faculty: Luis Vargas, PhD, PT, ATRIC; Flavia Bayron, PT, MPA, ATRIC


COURSE DESCRIPTION: Clinical Wassertanzen Part I will address clinical musculoskeletal and neuromuscular problems. It is an advanced level course intended for aquatic therapists with intermediate knowledge and experience. It features activities and techniques to promote respiratory control and endurance of submersions, as well as selected facilitation and inhibition submersive phase III maneuvers applied in accordance with the patient’s problem list. The Clinical Wassertanzen Protocol was developed by Dr. Luis G. Vargas as a three-phase aquatic therapy intervention based on Dr. Vargas’ Phases of Breathing Control, Neurophysiological Theories and Musculoskeletal as well as Neuromuscular Effects.


1)  Assess the three theories regulating the neurophysiological respiratory control during the submersive phase.

2)  Develop skill in the performance of transitional maneuvers and short interval submersion.

3)  Develop skill in the performance of Phase III submersive maneuvers 1-5.

4)  Synchronize respiratory control with the application of maneuvers and manual techniques.

5)  Provide pre-submersion signal as indicated and when appropriate.

6)  Develop skill in the performance of phase I activities in preparation for phase III.

7)  Develop skill in the application of phase II myofascial and soft tissue release techniques as well as in osseous mobilization techniques.

8)  Evaluate the patient’s response to applied maneuvers and techniques.

3602 – Intro to Aquatic Spinal Manipulations

Advanced / 4-hour Workshop


Recorded in Sanibel, FL / Wednesday, June 28, 2017 – 8:00 am-12:00 pm

(Classroom: 8:00-10:00 am/ Pool: 10:00 am-12:00 pm)


Faculty: Michael Dufresne, BA, DO



The aim of this workshop is to familiarize the attendee with the major anatomical and neural interactions between the different spinal levels and their related organs. The importance of these organs and their implications in spinal dysfunctions, and in back pain in general, will be discussed. We will cover an anatomical review of the major links between major organs and their corresponding spinal levels. We will then cover SAFE and effective manual techniques to release myofascial and articular dysfunctions of these structures as they can interfere with the proper functioning of the cervical, thoracic and lumbar spine.



  • Assess the cervical, thoracic, lumbar spine for differential diagnosis between, osteo-articular, myofascial or visceral dysfunctions.
  • Determine spinal mobility tests: antero-posterior, side-bending, rotation.
  • Examine the mobility of sacro-iliac joints.
3603 – Intro to Aquatic Visceral Manipulation

Advanced / 3-hour Workshop


Recorded in Sanibel, FL / Thursday, June 29, 2017

Classroom: 90 minutes

Pool: 90 minutes


Faculty: Michael Dufresne, BA, DO



These techniques will apply to a wide range of patients that you meet in your office every day. The theory behind (osteopathic) visceral manipulations as well as its applications will be covered. The neural and mechanical implications of the visceral systems will be described. Common visceral causes of musculoskeletal symptoms will be identified. We will explore manipulations of the following structures: lungs, pericardium, liver, stomach, colon, small intestine, urinary bladder, etc.



  • Identify and use the major therapeutic tools of Aquatic Osteopathy.
  • Assess the importance of viscera on the neuro-physiology and bio-mechanics of the body.
  • Understand how warm water immersion affects the movements of viscera.
  • Using anatomical landmarks, precisely locate the main organs.
  • Develop visceral palpation skill.
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.