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Neurological 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

Neurological Course Information

1509 – Improving SCI High Quad Function

Beginner / 3-hour Workshop


Faculty: Adam Wilson, CTRS, CBIS


COURSE DESCRIPTION: Discuss the functional levels of a person with High Quadraplegia, including the different levels of injury and the muscles associated with that movement. Describe contraindications for the person with High Quadraplegia and provide in-depth education on Spinal Cord Injury. This course explains the role of the Recreation Therapist with a person with High Quadraplegia.



  • List assessment tools and procedures that help determine functional outcomes.
  • Examine Recreational Therapy roles and priorities with each level of injury.
  • Describe expected functional outcomes of persons with various levels of injury.
1616 – Brain Gym in the Pool

Beginner / 2-hour Workshop


Faculty: Sue Grosse, MS


COURSE DESCRIPTION:  Develop mental fitness through therapeutic aquatics. Expand the concept of “brain gym” activities to water-based implementation. Acquire techniques for enhancing your clients’ cognitive processing, as well as memory. Facilitate therapeutic intervention by engaging your clients’ mental potential. Improve focus, on-task participation, engagement, and self-evaluation of your clients. While these activities are appropriate for all adults, if you are working with seniors, individuals with traumatic brain injury, stroke, dementia, and/or Alzheimer’s Disease this workshop is for you. Now you can make brain gym activities part of any aquatic program.


1)  Develop a working knowledge and impact of the “brain gym” concept.

2)  Identify at least six different client groups, which could benefit from “brain gym” aquatic activities.

3)  Implement at least a dozen different “brain gym” activities as part of a therapeutic aquatics program.

2502 – Neuro Bootcamp

Intermediate / 3-hour Workshop


Faculty: Terri Mitchell, BA, PTA, ATRIC


Neuro patients with high-level function require more than basics in their recovery. From balance training, coordination, endurance and sport, many aquatic therapy techniques are applicable. Go beyond the basics of Ai Chi, PNF and cadence training to create a Neuro Bootcamp designed for neurologically injured athletes, military and more.


1)  Assess the neurological injuries suffered by members of the U.S. military.

2)  Examine current aquatic neuro studies being conducted on members of the U.S. military.

3)  Explore the Ai Chi movements and benefits for high-level neuro patients.

4)  Determine PNF UE and LE techniques and applications for high-level neuro patients.

5)  Discover cadence training for various levels of fitness.

6)  Create a workout to incorporate neurological techniques for high-level neuro patients.

2506 – Dystonia and Parkinson’s Aquatic Techniques

Intermediate / 3-hour Workshop

Faculty: Maryanne Haggerty, MS


Examine current information on Dystonia and Parkinson’s and how aquatic exercise impacts the management of this condition. In order to effectively handle various types of Dystonia and Parkinson’s and the different stages and conditions that a patient is faced with each day, it is imperative that the aquatic therapist is not only equipped with the latest research, but also has the ability to quickly adapt to patients’ therapeutic needs. Learn effective aquatic techniques for Dystonia and Parkinson’s and the differences between the conditions and their treatments. Individual variances will be addressed, along with the ability of the aquatic therapist to adapt to the changing symptoms by using aquatic techniques that are applicable to these neurological conditions.



At the conclusion of the course, participants will be able to:

  1. Determine which aquatic techniques are best suited for the individual’s type of Dystonia and current symptoms.
  2. Adapt to the patient’s changing symptoms and condition by focusing on core, balance, flexibility and self-myofascial release for the individual with Dystonia.
  3. Evaluate aquatic techniques that are best for the individual with Parkinson’s.
  4. Adapt to the individual’s changing symptoms by focusing on specific strengthening, flexibility and balance exercises for the individual’s Parkinson’s conditions.
2511 – Aquatic Modalities for Spasticity and Contractures

Intermediate / 8-hour Workshop


Faculty: Julia Meno, CTRS, CMT, ATRIC



Focus on the unique nature of spasticity and contractures and how these conditions respond to aquatic therapy. Participants will learn specific applications of select aquatic modalities for the treatment of spastic and contracted motor disorders. Recognize the differences and types of spasticity and contractures as well as examine available assessment tools for aquatic application. The aquatic practitioner will gain valuable insight to the use of aquatic therapy to maximize relaxation and increase tissue elasticity and joint mobility, as well as, to facilitate a functional response for stabilization. The aquatic practitioner will be introduced to the need for neuromuscular balance through appropriate use of ROM, velocity, breath, timing and resistance. The gradual release of agonist – antagonist using select treatment strategies from Aquatic PNF Patterns, Bad Ragaz Ring Methodã, Halliwickã, and Myofascial Aquaticsã will be practiced along with hands on applications of tactile cuing and manual aquatic treatments.



1)    Examine spasticity specific aquatic therapy accommodations and aquatic factors to consider for individuals with spasticity and/or contracture.

2)    Focus on treatment goals depending upon level of spasmodic activity.

3)    Practice the inhibitory/facilitatory philosophy of the Halliwick Method through disengagement and changing directions through the transverse plane.

4)    Learn select Myofascial aquatic techniques used for decreasing muscle tone and increasing pain-free ROM.

5)    Demonstrate a PNF upper and lower extremity pattern utilizing rhythmic initiation and rhythmic stabilization.

6)    Learn select Bad Ragaz treatment patterns and their specific applications to reduce muscle tone, elongate shortened musculature, and inhibit muscle over-activity during active movements.

7)    Demonstrate isokinetic closed chain exercises to facilitate co-ordination and timing of movement patterns.

2512 – Parkinson’s Disease: Improving Functional Mobility

Intermediate / 4-hour Workshop


Faculty: Mary LaBarre, PT, DPT, ATRIC



Provide evidence-based research for evaluation and treatment of individuals with Parkinsonism and Parkinson’s Disease. The course will discuss the use of aquatic exercise in rehabilitation and community exercise programs.


1)  Identify prevalence of Parkinson’s Disease and discuss possible risk factors for developing disease.

2)  Examine diagnosis criteria and medical treatment options that might influence rehabilitation.

3)  Explore methods of examination including functional assessment for individuals with Parkinson’s Disease.

4)  Assess exercise and its effect on Parkinson symptoms.

5)  Experience aquatic exercise for individuals with Parkinson’s Disease.

2613 – Bad Ragaz for Neuromuscular Re-education

Intermediate / 3-hour Workshop


Faculty: Terri Mitchell, BA, PTA, ATRIC


This Bad Ragaz workshop includes hands-on techniques of passive, active, resistive and isometric that can be used to treat orthopedic and neurological patients to increase ROM, core/UE/LE stability, and trunk muscle re-education.


1)  Explore the history of the Bad Ragaz technique.

2)  Identify short lever passive, active and isometric Bad Ragaz techniques.

3)  Examine long lever passive, active, and isometric Bad Ragaz techniques.

4)  Discover PNF/Bad Ragaz similarities.

5)  Gain hands-on practice and instructor feedback on Bad Ragaz skills in the pool practicum.

3502 – Functional Neuro: Treatment of Neurological Impairments

Advanced / 8-hour Workshop


Faculty: Beth Scalone, PT, DPT, OCS



Patients with neurological dysfunction present with a myriad of symptoms including abnormal tone, decreased strength, poor endurance and balance deficits creating movement dysfunction. The water provides a unique environment to facilitate and challenge a patient with these neurological impairments. This course will discuss a variety of diagnoses including TBI, CVA, SCI, Parkinson’s and MS. However, since we treat the patient and not the diagnoses, the focus of lecture and lab will be to link treatment goals and interventions to help our clients achieve the highest level of function possible. Current best evidence and practical application are integrated to provide the participant with justification and rationale in choosing aquatic therapy interventions for their clients with neurological dysfunction.


1)  Examine precautions and contraindications specific to the most common adult neurological diagnoses.

2)  Document medical necessity for aquatic therapy for neurologic patients.

3)  Maximize the benefits of the unique properties of water to facilitate movement and inhibit unwanted tone.

4)  Progress and effectively cue a client through aquatic exercise addressing postural alignment, ROM, balance, gait, muscle balance and functional tasks for trunk, lower and upper extremities including equipment selection.

5)  Design and progress an aquatic therapy program for patients with proprioceptive and balance deficits.