Aquatic Rehabilitation

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Performing exercise in the water can be beneficial for a variety of individuals with neuromuscular or musculoskeletal disorders. Aquatic therapy differs from land therapy due to the specific properties of water. These unique properties decrease joint compression forces, may reduce inflammation and provide feedback for improving posture. The resistance of the water during exercise provides a safe environment for addressing balance, strength, and postural deficits. For those patients who may have difficulty exercising on land, aquatic therapy provides a comfortable and therapeutic medium in which to gain strength and endurance.

Who is aquatic rehabilitation for?

Many musculoskeletal and neurological conditions may benefit from aquatic therapy including, but not limited to:

Aquatic Therapy
  • Orthopaedic disorders
  • Post surgical cases
  • Sports rehabilitation
  • Arthritis
  • Impaired balance disorders
  • Back pain
  • Chronic pain

Aquatic therapy may not be suggested for such diagnoses as:

  • incontinence
  • seizure disorders
  • open wounds or non-healing ulcers
  • chlorine allergy
  • extreme fear of water

What does aquatic rehabilitation involve?

At Cleveland Clinic Rehabilitation and Sports Therapy sites, the initial physical therapy evaluation takes place in the physical therapy gym where treatment goals and plan of care is initiated. If pool therapy is indicated, the therapist will establish follow up physical therapy sessions in the water. It is not necessary for patients to know how to swim before initiating an aquatic therapy program. A physical therapist or physical therapist assistant directs each treatment session. Access to the pool may be by either stairs, ladder or ramp depending on location. Cleveland Clinic provides access to lockers at most aquatic sites.

We suggest that patients consider bringing:

  • swimsuit (required)
  • a lock for their personal items
  • a cover-up or towel
  • water shoes to protect their feet in the pool area
  • plastic bottle with drinking water to maintain hydration

For those patients that require assistance with dressing, showering or walking the hallway from the locker room to the pool, we ask that a caregiver be present during each treatment session.

How long will aquatic rehabilitation take?

Aquatic therapy treatment sessions are approximately 30-45 minutes long and specifically tailored to meet each patient’s individual needs. The aquatic treatment plan is coordinated with a land-based physical therapy plan and varies based on patient diagnosis. Once the patient's aquatic goals are achieved the program progresses to land-based focus as needed.

What type of recovery/outcome can I expect from aquatic rehabilitation?

Most patients find that aquatic therapy provides a safe way to regain their strength, balance, range of motion and flexibility while at the same time manage pain and swelling. Treatment sessions vary from two weeks to four weeks on average.

What do you want to do next?

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