Aquatic therapy course

Aquatic therapy course (english spoken)

- Bad Ragaz Ring Method: December 18 – 20, 2009 (can be done seperately)
- Halliwick 1 and areobic conditioning: January 22 – 24, 2010
- Halliwick 2 and relaxation: February 13 – 15, 2010
*** everyday 9 hours theoric and practical lessons totally 27 hours

Johan Lambeck
PT, owns The Halliwick-Hydrotherapy Institute. From 1979-1998 he was in charge of the Dept. of Aquatic Therapy at the St. Maartenskliniek, Nijmegen NL. He is a Senior Halliwick Lecturer, co-founder of the International Halliwick Therapy Network and author of 4 books and 20 articles on AT. He is a Cochrane member and co-organizer of the European aquaevidence network ( , Katholieke Universiteit Leuven, Belgium.

Tuition/price (including accommodation at Balçova Thermal Hotel for a double room per person 3 days bed & breakfast) The whole package: € 1250
Only Bad Ragaz Ring Method: € 500

1. Number of participants are limited with 12 people.
2. Preregistrations will be taken till 23 October 2009 by email or phone.
3. Precise registrations will be taken between 26-30 October 2009.
4. Participants shell pay in advance for 1 modul-125 Euro, for whole package 250 Euro (bank accounts will be given in future)
***Mrs Betül Yildirim Yasa, / Phone:+90 232 259 01 02 / 457

Bad Ragaz Ring Method

In theory and practice, principles from muscle strengthening, joint stabilization and increasing range of motion will be related to PNF, functional kinetics and fluidmechanics, and applied to working with neurologic, orthopedic and rheumatic populations. See
As in all the modules, the emphasis will be on learning the practical skills involved.


At the completion of this module participants will be able to

• Use the arm, trunk and leg patterns
• Relate the patterns to principles from PNF, functional kinetics, physiology and fluidmechanics (e.g. hold/contract relax, combination of isotonics)
• Apply the patterns to orthopedic, neurologic and rheumatic patient populations
• Demonstrate an understanding of both indications and precautions for the Bad Ragaz Ring Method
• Halliwick
Halliwick 1 and 2 will focus on the Ten-Point-Progtamme and Water Specific Therapy respectively. Apply this to the normalization of tone, facilitation of righting and equilibrium reactions, stabilization of joints, improvement of coordination and strengthening of muscles. Individual constraints will be combined with the environmental ones when designing task-oriented, functional activities (reaching, using stumble-strategies, practicing in an obstacle course). The basis for this are the ICF and the Dynamic Systems Model.

The 10-Point-Programme and Water Specific Therapy system are problem solving approaches. These systems focus especially on postural control as the basis for functional activities About 50% of the module will be devoted to pool work. Cooperative peer learning, problem oriented case studying, video observations and working in small groups by participants treating a variety of patients will highlight the clinical applications of the 10-Point-Programme and the Water Specific Therapy.
Mr. Lambeck will provide guidance and (video) feedback during these treatment sessions. The main theme will be related to other topics in evidence based aquatic therapy as constraint induced movement therapy, Pilates as well as clinical reasoning, goal setting, and interpreting aquatic therapy (related) research.


At the completion of this module participants will be able to:

-Describe the fluidmechanical principles of Aquatic Therapy
• Relate aquatic therapy to the concept of evidence based medicine and to ICF
• Recognize equilibrium problems of able-bodied and disabled persons
• Handle people in water effectively
• Apply the 10-Point-Program in therapeutic activities for orthopedic, neurologic and rheumatic patient populations
• Use the appropriate rules of motor learning and feedback in water to design a treatment program
• Use the treatment techniques of the Water Specific Therapy system
• Apply these techniques in strengthening, stabilization of the axial joints, facilitation of balance and posture reactions, and their use in functional activities including walking, transfers, etc.
• Design treatments programs for neurologic, orthopedic and rheumatic patients
• Use proper modes for assessment in water and on land Aerobic conditioning Many patients in the neurologic, orthopedic and rheumatic population have a decreased endurance, which is a barrier for developing their functional activities. This part will highlight the ways how to work on the cardio-vascular system in deconditioned patients. Objectives At the completion of this module participants will be able to : • Present the principles of exercise physiology involved • Asses work intensity, using the Borg RPE scale • Set up a shallow water circuit training • Teach simple deep water walking / aquajogging • Use games for endurance purposes • Relaxation Learn how to incorporate relaxation into your treatment programs to help decrease your client’s pain, muscle guarding and stiffness. This module is also focused on using active relaxation to enhance postural control and decrease risk of falling. This module will provide introductional instruction in the use of AT-Relax (deep passive relaxation) and Ai-Chi techniques in a clinical setting. These techniques will include the use of stretches for tonic muscles, (spinal) mobilisations and neurodynamics . The emphasis will be on extensive instruction and practise time in the pool. Objectives At the completion of this module participants will be able to: • Understand the physiological immersion effects on relaxation and their therapeutic applications (influencing connective tissue visco-elasticity) • Apply and adapt AT-Relax (passive deep relaxation) in a clinical setting for patients with orthopedic, neurologic and/or neurologic impairments • Follow the Ai Chi progression and be introduced to the concept of balancing with fluency and security. • Experience the trunk stability movements with guidelines on proper breathing during Ai Chi

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