What are the benefits of Aquatic Therapy?

The physical properties of water make it a highly desirable medium in which to exercise to treat back pain and other musculoskeletal injuries. Some of the most important properties of water that make exercise easier are:

• Buoyancy: water counteracts gravity and helps to support the weight of the patient in a controlled fashion as the patient is immersed.  This can aid the development of improved balance and strength.  The buoyancy of water also permits a greater range of positions due to the virtual elimination of gravitational forces, particularly for exercises that require lifting the legs, the heaviest limb of the body for most people.
• Viscosity: water provides resistance by means of gentle friction, allowing strengthening and conditioning of an injury, while reducing the risk of further injury due to loss of balance.
• Hydrostatic pressure: there are powerful effects produced by hydrostatic pressure that improve heart and lung function, making aquatic exercise a very useful way to maintain and strengthen heart and lung function.  This pressure effect also aids in improving muscle blood flow.

Together, these properties allow development of an exercise regimen that minimizes the weight placed on the spine (axial load) and risk of injury due to unintended movements during exercises.  For example, individuals with osteoarthritis in the neck and shoulder could practice arm circles or shoulder rolls in water to improve their range of motion and strength.  Because the water provides both mild resistance and support through buoyancy, the person would most likely not experience the pain caused when a tired arm drops suddenly, as it can do at the end of land-based exercises.

Moreover, the perception of pain may be diminished as a result of many factors associated with aquatic therapy, such as the relaxing sounds as well as the warmth of the water, making it a different and often very pleasurable experience.

Often it is easier to start an exercise program in the water before trying it on land.  For example, range of motion stretches for hip flexors and abductors are generally much easier to try out first in water because the leg is supported somewhat as the individual learns the right positioning.  Buoyancy when doing water therapy exercises can be increased with the use of floats