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Aquatic Rehabilitation for General Populations

Prerequisite for this program: The program is available via onsite training or via home study training.
You will require an advanced understanding of anatomy, biomechanics, and exercise design so experience in the aquatic fitness industry is important. 

In order to gain the most out of this program, we highly recommend these Prerequisites:
1) To have completed 2 levels of WaterART Certification or  the equivalent. You will require an advanced understanding of anatomy, biomechanics, and exercise design so experience in the aquatic fitness industry is important.

OR 2) You are currently working as an Allied Health Care Provider (Registered Kin,Registered PT, RT, MT, OT, AT or  PTA,)
Please note that only Registered Allied Health Care Providers may utilize the term Therapist or Aquatic Therapist when they are certified and qualified.Other professional must work in the post rehabilitation field to stay within their scope of practice.

This Aquatic Rehabilitation for General Populations 
is designed to give a comprehensive overview of exercises suitable for a  general population recovering from injury,  replacement surgery, and other debilitating conditions that prevent them from enjoying full mobility with daily living. In other words, this program is for less fit population as compare to the aquatic rehabilitation Athletic program. 

The learning objective is to understand anatomy, safe joint range, muscle action and overall fitness levels requirements to be able to design and oversee safe exercise programs that will help each person return, as close as possible to, or improve upon, their previous levels of mobility.      

The goal is to provide overall mobility for recovery. Therefore the regions of focus will cover suggested exercises for 
: the Cervical Thoracic and Lumbar areas of the spine, and the shoulder, hip , knee and ankle joint areas. Other exercises include suggestions for clients requiring CVA or post stroke rehab which can also be used for most movement disorders. These exercises will provide  the Instructor with a generic base of safe, adaptable movement that can be combined to create programs suitable to each client's personal needs. Some people with a chronic condition may never advance beyond a certain stage for recovery � however this does not mean they have not improved their quality of life. We train to work  on the ability not disability.

Included in Full Certification Program

  • Comprehensive Manual 451 pages

  • Intro To Rehabilitation DVD091- part 1

  • Intro To Anatomy DVD091- part 2

  • Beginner Mobility Program DVD091- part 3

  • Shallow Water Exercises for those New to Exercise DVD091- part 4

  • Unloaded Water Exercises for those New to Exercise DVD091- part 5

  • Equipment Toolbox DVD091- part 6

  • 28 page Pool Reference cards

  • Study Guide Questions & Practical Case Study reviews

  • Comprehensive Examination Process (theory & case study & practical presentation of case study)

  • Detailed Report card for Examination Process

  • Online profile and Certification E-Diploma with successful completion of examination process

  • Complimentary Upgrade and update of existing WaterART Certifications for 2 years from passing date of newest exam (all levels are upgraded to the same date).

Included in Post Rehabilitation for General Populations Instructor Certification Program

Intro To Post Rehabilitation Instructor - DVD091 part 1 
This Tutorial DVD follows a power point presentation to introduce the Instructor to the many aspects of Post Rehabilitation in the water. Topics include the wide variety of conditions that can be helped in the water. The need to work on mobility and function to bring each client back as close as possible to former strengths. Suggestions for safe water entry and many practical comments to train water skills will help the instructor create an effective program suited to each client's ability. This program will review an essential checklist for programming people with many functional limitations who are new to water exercise.( 31 minutes)

Intro To Anatomy DVD091 part 2
 Having a good general knowledge of all joint and muscle action is an essential part of Post Rehabilitation programming. This Tutorial DVD power point presentation guided by Leigh de Groot Doctor of Physiotherapy gives professionals a complete overview of all joint biomechanics and the muscle action required to move through a safe range of motion. Each major muscle group is examined in detail for location, strengths and weaknesses. A wide variety of exercises are shown to assist instructors to chose safe movement for the condition being rehabbed in the water. (62 minutes)

Beginner Mobility Program DVD091 part 3 
A picture is worth a thousand words. Follow WaterART Master Trainers Jane Pomponio and Julie Twynham as they take you through an inventory of movement essential to safe water programming for post rehabilitation clients who are new to water, new to exercise or both. All exercise movements are shown above and underwater with subtitles and detailed commentary for effective video training reference. (56 minutes)

Shallow Water Exercises for those New to  Exercise DVD091 part 4 
Learn how to work one on one with a post rehabilitation client in shallow water. This DVD illustrates how to get the client into the water safely and comfortably. Once in, the instructor and client work through an inventory of essential movement to train for function on land. This inventory includes safe and effective warm up movement, specific strengthening and stretching exercises and ideas for modifications for the wide variety of conditions that clients bring to the water. (68 minutes)

Unloaded Water Exercises for those New to Exercise DVD091 part 5 
This DVD is designed to help clients who need to begin their post rehabilitation without any loaded stress on their joints. The client is fitted with a belt to keep the feet off the pool floor. All movement can be done suspended in shallow water or taken to the deep end if the client has developed safe water skills. Exercises cover all components of fitness and show how to train the client to handle buoyancy, using instructor assistance at first, then, working solo as they feel comfortable. The client can be trained to use the resistance of water to assist travel as well as increasing resistance to add strengthening progressions as their condition improves. The goal is to provide balanced exercise that will provide benefits for their safe return to land. (59 minutes)

Equipment Toolbox DVD091 part 6 

There is a wide variety of equipment available for pool use, some floats while others sink. Which will be safe and effective to help your client?   Take a look at the differences between buoyant and resistive equipment and the requirements for the many general post rehabilitation conditions that may come to your pool. Each exercise must be specific to the condition and be both safe and effective. See suggestions for targeting the same exercise with different pieces of equipment to help with choice. (68 minutes)

Contributing Authors

Leigh de Groot, B.Sc, DPT is a Doctor of Physiotherapy licensed in both Ontario and the State of New York. She has been involved in aquatics in varying capacities since 2002 years including Lifeguarding, teaching swimming lessons and teaching Red Cross First Aid and CPR courses. She has been a WaterART Instructor since 2007 and is certified in Arthritis, Seniors, Pre/Post Natal and is an Aquatic Rehabilitation Specialist and Therapist. She joined our team of Master Trainers in 2013 and brings to the table a unique combination of her love for aquatics as well as a passion for helping people of all ages live their best lives possible through exercise and rehabilitation.

Julie Twynham, is the Educational Director and Creator of WaterART Fitness International. Her strong academic background from the University of Waterloo, in Human Kinetics, combined with her dance and coaching background provide her with strong technical and creative skills.  Currently, she is Certified through The Aquatic Exercise Association (AEA) and American Council on Exercise(ACE). Her background also includes high performance and cardiac rehabilitation exercise testing and at the Toronto Fitness Institutes as well as designing their Personal Trainer Exercise Inventory (land and water) and Better Back Programs. She developed and facilitated instructor training programs for both land and water. Through, Body Check Inc.,(established in 1985) she has developed over 93 Educational DVDs for both land and water modalities. She developed and ran the Speedo Aquatic Fitness System in Canada (1993-2000) and has worked throughout the world helping consumers and fitness professionals learn about exercise design. As a veteran of the fitness industry for over 30 years, she has presented for many world organizations, community centers and clubs throughout Canada, United States, Europe, Hong Kong, Singapore, U.K. and South Africa including: World IDEA, Aquatic Exercise Association, Ontario Fitness Council, Atlanta Aqua Society, European Aquatic Fitness Conference,Canadian Aerobic Instructors Network, University of Waterloo, York University, Washington State University, Michigan State University, Manitoba Fitness Leaders, Alberta Fitness Leadership Certification Association, Ontario Fitness Council, to name a few.

Drusilla Leitch
, is the Certification Director and a Master Trainer for the WaterART Fitness Training Programs.She is the co-author of the WaterART Seniors, Tai Chi, Mind Body, Rehabilitation, Instructor, Shape Up and Arthritis Manuals for Land and Water. She has developed and co-produced over 93 DVDs through WaterART Fitness. She started in the Fitness industry over 35 years ago, with her "Fitness is Fun" program and approach for maintaining health and wellness. She has delivered creative, dynamic and innovate programs for senior fitness as well as regular group exercise programming for both on land and water.She was the recipient of the Ontario Fitness Council Leadership Award and former presenter of an Active Living Program for the Elder Hostel Association in Ontario. She divides her teaching time between Ontario, Georgia and Florida.

How to Complete the Theory Exam Process:
All Theory Examinations are take-home, open book, applied theory. Exam answers may be emailed in PDF or .doc files OR mailed to be marked. The exam process generally takes about 50-100+ hours to complete. Realize everyone learns and studies differently so this is an estimate. All marking templates are in the back of the manual.


How to Complete the Practical  Exam Process:

The practical assessments must be completed via a mailed submission via DVD/VHS video/USB stick of 1 weeks of any of the case study program cards(as written out in the case study). You may film in the program in your home or at a center. We recommend keeping your filming simple with yourself or one other person (who is willing and not a real client).  To mark your practical assessment, we need to be able to see, hear and understand your exercise goals and objectives so that we may review your technique for safety,efficacy and purpose. Also, the session should follow along what you have written out. For liability and virus reasons, WaterART will not  download video streaming files. You will have to mail the hard copy or ideally USB STICK(we recommend VLC format OR MP4, AVI, .mov ). Sharing exams and materials is strictly prohibited for both liability and copyright reasons.


Exam Deadlines
Any exams submitted after the 6 month period are subject to a $35.00 late fee plus applicable taxes per late exam submission or for each portion of the exam (theory or practical /case study). Please note that we do not accept exam submissions after 1 year from the initial training date.

Table of Contents for Manual ( 451 pages)





Chapter 1  Introduction


Chapter 2  Bones, Joint & Muscle Structure


Chapter 3  Anatomy and Function


Chapter 4  WaterART System of Exercise Design


Chapter 5 - Tools of Aquatic Rehabilitation Design


Chapter 6  Starting Point for General Populations


Chapter 7 - Exercise Inventory


Chapter 8 - Common Cervical Conditions


Chapter 9 - Common Shoulder Conditions


Chapter 10 - Common Thoracic and Lumbar Spine Conditions

Chapter 11 - Common Hip Conditions

Chapter 12 - Common Knee Conditions


Chapter 13 - Common Ankle Conditions


Chapter 14  - Cerebrovascular Accident ( CVA) or Stroke


Chapter 15 - Motor Vehicle Accident Injuries


Chapter 16 - Aquatic Rehabilitation Assessments


Chapter 17 - Intake Forms




Grading Exercise Buoyancy Tables


Study Guide Answers & Appendix


Student Handouts.


Exam ( Theory & Practical)


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Click here to purchase correspondence program (CTW004a for General Populations)





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