Aquatic Therapy Service FAQ’s:

• How large is the pool?
Our aquatics program is provided in an endless pool, which is 13’ x 7’ and 4’ deep. Because of the small size of the pool, the aquatic therapy sessions are in a private setting with few distractions.

• What is the temperature of the water?
The ideal therapeutic temperature of water is between 88 and 92 degrees Fahrenheit. We maintain our pool at 90 to 91 degrees F with an air temperature of 79 to 81 degrees F to ensure a comfortable experience in and out of the water.

• Do I have to know how to swim?
Aquatic therapy is actually quite different from swimming, or even water aerobics. In order to achieve therapeutic benefits, each patient is asked to perform a specific set of movements in standing, sitting, or occasionally floating on the back (with floatation devices). Upon request, a client may attempt swimming against the resistance current.

• What if I have a fear of water?
We have successfully administered aquatic therapy to clients with a fear of water. The small size of our pool is less intimidating and we will always work within the client’s comfort level. A therapist is present at all times and floatation devices can be used to increase confidence. If the client’s fear remains after attempting a session in the pool, traditional land-based therapy will be given.

• Do I need a referral from a doctor to participate?
The state of Missouri requires a prescription (referral) from a doctor in order to receive physical or occupational therapy, including aquatic therapy. The doctor’s script can say wither “aquatic therapy” or “ PT/OT eval and treat”. If the doctor’s script did not say one of these phrases and the need for aquatics has been established by the therapist, we will work with the client’s doctor to insure the proper paperwork is in place.

• What are the criteria for acceptance into the aquatic therapy program?
Once a doctor’s script is received and the appropriateness for aquatics has been established at the initial evaluation, we require a short survey which further details the client’s medical history and stability to be completed. We also require signatures on necessary forms. These forms can be downloaded from the Aquatic Therapy web page.
Other criteria includes:
• Medically stable
• Continent of bowel and bladder
• Able to tolerate and function in a water temperature range of 90 to 92 degrees F.
• Able to dress/undress independently

• Will my insurance cover Aquatic Therapy?
Most major insurances will cover aquatic therapy given in conjunction with land therapy. This facility is familiar with various insurance providers and will work with them and the client to insure as little out of pocket cost as possible to the client.

• When will I get in the pool?
Even if the doctor writes a script specifically for aquatic therapy, the first visit is reserved for the “initial evaluation”, which allows the therapist to learn more about the client and devise a plan of care. This initial evaluation takes approximately one hour and is always performed on land. Subsequent visits will include both land and aquatic therapy with emphasis on the latter, if that is most appropriate for the client’s needs.

• How long do I take Aquatic Therapy?
The length of any person’s therapy is dependent mostly upon their expectations, rate of recovery, goals, motivation level, and compliance. But it is also based on the therapist’s professional opinion based on experience with that specific problem, the doctor’s recommendations, and insurance guidelines. In general, a client can expect to be in therapy for approximately 4 weeks.

• What if I don’t like Aquatic Therapy?
If a client is not comfortable in the water or does not like therapy in the water, traditional land-based therapy is then provided.

• What do I wear in the pool?
Appropriate attire includes: swimwear; light colored t-shirts; shorts; aqua socks. Rarely is a swim cap or goggles necessary.

• Is there a secured locker room?
We offer a private changing area, restroom, and shower. Since only one client at a time is permitted in the pool and adjacent areas, there is no need to share dressing space and, therefore, no need to lock personal items.

• Can I shower?
We do offer a shower, which can be used before and/or after using the pool. We ask to please be considerate of others waiting to use the pool/dressing area.

• Is the pool wheelchair accessible?
The pool room, dressing area, and shower are all accessible. The shower features grab bars and a removable shower chair. The pool can be accessed by 6 small steps (6”) with a railing. However, there is not a pool lift.

• I’ve finished my therapy. Now what?
Upon completion of the Aquatic Therapy Program, the therapist will provide education on the continuation of care through a home exercise program (HEP). This HEP will be performed on either land or in water, depending upon the accessibility to a pool. If the client does not have access to a pool of their own, information on community facilities can be provided.

Copyright © AW Health Care, 2007.