Endless Pools hydrotherapy pools for aquatics rehabilitation
Endless Pools
Hydrotherapy Pools

Aquatic Therapy Polyclinic for the Total Hip and Knee Replacement Client

$0.00 - $5,995.00
Your facility
Your choice
16.0 hours
MS802 (Intermediate)
Price (per unit)
Polyclinic Option:
Dates Desired:
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Facility Duties


A 16 hour in-service packed into 2 days. Designed to provide evidence-based support for treating the hip and knee replacement patient in water – and then to practice these techniques in water. Will focus exclusively on the THR and TKR patient. Examines recent research findings which support aquatic therapy for this population. Provides detailed instruction of the following techniques as relates to the hip and knee population: PNF, Aquatic Blanket Drills (ABD), aquatic adaptations of the Berg (for balance), plyometrics, edema control, and more.


  1. Describe 2-3 important factors for therapists to remember about joint replacement surgery patients (lecture)
  2. Describe why aquatic therapy may be the treatment of choice if (a) the patient demonstrates an abnormal gait pattern or the need for an assistive device post-operatively due to pain or weakness, (b) the patient is experiencing post-operative edema limiting ROM  (c) the patient is unable to exercise in a gravity-dominant environment (lecture)
  3. Recite 3-4 aquatic precautions and contraindications specific to the pre- and post- total hip and total knee replacement patient (lecture)
  4. Understand, from the physician's perspective, under what circumstances it would be appropriate to begin aquatic therapy as early as 5-7 days post-operatively (lecture)
  5. List 2-3 distinctions which should be made in working with the anterior vs. posterior approach THR patient in water (lecture)
  6. Document medical necessity for aquatic therapy and locate what payers (including Medicare) have to say about its use for the pre- and post-operative total joint replacement patient (lecture)
  7. Be able to identify and locate supportive research to bolster case (lecture)
  8. Understand what information physicians would look for in a brief Powerpoint presentation on aquatic therapy services for this population. Be able to make a 3-minute "case" for treating this population in water.
  9. Outline a sample baseline protocol (either conservative, moderate or aggressive) for working with a THR or TKR patient in water. Include frequency, duration, intensity, and a progression of interventions (lecture)
  10. Understand if aquatic therapy should -- or should not -- be a part of post-manipulation rehab for a stiff knee syndrome. Make a case for treating these patients in water more often than 2x/week (lecture)
  11. Understand what information physicians would look for in a brief Powerpoint presentation on aquatic therapy services for this population. Be able to make a 3-minute "case" for treating this population in water.
  12. Match 2-3 mock patient scenarios with the specific aquatic techniques that are most appropriate (lab)
  13. Progress a specific aquatic task (such as turning, stepping, squatting) from a lower level of function towards increased independence. Demonstrate skilled use of verbal and tactile cueing to engage patient participation (lab)
  14. Understand the basic principles of the following techniques and apply them to the pre- and post-operative total joint replacement patient:
  • Aquatic adaptations of the Berg
  • Aquatic Blanket Drills (ABDs)
  • Aquatic manual therapy and stretching
  • Functional skills training
  • Progressive resistive exercise
  • Proprioceptive neuromuscular facilitation (PNF)
  • Watsu (lab)
  1. Working with a partner, design and implement a 15-minute aquatic treatment plan (including equipment selection) for 1-2 of the following:
  • Pre-operative treatment for total hip replacement candidate
  • Post-operative treatment for total hip replacement candidate
  • Pre-operative treatment for total knee replacement candidate
  • Post-operative treatment for total knee replacement candidate

Typical Schedule
Though our classes are designed to fit your schedule, lectures will preceed pool labs. If you opt for the DVD lecture, the remaining seven hours of pool lab would be held on a single day at your facility. These labs could be contiguous or broken up into morning, noon and evening sessions to minimize your pool down-time.



Day 1
8:30-12:00 Lecture
12:00-1:00 Lunch
1:00-3:40 Pool lab

3:40-4:00 Energy break
4:00-5:45 Pool lab



Day 2
8:30-12:00 Lecture
12:00-1:00 Lunch
1:00-3:40 Pool lab

3:40-4:00 Energy break
4:00-5:45 Pool lab
5:45-6:00 Wrap-up and questions

MARS Rebate

Short for Marketing, Advertising and Registration Service, this add-on is designed to help you preserve valuable resources and defray training costs when you open up your polyclinics to outside therapists. Going "open" allows you to transfer your registration worries to us as we employ our extensive online web presence to find you new attendees. Why? Because each new registrant we bring in earns you a $300 rebate, up to $2400 max. In other words, if we find 8 outside attendees, you get your class for half-price!

ATU Inside℠ Staff Certification

Sign up for this value-packed add-on and we will provide you with two ATU Inside℠ window decals and a year's supply of customized marketing brochures for display in your lobby for. We also will mail up to 25 brochures to any referring physicians or clinics in your area to that you specify. Let the world know that your therapists have been trained by the best!

CEU Pre-Approval Service

Don't have the time or staff to fill out the myriad forms required by your state licensing board? Let our continuing-education experts handle all the paperwork headaches. We will apply for CEU pre-approvals and pay any fees required by your state PT and OT and SLP agencies for you so your therapists can concentrate on their clients.

Aquatic Therapy Boot Camp DVD Pre-Study Module

We will send you one DVD of our time-tested Aqautic Therapy Boot Camp, good for 4.0 credit hours. Facilities choose this add-on to allow their staff to prepare in advance without the need for pool downtime. Take this module at your leisure during lunches or take-home sessions. Comes with enough manuals for your entire staff.

Pre-Conference Site Survey

Is your pool under-utilized? Patient census down? Insurers slow to pay? We can help with that! Just sign up for our day-long Site Survey Add-On and our consultants will tour your facility, browse your policies and procedures and review your marketing materials. We will then recommend best-practice improvements to your staffing, training, programming and billing functions to help turn your operations around and become profitable again. Visit typically scheduled the day before polyclinic, but can be after. Price is $2000 for one-day visit and consult, $1000 for 1/2 day. Add-On includes 2-hr question-and-answer forum and a bound Site Survey Report.

While ATU strives to present as small a footprint as possible to our valued customers, there is still a number of responsibilities we ask our facilities to fulfill . Here are some of those tasks:

Minimum Equipment List

A minimum equipment list is to be provided by the host facility. This is the pool equipment needed by the instructor to teach the polyclinic. This is to be either in possession or purchased by the start of class. ATU will provide the facility with the required MEL within 4 weeks of class as well as make a good faith effort to keep this list to the minimum needed for your staff to practice and treat patients with after we leave.


As host, you are free to administer your polyclinic as you see fit. While some facilities provide lunches and energy breaks to their staff during in-services, others release their staff to get lunch on their own. Either way you decide, please remember to treat all your attendees as you would your own staff. 

Pool Temperature

Water temperature should be kept as close to 91-93 degrees as possible to maximize attention span and minimize hypothermia during our 3-4 hour-long lab sessions. The air temp should also be kept within 10 degrees of the water temp. While we will hold the polyclinic no matter the temperature, you may want to consider holding the class at another pool in your area if your site cannot accommodate this range.


A point-of-contact is needed who is familiar with your facility and able to help coordinate and pre-plan the polyclinic with  ATU staff and instructor. This person will need to provide equipment lists, campus maps, directions, pool layouts and floor diagrams, as needed. Also, the facilitator should be available all days of the polyclinic to help set up the classroom, ready equipment for the labs, meet and orient the instructror, open up the facility and arrange for catering.

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