Chapter 9 Aquatic Therapy 211
disadvantageous for patients that are anxious,
thrashing, or deconditioned. Swimming or
UWTM sessions will vary based on patient
aptitude, comfort level, condition, fitness, and
even coat length as longer hair increases
resistance and drag.
When applying these fluid dynamic princi-
ples to dogs as they swim, the hydrodynamic
forces create a pressure differential between the
thoracic (high pressure) and pelvic (low pres-
sure) limbs. Resulting eddies create tail suction,
skin friction, and drag on the pelvic limbs. The
pelvic limbs should respond with powerful
kicking or they will sink. When a dog uses
the pelvic limbs correctly the topline is at the
water’s surface. When the thoracic limbs, back,
and tail are all fully under water, it is an
indication that the pelvic limbs might be being
used, but not fully. When the pelvic limbs are
not used, the back is fully submerged and
the thoracic limbs break the surface causing
splashing (Catavitello et al., 2015).
Pressure differentials and turbulence
challenge the postural muscles and balance
mechanisms. This is advantageous for patients
with balance and coordination impairments
or those needing paraspinal and abdominal
muscle strengthening.
Resistance
Resistance is controlled by speed, but surface
area and equipment can also contribute (Abidin
et al., 1988; Bates & Hanson, 1992; Ruoti et al.,
1997). The speed of water flow is controlled
with resistance jets (pool) or tread speed
(UWTM). Surface area is controlled by water
depth and equipment such as life vests, resist-
ance mitts, balloons, and leg weights. Increased
speed maximizes the plane effect when swim-
ming, decreasing surface area in the water, and
therefore decreasing resistance.
Therapeutic swimming
Muscles are used differently when swimming
than when weight bearing on land (Bates &
Hanson, 1992). The authors have observed
greater active range of motion of canine shoul-
ders and elbows in swimming when compared
to land walking. Aquatic therapy increases the
comprehensive challenge to coordination, bal-
ance, and kinesthetic movement mechanisms
(Bates & Hanson, 1992). Stimulating neurore-
ceptors with swimming enhances early land
walking in human patients (Bates & Hanson,
1992; Grosee, 2009). The authors believe that
these kinesthetic movement mechanisms also
apply to dogs. Tetraparetic dogs can stand in
water with minimal assistance or can swim
using multiple limbs before they are able to
stand or walk on land.
Designing an aquatic conditioning
program for the canine athlete
Canine athletes use swimming for effective
rehabilitation treatment after injury or sur-
gery and for cross training (Zink, 1997;
Millis & Levine, 2013). Service dogs, search
and rescue dogs, and K‐9 corps members
benefit from the physical and psychological
advantages of swimming, and conformation
Figure 9.1 Turbulence using resistance jets increases
strength training and cardiopulmonary fitness.