Front Matter

Chapter 9 Aquatic Therapy 225

Massage

The authors recommend completing the
UWTM workout with a 2‐ to 5‐minute vigorous
massage, using jets as well as manual tech-
niques. This is done while the patient is still in
the warm water. Patients and clients express
gratitude for this positive final note to the
workout.

Webliography

Centers for Disease Control. Fecal Incident Response.
Recommendations for Aquatic Staff. Available at:
https://www.cdc.gov/healthywater/swimming/
pdf/fecal‐incident‐response‐guidelines.pdf
(accessed November 10, 2017).

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Case Study 9.2 UWTM for postoperative medial patellar luxation (MPL)

Signalment: 4 y.o. F/S Toy Poodle. Presented 4 weeks

post MPL repair.

Clinical findings: Patient NWB right pelvic limb (RPL)

at all gaits. PROM is normal, patella location is nor-

mal, no pain on palpation.

Goal: Normal weight bearing, ambulation, and transi-

tions using right pelvic limb.

Therapy: Therapeutic exercises and UWTM (q3d).

Before starting treadmill work each visit, joint

compressions performed on right pelvic limb joints,

weight‐shift training done to shift weight onto right

pelvic limb, followed by gait patterning. With water at

shoulder height and a fast‐paced walk speed initiated,

patient toe touches as treadmill starts, slowly, as other

limbs become tired, patient progressively uses right

pelvic limb. Carryover RPL weight bearing lasted

longer after each session. By the eighth session,

patient used RPL on all surfaces except occasionally

when walking in wet grass. Verbal cues used to remind

patient to “Use that leg” worked well. By the 12th

session client reported patient using the limb consist-

ently in all situations. Patient discharged from therapy

with long‐term HEP.