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HALLIWICK AQUATIC THERAPY / WATER SPECIFIC THERAPY- *Certification Course

*This is the ONLY hosting of this course in the United States!

*Each Module has 21.25 hours of Lecture & Pool

*Each Module has 5 Hours of Class Prep Work

This course has been pre-approved by the
Arizona Physical Therapy Association
for 52.5 hours.

At our beautiful campus at *Royal Oaks CCRC in Sun City, Arizona

(2 x 2.5 day module courses- March 10-14, 2025)

*Click link below to read Andrea Salzman’s (Founder and Owner of the Aquatic Resources Network) editorial on Finding Balance: The Halliwick Concept):

https://www.atuseminars.com/post/finding-balance-the-halliwick-concept

Johan was proud to be the first non-American aquatic physical therapy professional receiving the “Excellence in Aquatic Physical Therapy” award.
This award is for the Academy of Aquatic Physical Therapy to recognize exceptional research, exemplary dedication, and/or extraordinary contributions to the comprehensive field of aquatic therapy.
The intent of this award is to fulfill the Section’s commitment to the diverse aspects of aquatic therapy by recognizing those whose influence has driven this area of physical therapy.

Registration is open!

**$200.00 OFF- Early Registration FULL COURSE

(before December 31, 2024) – $1290.00

**Special Discounts for students and group registrations!

FULL COURSE REGISTRATION FEE – $1490.00

**Module 1 ONLY (Limited spots for 1st class only!) $795.00

**Module 2 ONLY (Requires IATF Completion of Module 1!) $795.00

Click on image below for printable registration form:

 

*If you have already been certified through the IATF in this method, retaking this course is 50% off- contact us for availability!

*Lifetime membership at http://www.halliwicktherapy.org/en/ is required at 50 Euros (will be paid by Inertia if course registrants exceed 15!)

*Breakfast and snacks for each day will be provided (lunch will also be provided if course registrants exceed 10!)

*Course fee includes PDF files of all necessary content and course manual.

*Hard copy of manual will be available at printing cost.

Halliwick banner

THE BASIS OF HALLIWICK AQUATIC THERAPY:

This time the special focus of the course this year will be about influencing neuroinflammation with aquatic therapy. Neuroinflammation

– is the driver of central sensitization in chronic and widespread pain

– can be a part of chronic low grade systemic inflammation; a life-style disease which is suggested to be related with e.g. osteoarthritis

– is a cause for Alzheimer, multiple sclerosis and Parkinson’s disease

– is seen in stroke and traumatic brain injury

– is prevalent in the long haul post Covid

This means that relations exist between neuroinflammation and neuromusculoskeletal problems that we encounter in allied health care. Therapeutic interventions have to address the immuno-metabolic system by influencing endothelium of blood vessels, the hypothalamus, hippocampus, prefrontal cortex and other brain regions. Keywords in aquatic therapy are aerobic training, environmental enrichment and executive functions. These elements can be related to fall prevention in case of impaired balance during posture and gait. Interventions could be described as aquatic motor-cognitive exer-gaming.

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Johan Lambeck was educated by McMillan and started as a certified senior lecturer in the therapeutic “Rhine-System”of the International Halliwick Association. This system has been developed into the present International Halliwick Therapy Network and is focused on the application of Halliwick as a (physio)therapeutic concept.

Halliwick is an aquatic motor relearning programme. Therefore it is founded on principles of motor learning (like the dynamic systems model) and has two parts: the Ten-Point-Programme and Water Specific Therapy. This second part is especially suitable to stabilize the trunk and has resemblances with e.g. Pilates. In water, the trunk must be used in the “game of balancing”. That’s why Halliwick also is a (minimized) Constraint Induced Movement Therapy. Increased trunk stability can be used in exercises for falls prevention like an obstacle course or Clinical Ai Chi.
The balance strategies are addressed in Halliwick through intentional movement behaviour, but also when facilitation reactive movements. Halliwick is a concept in which clients are asked constantly to solve their balance problems in trial and error situations.

Halliwick has gained a recognized position in neurology and pediatrics. Also in rheumatology and orthopedics  Halliwick is vastly applicable.

In the past, Halliwick was taught in various modules emphasising different aspects of Halliwick. This has been changed gradually when in 2002 Halliwick started to be related to the ICF: International Classification of Functioning, Disability and Health. At present (2011), mostly integrated courses are taught, covering 50 to 60 hours.

Halliwick is regarded as the implementation of an evidence based clinical decision making process. External evidence (like randomized clinical trials in aquatic therapy), guidelines, expert opinion and patient values are combined in the goals to be reached. SMART goal setting is done by using  the Rehabiliation Problem Solving (RPS) and Patient-Specific Functional Outcome systems, goals are assessed by water specific tests and regular “dry” tests or questionnaires, using hypothesis-oriented algorithm for clinicians (HOAC-2).

Theoretical Frameworks:

  • ICF
  • Evidence Based Clinical Practice
  • Dynamic Systems Mode / Neural Group Selection Theory
  • Fluidmechanics
  • Physiology and exercise physiology of immersion
  • Relation with concepts like neurorehabilitation, Bobath/NDT, MRP, PNF, Pilates, CIMT

Clinical reasoning:

  • Decision making according to HOAC-2, based on (Halliwick) research
  • Aquatic assessment (Halliwick-ICF, WOTA and other performance tests)
  • Goal setting
  • Problem solving

Practical applications / methodology:

  • the Ten-Point-Programme
  • Water Specific Therapy
  • Applications in various impairments
  • Applications in e.g. fall prevention, core stabilization, sensory modulation, pain behavior modification

Didactics in Halliwick:

  • Behavioral interventions  (e,g, teaching through games) and coaching
  • Group exercise interventions  o programming for progress (the Rehab cycle)

Systematic desensitization as a mental adjustment model:

The course uses various teaching techniques like distant learning as preparation, self-tuition, peer-correction, video-analyses with checklists and ends with an examination. The examination in many cases is also recognized by (local) educational authorities.

New topics in WST, BRRM or CAC:
  • Neuroprotective aquatic therapy for executive functions
  • Environmental Enrichment with learning through games
  • Stochastic motor learning
  • Agility, muscle power and (an)aerobic condition
  • Fascial resilience
  • Muscular fine tuning
  • Eccentric techniques

Strength of the courses:

  • Patient centered approach based on clinical reasoning
  • All treatments based on justification by evidence
  • Skillful hands-on treatments
  • Learning-by-reasoning-and-doing
  • Faculty with great clinical and scientific expertise
  • Embedded in a European aquatic network
  • Recent topics from e.g. ICEBAT conferences are directly implemented
  • Tacit knowledge of participants is encouraged to be used.

MODULE 1: HALLIWICK AQUATIC THERAPY (HAT)-

THE 10 POINT PROGRAM:

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From a broad perspective Halliwick-Aquatic Therapy (HAT) is an intervention tactic that uses the specific constraints of the aquatic environment to therapeutically influence human functioning for those that have impairments in function or structure of organ systems, limitations in their activities and/or restrictions in their participation.
This module covers the state-of-science in HAT – Ten-Point-Program, which is focused on teaching independence in water. Independence is an important prerequisite for participation in therapeutic, vocational or recreational activities in a group: the willingness to loose balance and knowing how to stand up again are core elements.
            “It may be appreciated at this state, that this philosophy could wellMcMillan
            apply to exercise technique. Within the limitation of these few words
            much has to be covered, but even greater areas omitted. The
            following definitions of the ten points can only serve as a guide,
            they do not cover the full significance of the programme.”
                                                              ~ McMillan, James M.B.E. (1978).
                                                              The role of water in rehabilitation.
                                                              Physioterapeuten. Volume 45, March.
 Halliwick 10 point long pic
             –   –   –   –   –   –   –   –   –   –   –   –   –   –  –   –   –   –   –   –   –   –   –

 

1. Mental Adjustment: Learn to react appropriately to water. Of great importance is the adjustment to fluidmechanics (buoyancy, flow conditions, waves) Breath control is also is an integral part of this adjustment.

2. Sagittal Rotation Control: The ability to control movements with left-right components around the sagittal axis of the body, especially in upright situations.

3. Transversal Rotation Control:The ability to control movements around a transverse axis of the body (with flexion – extension components), e.g.lying down, standing up,rocking in a chair position.

4. Longitudinal Rotation Control:The ability to control movements around the longitudinal axis of the body. This is especially important in supine: rolling over from supine to supine. Therapeutically, a counter-rotation is of higher importance.

5. Combined Rotation Control:The ability to control a “corkscrew” movement around a combination of the previous axes, e.g. rotating to supine while falling forward or when losing lateral stability.

6. Upthrust/Mental Inversion:The client should understand that the water supports and that he/she does not sink.

7. Balance is Stillness:Maintaining a position in a stable and relaxed way without compensatory movements of arms or legs, e.g. stand, chair position, oblique, supine. This point focuses on efficient and effective postural control.

8. Turbulent Gliding:The client glides in the wake of the instructor, who walks backward. The client has to control unwanted movements with head and trunk.

9. Simple Progression: A small swimming movement with the hands as a preparation for a real propulsive activity. It is important is to have automatic trunk control.

10. Basic Halliwick Movement: A propulsive swimming movement with the arms (rowing). Individual adaptation because of impairment is allowed.This is the application of a defined larger patterned movement of progression. It is based on hydrodynamical principles and can be used by some 70% of the handicapped population.

Objectives/Competencies- at the end of 

Halliwick-Aquatic Therapy (HAT) – Module 1:

The participant will be able to:
–   Describe the fluid mechanical and physiological principles of HAT
–   Relate HAT to the concept of evidence based practice and to the International Classification of Functioning, disability
     and health (ICF)
–   Recognize equilibrium problems of able-bodied and disabled persons
–   Handle people in water effectively, including entry and exit
–   Apply HAT with systematic desensitization principles
–   Apply the HAT 10-Point-Program for neuro-musculoskeletal patient populations at all levels of ICF
–   Use features of motor control approaches (mainly the Dynamic Systems Model) during aquatic treatments

MODULE 2: WATER SPECIFIC THERAPY (WST):

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Water Specific Therapy (WST) is an aquatic therapy with elements of the Halliwick 10 point-programme swimming method. Halliwick is used as pretraining for exercises that use the fluidmechanical properties of water. The Halliwick ten-point-programme was developed by the engineer James McMillan. The first 6 points were also described by him as pretraining, i.e. teaching a patient to dare to fall and be able to stand up. These points are related to aquatic self-efficay as basis for compliance to exercises and activities that address a patient specific problem, using the constraints of the aquatic environment. Some of these constraints are related to fluidmechanics: use of flow conditions (turbulence), waves of transmission and metacentric effects (using the change of gravity and buoyancy induced torques).

WST started it’s development in 1974 when McMillan was asked to found an aquatic research group in the medical centre of Bad Ragaz and the neighbouring rehabilitation centre “Kliniken Valens”, in Switzerland. He and the physiotherapists in the group developed exercises that were described in the German book “Wasserspezifische Therapie und Training”, written by Urs Gamper, one of the research group members. This book has been modernized to the present website www.waterspecifictherapy.org

The choice for WST (exercises and activities) is the result of a clinical reasoning process in which, partly based on external evidence, aquatic therapy is chosen as the best intervention for a certain patient with (mostly) a certain neuromusculoskeletal problem.

When the intervention requires activity of the patients and the goals are at the level of function of ICF: WST has proven to have clinical relevant results in e.g. neurological patients (Scarano 2012, Tripp 2013, Fumari 2014). A clinical question in WST could be : “can metacentric effects be used to train central stability in an ataxic patient”?

Perhaps more important is that the combined approach of WST and original Halliwick group activities fit perfectly in the contemporary framework of neuroprotective exercises: a combination of sustained physical activities and environmental enrichment.

Water Specific Therapy (WST) is THE aquatic therapy concept worldwide, included in more than 50 published articles. WST covers the entire CIF-spectrum including one of the most important topics in rehabilitation: fall prevention. Other examples are:

  • neuroprotective training: environmental enrichment and aerobic training
  • influencing neuroinflammation
  • gait training
  • handling techniques for unsecure or severely impaired persons
  • using published evidence in clinical reasoning:

The choice for WST (exercises and activities) is the result of a clinical reasoning process in which, partly based on external evidence, aquatic therapy is chosen as the best intervention for a certain patient with (mostly) a certain neuromusculoskeletal problem.

When the intervention requires activity of the patients and the goals are at the level of function of ICF: WST has proven to have clinical relevant results in e.g. neurological patients (Belmonte 2011, Vivas 2011, Scarano 2012, Tripp 2013, Zotz 2013, Fumari 2014). A clinical question in WST could be: “can metacentric effects be used to train central stability in an ataxic patient”?

Noh (2008) used the pre-training to continue with Ai Chi and Kwon (2010) to continue with an obstacle course. Where swimming mostly is a continuation of the 10 point programme in paediatrics, in aquatic therapy for adults a focus on postural control (in fall prevention) is more logic. This is what the quoted literature shows.

WST has been described in-depth in the book Comprehensive Aquatic Therapy by Lambeck & Gamper (2011) and this chapter, together with the publication by Noh in 2008 were the reason to include WST in the Dutch guidelines on stroke treatment.

Comprehensive Aquatic Therapy is also available in Chinese.

In 2018, the German book “Wasserspezifische Therapie” was published by Katharina Kastner. This book covers in-depth descriptions of all elements that belong to WST and Halliwick. See: https://buecher.pflaum.de/buecher/physiotherapie/wasserspezifische-therapie/

module covers the state-of-science in HAT – Water Specific Therapy.

Case related contents provide students with a comprehensive picture of current research that supports hypothesis-oriented algorithmic decision making, clinical reasoning, problem-solving and goal-setting using the HAT methodological approach.
Module 2 will mainly be related to the analysis of patient constraints at the ICF function/structure level and design exercises accordingly, based on appropriate physiological training rules.

Objectives/Competencies- at the end of Module 2- Water Specific Therapy (WST):

The participant will be able to:
–   Apply the HAT Water Specific Therapy for neuro-musculoskeletal patient populations at all levels of ICF
–   Design treatments programs for neuro-musculoskeletal patients
–   Find the relevant evidence at the internet and rate it’s quality
–   Follow the elements of clinical reasoning being taught in the course
–   Apply HAT in fall prevention
–   Apply HAT as a massed / distributed therapy application
–   Use the Halliwick-ICF assessment in water
–   Use proper modes for (balance) assessment on land
–   Connect HAT with land based treatment concepts

ABOUT THE INSTRUCTOR:

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Johan Lambeck, PT

Johan 4 Web
Johan Lambeck, PT owns an Aquatic Therapy Consultancy. From 1979 – 1998 he was in charge of the Department of Aquatic Therapy in the Rehabilitation Centre Sint Maartenskliniek (Nijmegen, NL). He is co-founder of the Halliwick Foundation, the International Halliwick Association (IHA) and the Association International Aquatic Therapy Faculty (IATF).
In 1998 Johan was named Aquatic Therapy Professional of the year in the USA. He has taught over 700 seminars on almost all topics in aquatic therapy. He is the author or co-author of 4 books / CDRom’s, over 30 published articles and chapters in (peer reviewed) journals and books on aquatics and aquatic therapy.
In 2005, he joined the Cochrane Collaboration balneotherapy review group. Johan is affiliated as Free Research Associate to the Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, joining the EU Erasmus Aquaevidence/Aquaoutcome project. His consultancy and teaching institute has clients in over 30 countries worldwide. As a knowledge broker, he tries to implement the existing eveidence in the daily practice of aquatic therapy.
Johan is the primary contact person for the Aquatic Physical Therapy International (APTI), a network affiliated to the World Confederation for Physical Therapy (WCPT). He is Senior Lecturer in the International Halliwick Therapy Network (IHTN), a part of the Halliwick Foundation and the Association IATF (International Aquatic Therapy Faculty), seewww.halliwicktherapy.org.
Johan was proud to be the first non-American aquatic physical therapy professional receiving the ‘Excellence in Aquatic Physical Therapy” award. This award is for the Academy of Aquatic Physical Therapy to recognize exceptional research, exemplary dedication, and/or extraordinary contributions to the comprehensive field of aquatic therapy. The intent of this award is to fulfill the Section’s commitment to the diverse aspects of aquatic therapy by recognizing those whose influence has driven this area of physical therapy.
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TESTIMONIALS:

“Around the world there is an increased need for well-trained physical therapists with the knowledge to make clinical decisions, to provide service for our patients and bridge the gap from theory to practice, Johan Lambeck is one of the leading lecturers renowned for his academic knowledge together with clinical experience.”

Caroline Barmatz MHA.BPT.HT
Director of Hydrotherapy
Senior Lecturer
Sheba Medical Center

CAMPUS LOCATION:

Royal Oaks Lifecare Community

10015 W. Royal Oak Rd.

Sun City, AZ 85351

Click Here to Visit Royal Oaks’ Website

See: Nearby Hotels Section Below

 

NEARBY HOTELS:

ROYAL OAKS LOCATION:

La Quinta by Wyndham Phoenix West Peoria

16321 N 83rd Ave, Peoria, AZ 85382(623) 487-1900

Holiday Inn Express Peoria North – Glendale

16771 N 84th Ave, Peoria, AZ 85382(623) 853-1313

Extended Stay America Hotel Phoenix – Peoria

7345 W Bell Rd, Peoria, AZ 85382(800) 804-3724

WoodSpring Suites Phoenix Peoria

8949 W Sweetwater Ave, Peoria, AZ 85381(623) 486-2345

Hampton Inn Phoenix/Glendale/Peoria

8408 W Paradise Ln, Peoria, AZ 85382(877) 529-5007

CLASS TENTATIVE SCHEDULE:

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(Class and Lab times may vary):

Halliwick Aquatic Therapy 1

(The 10 Point Program)

Monday, March 10, 2025

7:00-7:30 Registration/Breakfast (Provided)
7:30-11:30 Lecture & land lab
12:00-2:00 Pool lab
2:00-3:00 Lunch
3:00-6:00 Lecture & land lab
– – – – – – – – – – – – – – – – – – – – – – – – – – – –

Tuesday, March 11, 2025

7:00 Breakfast (Provided)
7:30-9:30 Lecture & land lab
10:00-12:00 Pool lab
12:00-1:00 Lunch
1:00-5:00 Pool lab
(Patient 1 Demo < >1:00-2:00)
5:30-6:30 Lecture & land lab
– – – – – – – – – – – – – – – – – – – – – – – – – – – –

Wednesday, March 12, 2025

 7:00 Breakfast (Provided)
7:30-9:00 Pool lab (Patient 2 Demo < > 8:00-9:00)
9:30-12:00 Lecture & land lab
12:00-1:00 Lunch
– – – – – – – – – – – – – – – – – – – – – – – – – – – –

Halliwick Aquatic Therapy 2

(Water Specific Therapy)

Wednesday, March 12, 2025

12:00-1:00 Registration/Lunch
1:00-3:30 Lecture & land lab
4:00-6:30 Pool lab
– – – – – – – – – – – – – – – – – – – – – – – – – – – –

Thursday, March 13, 2025

7:00-7:30 Breakfast (Provided)
7:30-9:30 Pool lab
10:00-12:00 Lecture & land lab
12:00-1:00 Lunch
1:00-6:00 Pool lab
(Patient labs < > 3:30-5:00)
– – – – – – – – – – – – – – – – – – – – – – – – – – – –

Friday, March 14, 2025

7:00-7:30 Breakfast (Provided)
7:30-9:30 Lecture & land lab
10:00-12:00 Pool lab
12:00-1:00 Lunch
1:00-6:00 Pool lab
(Patient labs < > 3:30-5:00)
6:00-6:30 Certification celebration & wrap-up

CONFIRMATION & CANCELLATION POLICY:

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Confirmations:Confirmations of registration are sent via email within three days of receipt in our office.
Cancellations:Cancellations received at least 15 working days before the event are refundable less a $150 administrative charge per registrant. There is no refund for cancellations received later; however, a credit will be issued toward a future event. Please note that if you register and do not attend, you are still liable for full payment. Substitutions may be made at any time. The expense of continuing education, when taken to maintain and improve professional skills, may be tax deductible. Please contact your accountant for complete details.
Disclaimer:Any opinions, findings, recommendations or conclusions expressed by the speaker do not necessarily reflect views of Inertia Therapy Services.
Inertia Therapy Services reserves the right to substitute a qualified instructor due to unforeseen circumstances.
For More Information, Contact:  Inertia Therapy Services
                                                   602.733.6393