12 | Akwa | December 2022 / January 2023 / February 2023 Resources Alejo T, Shilhanek C, McGrath M, Heick JD. The Effects of an Aquatic Manual Therapy Technique, Aquastretch™ on Recre- ational Athletes with Lower Extremity Injuries. Int J Sports Phys Ther. 2018;13(2):214-228. Cantu, RI, Grodin, AJ (2001) Myofascial Manipulation: Theory and Clinical Application 2nd ed. Pro-ed, Austin, TX. Fuller, RA, Dye, KK, Cook, NR, Awbrey, BJ. (1999) The activity lev- els of the vastus medialis oblique muscle during a single leg squat on the land and at varied water depths. The Journal of Aquatic Physical Therapy. 7(1), 13-18. Harrison, RE., Page, JS. (2011) Multipractitioner Upledger craniosa- cral therapy: descriptive outcome 2007-2008. Journal of Alter- native and Complementary Medicine. 17(1) pp. 13- 17 Harrison , R., & Bulstrode, S. (1987). Percentage weight-bearing during partial immersion in the hydrotherapy pool. Physiother- apy Practice, 3, 60-63. Hauten WP, Chandler SD. (1994) Effects of myofascial release leg pull and sagittal plane isometric contract-relax techniques on passive straight-leg raise angle. J Orthopedic Sports Physical Therapy; 20(3):138-144. Keane LG. (2017) Comparing AquaStretch with supervised land based stretching for Chronic Lower Back Pain. J Bodyw Mov Ther.;21(2):297-305. doi: 10.1016/j.jbmt.2016.07.004. Epub 2016 Aug 11. Kelly, BT., Roskin, LA., Kirkendall, DT., Speer, KP. (2000). Shoulder muscle activation during aquatic and dry land exercises in nonimpaired subjects. Journal of Orthopedic and Sports Phys- ical Therapy. 30(4): 204-210. Masumoto K. Mercer JA. (2008) Biomechanics of Human Locomo- tion in water: an electromyographical analysis. Exercise and Sports Science Reviews. Obtained online www.medscape. com/viewarticle/576869_print on 7/22/09. Minasny, B (2009) Understanding the process of fascial unwinding. International Journal of Therapeutic Massage and Bodywork. 2(3): 10-17 Muller, DG., Schleip R. (2011) Fascial Fitness: Fascia oriented train- ing for bodywork and movement therapies. IASI Yearbook 2011. Pp 68-77. Myers, TW. (2009) Anatomy Trains: Myofascial meridians for manu- al and movement therapists. Churchill Livingstone Elsevier, printed in China. Sherlock LA, Eversaul G. The effects of a single AquaStretch session on lower extremity range of motion. Poster presented at the International Aquatic Fitness Conference (2013 May), Orlando FL and World Aquatic Health Conference (2013 Ot.) Indianap- olis, IN. Schleip R, Zorn, A, Lehmann-Horn F, Klingler, W. (2010) The fascial network: an exploration of its load bearing capacity and its potential role as a pain generator. Vleeming et.al: Proceedings of the 7th Interdisciplinary World Con- gress on Low Back &Pelvic pain, los Angles, November 9-12, 2010, page 215-218 Yahia LH, Pigeon P, DesRosiers EA (1993): Viscoelastic properties of the human lumbodorsal fascia. J Biomed Eng 15: 425-429 Author Beth Scalone, PT, DPT, OCS, is a physical therapist spe- cializing in orthopedic and aquatic therapy, and own- er of North County Water & Sports Therapy Center in San Diego. She has achieved certification and re-cer- tification as a clinical specialist in orthopedic physical therapy. As a Certified STOTT Pilatesª instructor, Beth incorporates the use of Pilates basic principles into her exercise pro- grams. Beth has a passion for education and the ability to motivate and facilitate professional growth and lifelong learning among phys- ical therapy students and graduates. After their initial rehabilitation with AquaStretch, some cli- ents require occasional repeat sessions. These “tune-ups” are for clients who have a genetic predisposition for adhesion formation; for example, individuals with fibromyalgia, those with occupational or recreational stresses (for example, vio- lin player), and those who do “goofy” things they are not supposed to do. Patient education and proper home/inde- pendent exercise can reduce the need for repeat visits. AquaStretch is an exceptional tech- nique, often pro- viding immediate reduction of symp- toms and improved mobility allowing a more rapid rehabil- itation progression. Giving the locus of control to the cli- ent versus creating a dependent rela- tionship where the therapist is expected to “fix” the client is one of the primary reasons this technique is successful. It is a hands-on technique that is not passive, resulting in the release of adhesions, restoration of movement patterns, and the client’s return to function. n
