and individuals who want to work hard and expect a challenge com- ing to our pool. I have also noticed that long-time aqua fitness attendees are working harder than ever before and finally started seeing some long- awaited results. If you want to attract a different clien- tele to your aquatic programs, it may be time to expand your training for- mats to include high intensity, athletic workouts. n Resources Andrews, R. All About High Intensity Interval Training (HIIT). Precision Nutrition http://www.precisionnutrition.com/all- about-hiit Archer, S. 2017. The Latest in Water Fit- ness: Research Update. Idea Fitness Journal, 14(5). Edwards, M. and K. Wight. 2017. Deep End of the Pool Workouts: No–Impact Inter- val Training and Strength Exercises. Kravitz, L. 2014. Metabolic effects of HIIT. IDEA Fitness Journal, 11(5) Layne, M. 2015. Water Exercise, 1st Edition. Human Kinetics: Champaign, IL. Nagle, E., M. Sanders, and B. Franklin. 2015. Aquatic high intensity interval training Leaving for cardiometabolic health: Benefits and training design. American Journal of Lifestyle Medicine. 11(1). Robinson, L., et al. 2004. The effects of land vs. aquatic plyometrics on power, torque, velocity, and muscle soreness in women. Journal of Strength and Condi- tioning Research. 18(1). Sova, R. 2000. Aquatics - The Complete Ref- erence Guide for Aquatic Fitness Profes- sionals. DSL, Ltd.: Port Washington, WI. Thompson, W.R. 2016. Worldwide survey of fitness trends for 2017. ACSM’S Health & Fitness Journal. 20(6). Tsourlou, T., et al. 2006. The effects of a twenty–four–week aquatic training pro- gram on muscular strength performance in healthy elderly women. Journal of Strength and Conditioning Research. 20(4). Author Alexandra Stepanova is a group exercise instructor and person- al trainer with 10+ years US and international teaching experience. She is a lead aquatic instructor at PJCC in Foster City, CA and the creator of “The Plunge”. She is certified with AEA, NASM, WATERinMOTION, Les Mills, TRX, as well as an approved trainer for numerous signature pro- grams by Equinox. Alexandra is also a RYT 200hr, certified through Yoga Inside Out. 34 | Akwa | December 2017 / January 2018 Dementia Behind By Teresa Sawyer & Stacy Lynch, PTA I heard him before I ever met him. In the memory care unit where I work, I walked around the corner to see what was going on and there he was, sitting in a wheel chair with his long, muscular limbs flailing, eyes flashing with anger. The care- givers, standing a safe distance away, were consulting with each other about how to redirect him. His arms and legs were swinging and his body writhing. A tall, muscled man was having a tantrum. A supervisor was called for a PRN; something had to be done. Other res- idents were becoming upset and agi- tated at the commotion. This was Mike, our 67-year-old Mem- ory Care resident with dementia. He had moved in over the weekend. A challenge of long-term care is keeping patients physically active. I later learned that Mike had been a linebacker for a professional football team. His sheer size and speed had stopped many elite athletes in his day. Having a top line athlete in our com- munity was unique; from time to time, he would have well-known former teammates come to visit. Mike also had a lov- ing and devoted family. Their frequent visits always brought smiles to Mike’s face. When he saw his family, Mike’s eyes softened and his body relaxed. His tone of Lack of exercise causes physical, cognitive and functional decline.
