Aquatic Therapy for Neuromuscular Diseases (NMD)

October 31, 2024

Aquatic therapy provides a safe, supportive environment for gentle, low-impact exercise, helping to ease joint pressure, improve strength, and maintain mobility—making it an ideal choice for those managing these progressive conditions.

What are Neuromuscular Diseases?

  • Wide group of progressive, acquired, or hereditary diseases that affect your peripheral or central nervous system, anterior horn cells, nerves, neuromuscular junction and/or muscles
  • Can include Muscular Dystrophies, Spinal Muscular Atrophy (SMA), Amyotrophic Lateral Sclerosis (ALS), Post-Polio Syndrome, Charcot-Marie-Tooth Disease, Miller Fisher Syndrome, and peripheral neuropathy
  • The onset of symptoms may occur in childhood or adulthood with varying life expectancies based on the type of disorder and it’s severity
  • With the progression of the disease, the most common changes that are affected are functional mobility, balance, and cardiovascular and/or respiratory function

What are the Benefits of Aquatic Therapy for Neuromuscular Conditions?

  • The buoyancy of the water provides support and unloads the joints
    • This allows you to perform exercise that could cause significant pain or discomfort when out of the water/on land
  • The hydrodynamic resistance allows multi-directional strengthening to improve cardiovascular health
  • Due to its low-impact nature, the aquatic environment creates a movement opportunity for improving balance and gait with a low risk of injury and falling, which is ideal for people with weaker muscles
  • One of the most common physical activities for children with neuromuscular disorders and can be used in all phases of the disease progression
  • Immersion in water elicits physiological responses from the cardiac and respiratory system, including an increase in cardiac output and an increase in the work of breathing, resulting in changes in respiratory dynamics
    • Exercises focusing on proper breathing mechanics
  • Aerobic, stretching/range of motion, resistance and stability training

About the Author: Lauren Apa

Lauren joined the Smith Physical Therapy+ team in 2024. She earned her Bachelor’s in Exercise Science from Grand Valley State University in 2021 and graduated with her Doctorate in Physical Therapy from Midwestern University in 2024. While Lauren enjoys working with patients of all ages and activity levels, she is particularly passionate about treating athletes at all levels, focusing on reducing injury risks and promoting safe return to sport. Having grown up in the competitive dance world, she has a special affinity for treating performing arts athletes, including dancers, cheerleaders, and gymnasts. Lauren emphasizes manual therapy and hands-on techniques, complemented by in-depth analysis of biomechanics and movement patterns. She is also IASTM certified through Hawkgrips. With over 20 years of experience in various dance styles, Lauren remains active in the dance community as a competitive dance coach at a local studio, helping young athletes enhance their performance while prioritizing injury prevention and overall wellness. In her free time, she enjoys spending time with family and friends, going for walks, and exploring new coffee shops. Lauren stays active through weightlifting and running, and checked off the Chicago Marathon from her bucket list in 2023! With a strong educational background and diverse range of experiences, Lauren is dedicated to providing exceptional care and support to her patients, empowering them on their journey to recovery and optimal health.

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