Two seniors doing aqua therapy

Aqua Therapy for Older Adults

Falls are the main reason for injuries in older adults and rank as the second largest reason for unintentional fatal injuries. Aquatic exercise and therapy can be key to combating these risks. It allows our loved ones to work on balance and improve bone density through weight resistance in an environment that reduces the risk of falling.

Whether you enroll your loved one in an aqua-aerobics class, participate in a medically prescribed aqua-therapy session, or just work with them to create water fun, the benefits of working out in the water are endless.

Two seniors doing aqua therapyWater creates resistance to help build muscle mass which, in turn, increases bone density and reduces the incidence of broken bones. Care should be taken when entering or leaving the pool or spa.

It helps if you choose a warm water environment. While it doesn’t need to be bathwater warm, it reduces shock and stress to the system to choose a pool or spa that heats its water to make it easier to enter and less intensive to warm up the muscles. (Source: Alternatives for Seniors and Fit to Function Kinesiology)


Water Therapy Can Help with a Multitude of Things:

  • Diabetes   |  Arthritis  |  Parkinson’s   |  Osteoporosis Neurological or balance deficits  |  Limited range of motion
  • Circulation  |  Poor self-esteem  |  Joint replacement   |  Orthopedic injuries  |  Pain  |  Obesity  |  Alzheimer’s  |  Respiratory challenges

Some Exercises to Get Started

Water Walking – You do not need to set your loved one up with a complex routine of exercises. Many of the falls happen while they are simply walking from one place to another. Water walking is a great way to work and strengthen those specific muscles. Have them wade in to about waist deep then simply walk around as they would out of the water; swing their arms, keep their back straight, and try to walk normally (heel to toe). For added intensity, have them walk backwards or increase the speed. Jogging in place works well, too.

Helping senior with swimmingSidestepping – Closely related to water walking, sidestepping will help create lateral stability for your older adult. Have them hold the wall and take sideways steps with their toes facing the wall. They might favor going in the direction of their dominant or stronger leg and should be encouraged to go in the opposite direction too.

Arm Circles – Have your senior stand near a wall submerged to their shoulders, with one foot in front of the other for balance. They can then raise their arms to the side and make circle motions under the water. Aim for fifteen on each side then reverse the direction of the circle.

Wall Chair – With your loved one standing in a corner of the pool in chest-deep water, have them face the center of the pool and hold onto the wall with their hands or bent elbows. From here have them try to lift their legs extended straight or bend knees toward their chest. This is a good exercise for core muscles. A modified version can be done with them facing the wall and bringing their bent knees up if they are uncomfortable with the grip behind their back.

Leg Swings – Standing in waist-deep water, have your loved one hold the edge of the pool with one hand and swing their outside leg forward paralleling the wall for five or more seconds and then backwards for the same amount of time. The goal would be 10 to 15 reps per leg. (Source: American Senior Communities and American Physical Therapy Association)




Starting a Fitness Routine for Seniors

It’s never too late to start a fitness commitment. Exercise reduces risk of cardiovascular disease, and more

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