Course Description:
This course describes the application of aquatic therapy as a tool in managing acute and chronic sources of edema – mechanical/ acute orthopedic, venous insufficiency, congestive heart failure, and lymphedema. By applying the principles of the physiologic impact of submersion and the use of hydrostatic pressure to each unique pathology, the participant can critically apply these concepts to common conditions seen as primary or co-morbidity conditions in the clinic. Additionally, the course provides an in-depth description of aquatic therapy's role in managing lymphedema by stimulating the lymphatic system and using manual lymph drainage strategies in the water. While this is not a comprehensive lymphedema management course, there is a brief review of lymphatic flow and therapeutic activities that may be both beneficial and appropriate for maintenance strategies.

Course Objectives & Learning Outcomes
Upon successful completion of the course, the learner will be able to:

• Describe the physiologic impact of immersion as it relates to edema;
• Relate the pathophysiological components of traumatic edema and inflammation, venous insufficiency, congestive heart failure, and lymphedema and the responses to immersion;
• Describe aquatic treatment strategies of manual lymph drainage, exercise, and functional activities that apply to these conditions;
• Use current evidence to support critical thinking by the physical therapist and physical therapist assistant regarding edema/ lymphedema management in the aquatic setting; and
• Apply aquatic treatment strategies in case study discussion.