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ABSOLUTE CONTRAINDICATIONS
not appropriate for aquatic therapy
Fever over 100 degrees Uncontrolled epilepsy Cardiac failure Significant open wounds Respiratory disease of vital capacity less than 1500cm2 Severe urinary tract infection Blood infection Tracheostomy Bowel incontinence Menstruation without internal protection Infectious disease
RELATIVE CONTRAINDICATIONS
may not be appropriate/necessary precaution may need to be taken
Skin infections with drainage Small open wounds ( can be covered with tegrederm) Uncontrolled blood pressure (moderate high BP ok, but maybe not v. low BP. Ask doctor) Unstable angina, cardiac arrythmias or additional cardiac considerations (ask doctor if appropriate to go in warm water) Intravenous lines, heplocks, hichman line, external collection devices (ask doctor) Cerebral hemorrhage (should wait at least 3 weeks after bleeding has ceased. Ask doctor) Multiple sclerosis - may not tolerate warm water well (depends on client) Chlorine sensitivity Absence of cough reflex (would need to be monitored closely) Dizziness, vertigo (may need to keep eyes open or client gives feedback) Behaviour problems - inappropriate physical ,verbal or sexual behaviour
RANGE OF MOTION PRECAUTIONS
(ask doctor if Watsu appropriate for client)
Recent total hip replacement Recent spinal surgery Acute ligamentous instability Recent bone fracture Arthritic cervical spine (care with neck position required, especially hyperextension) Pain with spinal or peripheral range of motion - many can be treated with modifications to Watsu technique. Client should give feedback during the Watsu if a particular movement is aggravating their symptoms Back/neck pain - bulged/herniated disc, facet irritation, spondylolethesis, arthritis (avoid extreme positions of spine) Fibromyalgia Frequent ear infections - may be appropriate to use ear plugs or medication
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