Water Specific Therapy (WST) – previously known as Halliwick-therapy - is THE aquatic therapy concept worldwide, included in more than 60 published research articles, see at https://www.halliwick.net/en/literature/articles . WST covers virtually all neuromusculoskeletal ICF-goals including one of the most important topics in rehabilitation: postural control. WST ranges from muscle strengthening, increasing range of motion, decreasing pain to core stability, agility and fall prevention. WST can be used to evoke subtle muscle contractions that are unable to be generated on land. WST is applied from pediatrics to geriatrics and has been taught in over 60 countries. It is an aquatic therapy with elements of the Halliwick 10 point-programme swimming method that are used as pretraining for exercises that use the fluidmechanical properties of water: flow conditions (turbulence), waves of transmission and metacentric effects (using the change of gravity and buoyancy induced torques). A clinical question in WST could be: “can metacentric effects be used to train central stability in an ataxic patient”? WST was developed by a team of physiotherapists in Switzerland in the early seventies, supporting James McMillan in his efforts to develop Halliwick towards a “Halliwick-Therapy”. The development still continues, following contemporary issues in health care. Examples are executive functions, muscle power training, enhancing facial resilience or modifying neuroinflammation. WST = motor learning in water to be used on land, whereas Halliwick = motor learning in water to be used in water. This is the pretraining of WS in terms of "dare to fall and be able to stand up".

Clinical Ai Chi Original Ai Chi has been developed by Jun Konno, the late owner of an aquatic fitness institute in Yokohama, Japan. Around 2000 Ai Chi quickly became popular because of it’s simplicity and effects. Ai Chi is mindful and active, including 20 continuous slow and broad movements (kata’s), accomplished without force. Ai Chi focuses on breathing, upper limb movement, trunk (mobile) stability, lower limb movement, balance and coordinated total body movements. The basis of support is gradually narrowing and challenge the centre of gravity progressively. Different protocols exist, consisting of a choice of the 20 kata’s and/or a different amount of repetitions, see e.g. at www.clinicalaichi.org Clinical Ai Chi is adapted to the possibilities of a person with a musculoskeletal and/or neurological problem. The elements of Clinical Ai Chi should fit in a custom-made treatment programme and be the result of a clinical reasoning process. Ai Chi is a postural activity in which transfers of the centre of gravity, reaching with arms, supporting activity of legs and continuous concentric –eccentric contractions are characteristic. Most of these characteristics are related to static – and dynamic balance control and might influence motor control to prevent falling Clinical questions could be: “can Ai Chi be adapted to facilitate hip-strategies in patients with chronic low back pain”, or “can Ai Chi be adapted to Parkinson patients in order to train medio-lateral stability”.

4ÈME FORMATION EN BELGIQUE, avec: Le programme en 10 points WOTA, outil d’évaluation Démonstrations Création de jeux