It developed at Bad Ragaz in Switzerland in the s and aims at increasing muscular function at different levels of muscular intensity. Mainly inter-muscular coordination, intra-muscular coordination and muscular endurance are known to be addressed.
Muscles are activated via patterns of movement, performed against operator resistance and utilizing a variety of techniques such as combination of isotonics and dynamic reversals.
BRRM includes some 20 well-described patterns, based on PNF but adapted to make a patient additionally stable when floating in water.
Patterns exist for the upper extremities 1 , the trunk 10 and the lower extremities All patterns have shown to influence trunk muscles, either directly or indirectly. Understanding the muscle activation patterns during the BRRM patterns in impaired persons may help target therapy more effectively.
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BRRM can be used in all clients with neuro-musculoskeletal problems who have problems to activate muscles. BRRM has a long history of adaptations to the state of art in aquatic proprioceptive neuromuscular facilitation.
Originally based on PNF, fluidmechanical elements were added to adapt it for aquatic therapy. The key element is the activation of muscles in myofascial chains as a preparation for functional activities in water and on land.
Recently, principles of muscular fine tuning, PNF techniques, training physiology have been included. Also concepts like functional kinetics and core stabilization are a part of contemporary BRRM, and applied to working with neurologic, orthopedic and rheumatic populations.
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This is an excellent starting point for spinal motor control as advocated by Hodges et al Indeed, active aquatic exercise treatment in water is a potentially to moderately beneficial form of exercise for people with low back pain Waller et al, ; Barker et al, A key element is trunk muscle control.
This control can range from finely tuned proprioceptive contractions when pain is prevalent to high level intensity strength training in cases of muscle weakness without pain Hodges et al, Support of the choice for active exercise therapy can be found in recent guidelines Staal , also stating that success of the intervention method depends on the knowledge and skills of the therapist.
BRRM not only includes finely tuned contractions, but also eccentric contractions, and dynamic reversals with plyometric possibilities. These contraction modes are important to address the plastic properties of connective tissue and help to restore tensegrity.
Spinal control, the rehabilitation of back pain. Churchill Livingstone, Edinburgh. Waller B, Lambeck J.
Therapeutic aquatic exercise in the treatment of low back pain: a systematic review. Clinical Rehabilitation,; Effectiveness of aquatic exercise for musculoskeletal conditions: A meta-analysis.
Bad Ragaz Ring Method
This course is ideal for any professional engaged in Aquatic Therapy. Because this course is designed for skilled physical and occupational therapy, certification is only granted to licensed therapists.
However, we have had several experienced Athletic Trainers and Aquatic Professional trainers that have found this course crucial in their continuing education. Skillful Aquatic Therapy depends on a proper clinical reasoning process that finally ends in an intervention strategy with adequate tactics. Tactics include the specific concepts that are used in the pool.
Continuing a long tradition of e. Case related contents provide students with a comprehensive picture of current research that supports decision making, clinical reasoning, problem-solving and goal-setting in aquatic therapy. Preparatory and additional studying time needs about 4 hours. Two aquatic treatment concepts form the practical implementation of evidence based, and competence guided approach to therapy.
Both classes come with a digital course book.
BAD RAGAZ RING METHOD©- *Certification Course
At the end of this module, each participant will be able to:. Registration is open! Inquire for specifics. Improving general endurance Training functional capacity of the body as a whole.
Johan Lambeck, PT.
Applications Of Bad Ragaz Method In Aquatic Programs Of Rehabilitation
He has taught over seminars on almost all topics in aquatic therapy. In , he joined the Cochrane Collaboration balneotherapy review group.
His consultancy and teaching institute has clients in over 30 countries worldwide. As a knowledge broker, he tries to implement the existing eveidence in the daily practice of aquatic therapy.
There is no refund for cancellations received later; however, a credit will be issued toward a future event.
Bad Ragaz Techniques
Please note that if you register and do not attend, you are still liable for full payment. Substitutions may be made at any time.
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The expense of continuing education, when taken to maintain and improve professional skills, may be tax deductible. Please contact your accountant for complete details. Any opinions, findings, recommendations or conclusions expressed by the speaker do not necessarily reflect views of Inertia Therapy Services. Inertia Therapy Services reserves the right to substitute a qualified instructor due to unforeseen circumstances.