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The Benefits of Aquatic Therapy for Patients with Multiple Sclerosis

Andrea Salzman, MS, PT

November 1, 2025

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Question

Why should aquatic therapy be considered a preferred treatment option for individuals with multiple sclerosis (MS)?

Answer

Aquatic therapy offers a unique environment that provides multiple therapeutic benefits for individuals with multiple sclerosis (MS). The buoyancy of water reduces the effects of gravity, decreasing joint compression and allowing patients to move more freely with less pain and fatigue. This is particularly beneficial for individuals with MS, who often experience muscle weakness, poor coordination, and increased spasticity. Additionally, hydrostatic pressure provides gentle, consistent compression on the body, which can improve circulation and reduce swelling, ultimately enhancing overall mobility.

The properties of water also help patients with MS manage heat sensitivity, a common concern for this population. While high temperatures can exacerbate MS symptoms, water at a controlled temperature (typically between 86-92°F) allows for safe exercise without overheating. Furthermore, aquatic therapy provides a safe environment to practice balance and functional mobility without the fear of falling, which is a significant risk for individuals with MS on land. Through targeted exercises, patients can build strength, improve gait, and enhance their overall quality of life while minimizing strain on their body.

This Ask the Expert is an edited excerpt from the course, "Aquatic Therapy for the OT and PT: Emphasis on Multiple Sclerosis," presented by Andrea Salzman, MS, PT.


andrea salzman

Andrea Salzman, MS, PT

Andrea Salzman, MS, PT graduated from the University of Alabama at Birmingham with a Master’s degree in physical therapy. She has over 30 years of experience with hands-on care and training, specializing in geriatrics, patient motivation, aquatics, and musculoskeletal and balance disorders. She has presented 200 seminars, authored 300 PT articles, served as a PT-related journal editor, and was once featured on the cover of Physical Therapy magazine. Salzman has served as adjunct faculty at the College of St. Catherine’s (now St. Catherine’s University) for 8 years and as the Vice President of 10K Health, LLC, a temporary staffing agency, for a decade. She currently serves as the Director for Aquatic Therapy University and ATU Aquatic Therapy Seminars and has assisted hundreds of facilities during the start-up and training phases of their aquatic practice.

 


Related Courses

Aquatic Therapy for the OT and PT: Emphasis on Multiple Sclerosis
Presented by Andrea Salzman, MS, PT
Recorded Webinar

Presenter

Andrea Salzman, MS, PT
Course: #4818Level: Intermediate2 Hours
  'Andrea always gives some great ideas!'   Read Reviews
The therapy pool presents an optimal environment for delivering physical and occupational therapy services to patients with multiple sclerosis. This course delves into evidence-based practices, examining appropriate interventions, and explores creative and enjoyable aquatic therapy techniques to enhance the well-being of individuals within this specific population.

Aquatic Therapy for the OT and PT: Emphasis on Traumatic Brain Injury (TBI)
Presented by Andrea Salzman, MS, PT
Recorded Webinar

Presenter

Andrea Salzman, MS, PT
Course: #4819Level: Intermediate2 Hours
  'The instructor was pleasant and happy which shows she likes what she is doing'   Read Reviews
The therapy pool presents an optimal environment for delivering physical and occupational therapy services to patients dealing with a traumatic brain injury (TBI). This course delves into evidence-based practices, examining appropriate interventions, and explores creative and enjoyable aquatic therapy techniques to enhance the well-being of individuals within this specific population.

20 Novel Aquatic Therapy Ideas for the Musculoskeletal Therapist: Part 1
Presented by Andrea Salzman, MS, PT
Recorded Webinar

Presenter

Andrea Salzman, MS, PT
Course: #4878Level: Intermediate2 Hours
  'examples given'   Read Reviews
Therapists who work in the pool need special training to be safe and effective inthe aquatic realm. But sometimes, even the best providers fall into patternedbehavior when working with musculoskeletal patients in water. This course willallow you to step outside the box and become inspired to think creatively in the pool.

20 Novel Aquatic Therapy Ideas for the Musculoskeletal Therapist: Part 2
Presented by Andrea Salzman, MS, PT
Recorded Webinar

Presenter

Andrea Salzman, MS, PT
Course: #4879Level: Intermediate2 Hours
  'Actually doing part 2 after part 1, help solidified more of info'   Read Reviews
This course is designed for therapists working in aquatic environments, providing specialized training for safety and effectiveness. It addresses the tendency of even skilled providers to develop patterns when working with musculoskeletal patients in water. Join this course to break away from conventional approaches, fostering creative thinking and inspiration in the pool.

20 Novel Aquatic Therapy Ideas for Cardiopulmonary Compromise: Part 1
Presented by Andrea Salzman, MS, PT
Recorded Webinar

Presenter

Andrea Salzman, MS, PT
Course: #4906Level: Advanced2 Hours
  'Very Informative'   Read Reviews
Therapists who work in the pool need special training to be safe and effective in the aquatic realm. But sometimes, even the best providers fall into patterned behavior when working with patients with cardiopulmonary compromise in water. This course allows you to step outside the box and become inspired to think creatively in the pool. This webinar is also part of an ongoing series “20 Novel Aquatic Therapy Ideas” by Andrea Salzman, Director of Aquatic Therapy University.

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