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Mirage NEO

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Mirage PRO

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FAQ for Human Underwater Treadmills

What is underwater treadmill therapy and how does it differ from pool hydrotherapy?

Underwater treadmill therapy harnesses the properties of water, such as buoyancy and resistance, merged with a treadmill for orderly gait training and low-impact rehab exercise. It offers a more controlled environment than hydrotherapy in an aquatic therapy pool. Unlike a pool, you can control the speed, water depth, and even incline for appropriate weight-bearing and exercise intensity.

Aquatic physical therapy, also called aquatic treadmill rehabilitation or hydrotherapy exercise, is particularly effective for patients with orthopedic injuries (post-surgical knee, hip, or ankle replacement rehab), neurological conditions (therapy for stroke recovery, MS, Parkinson’s disease, spinal injuries), chronic pain disorders (fibromyalgia, osteoarthritis, rheumatoid arthritis, hydrotherapy for joint pain, and low back pain), and obesity-related mobility limitations. Athletes with sports injuries use it for low-impact cardiovascular conditioning and return-to-sport protocols. Being immersed in water reduces body weight, allowing an individual to begin exercise earlier than typical land-based therapy.

Professionals treating orthopedic, neurologic, pain management, or sports performance patients will see the most benefit in adding an underwater treadmill to expand their treatment options. their practice.

Practices that commonly offer hydrotherapy are physical therapy clinics, sports medicine facilities, chiropractic offices, orthopedic rehabilitation centers, neurologic rehabilitation clinics, wellness and recovery centers, senior wellness centers or assisted living facilities, and athletic performance facilities. Physical therapists, occupational therapists, and athletic trainers are the most common professions to provide underwater treadmill therapy to their patients.

With the stability, weight distribution, and resistance water offers, aquatic treadmill therapy aids inreducing joint stress and improving walking mechanics; increasing muscle strength and cardiovascular conditioning; improving balance, coordination, and range of motion; reducing pain during exercise; and faster recovery after surgery or injury.

An underwater treadmill for rehabilitation clinics brings a competitive advantage for improving patient outcomes and increasing patient satisfaction. The goal should be to provide advanced rehabilitation and recovery services while growing your practice.

Depending on the model chosen, you should plan to utilize about 75 to 150 sq. ft. of space for the equipment that will be installed to operate the system. One of the best ways to understand the space needed is to have the manufacturer create a layout to visualize the pieces in the room and where the services should go. Consideration should be taken for someone entering, exiting, and drying off; equipment access for maintenance; the ability of staff to move around the treadmill exercise chamber for observation; and storage for any ancillary items, such as towels, complementary aquatic therapy equipment, cleaning supplies, etc.

For licensed professionals, aquatic therapy reimbursement is billed under existing therapeutic exercise CPT codes: primarily 97110 (therapeutic exercise), 97530 (therapeutic activities), and 97113 (aquatic therapy).

An underwater treadmill ROI depends on client type, number of sessions, and overhead. Striving for 5 to 8 billable aquatic therapy sessions per day, with an average reimbursement of $60 to $120, allows most facilities to break even within 18 to 24 months. Adding underwater treadmill therapy services frequently can increase overall clinic volume by differentiating your practice and attracting patients who might not otherwise seek assistance.

Additional revenue opportunities can include wellness memberships, recovery programs, and increased patient retention.

One of the main differences between land-based physical therapy and aquatic treadmill therapy is that hydrotherapy significantly reduces joint stress while maintaining the ability to move naturally, making it a great option for rehabilitation, weight management, and athletic performance.

Overall, aquatic and land-based physical therapy work best in tandem for positive outcomes. An example integrated protocol can begin with underwater treadmill sessions in the early stages of therapy for reduced-load movement, then transition patients to land-based functional training as strength and weight-bearing tolerance improve. Combining both aquatic and land therapy methodologies is a way to distinguish a practice from others and attract orthopedic surgical referrals and post-injury patients seeking faster, gentler recovery.

The majority of underwater treadmills on the market include some type of water storage, pool equipment, such as a heater, filter, and pool pumps, and the treadmill exercise chamber. This allows the water to be treated, heated, filtered, and recycled between exercise sessions for efficiency.

When someone is ready for their hydrotherapy session, they will enter the treadmill chamber and close the door behind them. They will then fill the chamber with water to the desired depth, turn on the treadmill belt at a speed that is appropriate for them, and walk, jog, or exercise per the protocol that has already been outlined to achieve their goals. Once the session is complete, the treadmill belt will be stopped, the water will be emptied from the chamber and returned to where the water is being stored, and they can exit the chamber at that time. Once they are out of the chamber, the water is then recirculated, filtered, and heated to the pre-set temperature.

In addition to the space requirements, there are other factors to take into consideration when planning for the installation of an aquatic therapy treadmill. Knowing how much weight the floor needs to hold with water in the unit, where a drain needs to be placed, the electrical needs, and where water access should be located will need to be planned accordingly for receiving the equipment. Take into consideration the access to the building, for example, whether there are stairs, a loading dock, or an elevator, plus the ability to get the equipment through doorways and hallways, which will ensure a smoother installation process for the facility and installer.