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HALLIWICK WATER ENTRY CONFIDENCE

Build basic water confidence and postural control during supported water entry for children and adolescents with significant motor or sensory challenges.

Focus Core & Trunk
Environment Hydrotherapy pool with shallow area suitable for hands-on Halliwick handling
Pool Depth Fully Anchored
Supervision Required
Equipment None

How to Perform

  1. Have the child sit on the pool edge or top step while the therapist stands in shallow water directly in front of them.
  2. Support the child securely under the arms or around the trunk and gently assist them into the water to a depth where the feet can touch the floor.
  3. Allow time for the child to feel the buoyancy, gently rocking the body forwards and backwards within a very small range.
  4. Encourage relaxed breathing and eye contact, using games or songs as needed to maintain comfort.
  5. Return the child to the pool edge or steps with careful support, repeating the entry and gentle rocking several times as tolerated.

Key Execution Cues

Remember: Move slowly and predictably, keep verbal reassurance simple and calm, and encourage the child to feel how the water helps support their body.

Safety & Precautions

Important: Use caution with strong fear of water, uncontrolled seizures, or significant cardiorespiratory instability; ensure therapist or caregiver is experienced in aquatic handling.

Additional Safety Notes: Maintain continuous physical contact and head support if needed, avoid sudden immersions or splashes, and stop immediately if distress increases.

Exercise Modifications

Make it Harder (Progressions)

Increase time spent in supported standing, gently widen the rocking range, or allow the child to hold lightly to the caregiver instead of firm support.

Make it Easier (Regressions)

Keep water depth very shallow, limit movement to simple holding in place, or remain seated on the steps with only partial body immersion.

Attribution

Source TypePDF
Original AuthorAnna Ogonowska-Slodownik et al.
ContributorAI Extraction Agent
PublicationAquatic Therapy in Children and Adolescents with Disabilities: A Scoping Review
LicenseCC BY 4.0
Credit RequiredYes
Date Created2025-11-30
Last Modified2025-11-30

External Source

TypePDF
Additional InfoConceptually aligned with early Halliwick stages focused on mental adjustment and water confidence in children with CP and ASD.