Halliwick is integrated in terms of "daring to fall and being able to stand up". The Halliwick concept was established by James McMillan (Mac). Johan Lambeck Invited Mac to the Netherlands in 1982 and - Was in 30 courses together with Mac in Netherlands and Switzerland - Was scientific chair of the congress “Halliwick in 1986” - Was asked to lecture Mac’s courses after Mac passed away in 1994 - Co-founded the International Halliwick Association - Co-founder of the Halliwick Foundation - Digitalized and takes care of Mac’s professional archives - Wrote over 40 books, chapters and articles about Halliwick - Chairs of the Dutch Halliwick Association - Is Senior lecturer in the Swiss Halliwick Association

Water Specific Therapy 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 Halliwick Halliwick originally is a swimming concept, developed by the late engineer in fluidmechanics James McMillan MBE. In 1949, he and his wife started to include disabled girls from the Halliwick-school in London in sessions of the swimming club in which he acted as a volunteer swimming coach. It was obvious that the biggest problems the girls encountered was a lack of postural control. He knew how to use fluidmechanics in order to ease the problem and progressively train the girls. The approach soon became more structured and developed into the famous Ten-Point-Programme. Main focus is teaching rotational control: the practical approach to postural problems in 3 dimensions around the 3 axes (sagittal, transversal and longitudinal) and a combination (diagonal). A clinical question could be: “how can we adapt the transversal rotation control for a child with a hemiplegia”? The classroom teacher observed changes within a few weeks: better trunk-, head- and mouth control as well as an increased self-esteem. The swimming method seemed to have therapeutic potential, especially because all rotation controls are related to trunk (core) activity, also a key focus for postural control on land. Halliwick is practiced all over the world at the moment. Especially children with neuromotor deficits can benefit enormously, given the many publications in the area. The Ten-Points are a basis for other activities like adapted swimming, a specific swimming competition, game circuits or scuba diving. Halliwick games are a perfect basis for aquatic gamification (play + exercise at the same time).

As example, learning outcomes for persistent non-specific LBP are Distinguish between intensive physical training and boring exercises to wind down the pain neurotag Understand the physiological immersion effects on fascia and their therapeutic applications (influencing fascial visco-elasticity, resilience) Design subtle proactive trunk exercises at e.g Numeric Rating Scals 3-4 Design reactive postural control activities (capacity priming performance) Trick the brain using metaphors in motion Use existing EMG research (Bressel and Psycharakis) in the abov mentioned learning uoutcomes

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