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Decoding Hydrotherapy: Is 1:1 or 1:2 Group Sessions the Right Fit for Your Child's Aquatic Journey?

In the realm of pediatric physiotherapy, my early career experiences illuminated the vast spectrum of needs among children undergoing hydrotherapy. It became evident that existing services often failed to fully accommodate this diversity. While children with disabilities or specific conditions typically had access to one-on-one hydrotherapy sessions, this model didn't always align with their requirements.




Children necessitating individualised hydrotherapy often present with behavioural or physical challenges requiring one-on-one support. For them to derive maximum benefit from aquatic therapy, therapists must dedicate their undivided attention to facilitating movement or providing tailored behavioural support. Consider a scenario where a child exhibits fear of water, lacks verbal communication, and struggles to follow instructions. In such cases, the therapist's hands-on guidance becomes paramount, tailored to encourage movements like kicking. Moreover, understanding the child's unique communication style demands the therapist's full focus to effectively engage with them.


Similarly, a child confined to a wheelchair may not exhibit behavioural concerns in the water, yet their therapy demands personalised attention throughout the session. Here, the therapist utilises water to stimulate movements unattainable on land, necessitating continuous one-on-one interaction. Splitting attention between children with differing therapeutic goals compromises the quality of care, particularly when many of these children rely on hands-on assistance and cannot perform exercises independently.


When contemplating hydrotherapy options for your child, collaboration with a physiotherapist is paramount. Understanding your child's specific therapeutic needs in the aquatic environment is crucial. If your therapist emphasises the necessity for hands-on facilitation and individualised attention, a one-on-one hydrotherapy service is likely the most suitable choice.


However, many children also benefit significantly from a one-to-two service model. Unfortunately, due to limited access to indoor pools, those requiring one-on-one therapy often receive precedence, leaving few options for others. Through my experience, I've observed that many of these children can thrive in a paired setting while still requiring more focused attention than a larger group can provide. Moreover, they often retain therapeutic goals, making traditional swim classes unsuitable. Hence, a group-based approach with just two children per class strikes a balance, offering therapeutic input alongside essential socialisation skills vital for their developmental journey.


At Flipper Academy, our mission revolves around empowering parents with informed choices regarding hydrotherapy options for their children. We're committed to tailoring our services to meet individual needs, which is why we exclusively offer one-to-two group-based classes. By doing so, we aim to bridge the gap for children often relegated to waiting lists for one-on-one hydrotherapy. If you're unsure whether our services are suitable for your child, we encourage you to reach out to us directly or consult with your child's physiotherapist without delay.

Your child's journey toward optimal health and development starts here.

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