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Hi Sandy, Land eval depends on the condition the patient has, but is not really affected by the fact that you will be using hydro, as far as literature I've read says. At the our national hospital hydro section we use a screening form for hydro patients that looks at: Contra-indications : Unstable cardiac Condition Systemic Illness/ Pyrexia Faecal Incontinence Recent DVT Recent Pulm Embolus Skin / Wound Infection Advance Renal Failure Precautions: Cardiac Conds e.g. angine, LHF RRF pacemaker Epilepsy Renal Disease Diabetes (stable / not) Hyper/ hypotension Haemophelic Contagious Viral Condition Contagious Fungal Condition Hearing Deficiency ? Glasses, Lenses Trachectomy Acute fear of water Poor skin integrity Chlorine sensitivity Close to all of these, one may mark yes, no and note any comments. Other items checked are: Method of Entry ? steps/ gantry / no of helpers ? Mobility aids ? chair, stick, frame ? Hope this helps, Good Luck ! Owen Sant' Angelo PT Student Univeristy of Malta -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]]On Behalf Of Sandy Ross Sent: 27 January 2000 20:53 To: [log in to unmask] Subject: aquatic therapy I am requesting this information for a student. She is doing an independent study in aquatic therapy and has the following questions: 1. Do you modify the land evaluation when you are considering a possible candidate for aquatic treatment. Is there a screening form used for aquatic therapy? 2. How difficult is it to obtain reimbursement for aquatic therapy? 3. Can you recommend good resources for aquatic treatments for patients with spastic CP? Any resources on the history of aquatic therapy? Thanks, Sandy Ross -- Sandy A. Ross, MHS, PT, PCS Senior Physical Therapist Barnes-Jewish and St. Louis Children's Hospitals Department of Rehabilitation at Washington Univ. 4555 Forest Park Parkway St. Louis, Missouri 63108 Phone: (314) 454-8335 Fax: (314) 454-5388 e-mail: [log in to unmask] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%