Atrial fibrillation and a corresponding enlargement of the left atrium may cause an increase in size of the mitral valve annulus. With a sinus rhythm, the mitral annulus undergoes dynamic changes during the cardiac cycle. For example, at the end of diastole the annular area is smaller than at the end of systole.
To determine who can perform aquatic therapy, we must define what aquatic therapy is. First, notice that aquatic therapy is considered a therapeutic procedure, not a modality. There are many technical and practical distinctions between the practice of aquatic therapy and the application of therapeutic modalities.
What is Therapeutic or Clinical Massage Therapy? Therapeutic Massage, also described as Clinical Massage Therapy, by its simplest definition is the manipulation of soft tissue of the body to gain therapeutic response. It can increase metabolism, pain management and at the same time decrease healing time.