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.
If you or your family members do choose to swim in chlorinated pools, some recommendations Iâve read are to: 1. Swim in an outdoor chlorinated pool. It is much safer due to the fact that the majority of the toxic gases are eliminated in the air. 2. Swim in chlorinated pools on occasion only.