The sensation of pain is communicated through the nervous system and is influenced by many things both physically and psychologically. Moving in water is a good way to improve movement tolerance, utilising buoyancy can assist movement as well as gently resisting the movement. Buoyancy provides the sensation of being lighter and easier to move, less risk of falling, feels supportive, promoting safety messages. Exercise progression is easy through more buoyant floats or utilising drag/turbulence. For more about this topic I have time Oliver Krouwel he is a aquatic physiotherapy specialist and a clinical specialist NHS

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