Upon completion of the 6-week program, participants were encouraged to continue independent aquatic physical therapy twice weekly at a local pool and were provided with details
of local pools and a written description of the exercises to maximize adherence. During the follow-up period, between week 6 and week 12, participants recorded in a logbook the sessions of independent aquatic physical therapy that they undertook. Participants continued with their usual medication regimen over the entire 12 week period.