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Ever try running really fast in a pool? Next to impossible, right? That's because water is causing the resistance, which essentially is the idea behind aquatic therapy (using resistance to work the muscle).
Not everyone is built the same. So some people will have an easier time with movement during swimming pool exercises than others. If it becomes too easy, people can actually wear water gloves or water shoes that add resistance. This is either done by adding surface area (creating webbed gloves) or by adding weights to the shoes.
*Make sure you check with a professional to find out if extra resistance is what you need or can handle. The benefits of aquatic therapy are many, but not you need to cater your therapy to your needs.