Skip to the swim-spa training sessions
What water actually does to your body (plain-English physiology)
Step into chest-deep water and a few useful things happen at once: you feel lighter, movement feels smoother, and effort is easier to control. That’s because water changes the load on your joints, the resistance your muscles work against, and even how your heart and breathing behave. Here’s the simple version.
- Buoyancy - joint relief. Immersion reduces the load through your joints, which is kinder on knees, hips, and backs and lets you train more often with less impact.
- Viscosity - scalable resistance. Water resists movement in every direction. Go slower for low load; move faster, open the hands, or use paddles to ramp it up.
- Hydrostatic pressure - a helpful squeeze. Immersion gently pushes blood toward the centre, which can aid venous return and help peripheral swelling. Many people describe this as a “supported” feeling.
- Breathing changes with depth. Calm, longer exhales and relaxed shoulders help you settle into rhythm in water.
- Thermal effects. Slightly cooler water suits hard intervals and longer steady efforts; slightly warmer water suits mobility and rehab. Use comfort as your final guide.
Myth: “Water workouts are just easy.”
Reality: They’re low impact, not low intensity. Water’s viscosity gives you resistance in every direction - move faster, increase surface area (paddles, open hands), or lengthen the lever (straighter arms or legs) and the load climbs quickly. In a swim spa you can also increase the current speed to progress, just like adding plates in the gym.
Quick win you can feel today:
Do 6 x 45 seconds pushing water hard with straight arms into the current, 45 seconds easy. By set four your shoulders and lungs will confirm it’s not “just easy.”
Myth: “Lower heart rate in water means I’m not working.”
Reality: Heart rate (HR) often reads lower at the same effort in water. Hydrostatic pressure helps venous return, cooling is better, and breathing mechanics shift - all of which can lower HR for the same oxygen cost. Use the Rate of Perceived Exertion (RPE) scale - effort out of 10 - plus pace/current settings and repeatable intervals to judge intensity. HR is useful, but it shouldn’t be your only gauge in water.
How to pace without chasing HR:
- Pick a current level that feels like RPE 6-7 for your main set.
- When it feels like RPE 5 at the same setting next week, you’ve progressed - even if HR looks modest.
Myth: “If I’m not swimming lengths, it doesn’t count.”
Reality: A swim spa is a full-body gym in water. You can run intervals against the current, tether for technique, do lower-body strength with steps and rails, challenge your core with turbulence drills, and practice balance safely. Swimming is optional.
Circuit to prove the point - 20 minutes:
- Warm up 4 minutes easy movement.
- 3 rounds: 45 sec squats to step, 45 sec band rows, 45 sec paddles chest press against gentle current, 45 sec alternating step-ups with handrail, 30 sec rest.
- Cool down 3 minutes mobility.
Myth: “Aquatic sessions melt fat faster.”
Reality: Calorie burn is meaningful but not magical. Energy expenditure depends on current speed, technique efficiency, depth, and session length. Expect ranges comparable to brisk walking through to jogging when effort is matched. The big levers are consistency and total weekly minutes, not water itself.
Make consistency easy:
Keep the spa set up for quick starts: paddle gloves, a resistance band, and a small timer within reach. Aim for three short sessions rather than chasing one epic workout.
Myth: “Warm water is always best.”
Reality: Match temperature to the goal.
- Hard intervals or longer steady cardio: slightly cooler helps manage core temperature.
- Mobility, rehab, gentle strength: slightly warmer supports relaxation and range of motion.
Simple guide:
Vigorous sets: roughly high-20s °C.
Mobility or rehab: roughly low-30s °C.
Use how you feel as the final judge.
Myth: “Jet count matters more than flow quality.”
Reality: The character of the current matters as much as the power. Propeller or turbine systems tend to create smoother, wider flow that feels more “river-like,” helping body position and technique. Multi-jet currents can be punchier with small turbulent hot spots that tax stability. You can still train well in both - just position yourself in the cleanest part of the flow and set expectations accordingly.
Tip for technique:
Use an underwater mirror if you have one. Even 30 seconds of posture checks between reps helps you stay long and balanced.
Three plug-and-train sessions
1) Beginner 30-minute base builder
- Warm up: 6 minutes easy movement and mobility.
- Main set: 3 x [3 minutes steady against the current at RPE 6, 2 minutes very easy].
- Finisher: 6 minutes mobility - hip circles at rail, thoracic rotations, gentle calf raises.
- Goal: finish able to talk in short sentences. Progress by nudging current or adding a fourth block.
2) Strength & mobility - joint-friendly circuit
- 3 rounds, 45 sec on, 15 sec changeover:
- Band rows anchored to rail
- Squats to step
- Paddles chest press into light current
- Lateral step-ups holding rail
- Standing core: brace and resist the current with soft knees
- Cool down 3 minutes.
- Goal: controlled tempo over brute force.
3) Runner’s knee-friendly intervals
- Warm up: 5 minutes easy marching and ankle mobility.
- Main set: 8 x 45 sec steady run against gentle current, 45 sec drift or easy walk.
- Technique cues: tall posture, quick light cadence, quiet foot placement.
- Optional: finish with 3 x 60 sec calf raises holding rail, 30 sec rest.
Safety first
- Check with a clinician if you have known cardiovascular disease, uncontrolled hypertension, balance disorders, uncontrolled epilepsy, neuropathy, open wounds, or you’re pregnant.
- Enter and exit carefully; use handrails. Start shorter, build gradually, and stop if you feel dizzy, nauseous, or unwell.
- Hydrate - you’ll still sweat in water.
What to track so progress is obvious
- Session log: date, current level, intervals, total minutes.
- RPE trend: the same work should feel easier over weeks.
- Function markers: stairs feel freer, sleep improves after evening sessions, or land sessions feel smoother.
- Video check-ins: 10-second clips for posture and alignment can be more useful than numbers.
Myth-busting recap
- “Low impact” doesn’t mean “low intensity.”
- In water, HR runs lower - use RPE and repeatable settings.
- You don’t have to swim lengths to get a serious workout.
- Temperature follows intent: cooler for work, warmer for mobility.
- Flow quality matters as much as raw power.
References and further reading
- Arthritis UK - Hydrotherapy (what it is, who it helps, safety)
- Aquatic Therapy Association of Chartered Physiotherapists (ATACP) - UK professional guidance hub
- ATACP - Guidance on Aquatic Physiotherapy Practice (PDF)
- Swim England - Health and Wellbeing Benefits of Swimming (evidence summary)
- Chartered Society of Physiotherapy - Water-based activities (plain-English explainer)