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Pool maintenance for physiotherapy and hydrotherapy clinics

A hydrotherapy pool is small, warm and used by the people least able to tolerate badly treated water. That is why it is treated differently.

How is a hydrotherapy pool maintained?

With more frequent testing, because water above 30 °C burns through disinfectant quickly and sessions follow one another all day; with chloramine control, because clinic users — post-operative patients, older adults, people with reduced mobility or sensitive airways — are the first to feel them; and with work done outside session hours. In Lisbon and on the South Bank, ManutençãoPiscinas maintains the pools of physiotherapy clinics, rehabilitation centres and therapeutic aqua-aerobics facilities, with a written, dated record per visit. The specific obligations on your installation are set by the bodies that license it and by the local health authority — confirm them in writing. It starts with a technical visit to your installation, which sets the plan and the figure.

Content reviewed in August 2026.

Who this page is for

  • Physiotherapy and physical rehabilitation clinics with a hydrotherapy pool
  • Rehabilitation centres and long-term care units with a therapy tank
  • Facilities running aqua-aerobics classes for seniors, pregnant women or injury recovery
  • Senior residences and care homes with a heated indoor pool
  • Gyms and clubs that rent their pool to physiotherapists for hydrotherapy sessions

Three things that make this pool different

The users. In a family or hotel pool, the people in the water are healthy. In a hydrotherapy pool, they include someone just out of knee surgery, someone with a chronic respiratory condition, someone with fragile skin, someone who needs help down the ramp. Chloramines that are a nuisance in a gym are, here, a reason for a patient to skip a session — or for the clinic to receive a complaint.

Temperature and pace. A hydrotherapy pool normally runs above 30 °C, and group or individual sessions follow one another every thirty or forty-five minutes. Warm water degrades disinfectant faster, and a 20 or 30 m³ tank with six users per session, ten sessions a day, carries a bather load per litre far above that of a swimming pool. The right reading at eight in the morning may no longer be right by early afternoon.

Equipment and air. Ramps, handrails, transfer chairs and hoists, grab bars: all of it lives in a closed, humid room where combined chlorine in the air attacks stainless steel and surfaces. In a clinic, the air quality around the pool is part of the quality of care. We measure the water; when the readings point to a problem in the air, we say so in writing.

What is asked of you and what we do

Exact requirements depend on how your unit is licensed and on the municipality. The right-hand column is what we carry out and document under contract.

What is asked of the operatorWhat we do
Frequent control of warm, heavily used waterFree chlorine, total chlorine, pH and temperature tested at every visit, with frequency set by the number of sessions
Lower chloramines for sensitive usersCombined chlorine measured at every visit and the cause corrected — load, water renewal or ventilation — rather than adding more product
Work without interrupting sessionsVisits before the first session, over lunch or after the last one, agreed with the clinic schedule
Procedure for a faecal or vomit incidentWritten closure, treatment and reopening procedure, handed to the clinic team before it is needed
Documentary proof of treatmentWritten, dated record per visit, with readings, doses, work done and anomalies observed
Access equipment in good conditionWe report in writing any corrosion we see on ramps, handrails and transfer hoists during the visit

What the law requires of pools in public use

Which statute applies to each kind of installation, the testing and analysis cadence, the Annex II values and what the maintenance company covers — with the sources cited.

See the legal obligations

Rhythm through the year

A clinic has no summer peak: it has a full schedule all year and often a break in August. Treatment follows the schedule.

PeriodWhat happens
Normal operationRegular visits with full testing, immediate correction and a record; the clinic team takes the daily readings in between
Schedule peaksMore frequent visits when session numbers rise — start of the year, group programmes, insurer partnerships
Break or temporary closureFiltration and disinfection maintained, and a full water check before the first session resumes
Annual technical servicePumps, filters, heating and dosing equipment checked in the clinic's quietest window

What goes in your file

A clinic answers in writing to patients, insurers and inspections. The pool record is part of that file.

  • Written, dated record per visit, one line per reading
  • Daily log sheet for the clinic team to fill in between visits
  • Written procedure for a faecal incident, vomit or an out-of-range reading
  • Same-day written notice whenever there is a reason to close
  • Entry report on the installation's condition at the start of the contract
  • Consolidated history, available at any time

What it costs

We do not publish a figure for this installation. The price depends on tank volume, temperature, the number of sessions per day and how tasks are split with your team. We visit the installation and give you a written proposal with the scope spelt out.

Services this contract includes

Frequently asked questions

The questions operators ask us before signing. If yours is not here, call us.

Usually above 30 °C, often between 32 and 34 °C depending on the therapy — that is a clinical decision, not ours. Our part is to adapt the treatment: the warmer the water, the faster disinfectant is consumed and the more often it has to be checked.
Almost never. The smell comes from chloramines — chlorine that has already reacted with sweat and organic matter — not from the free chlorine that disinfects. Lowering free chlorine tends to make it worse. We measure free and total chlorine to quantify the gap and correct the cause: bather load, water renewal, pre-swim showers or ventilation.
Yes. An aqua-aerobics class puts fifteen or twenty people in the shallow end for forty-five minutes, several times a day, in water warmer than a swimming pool. That is a concentrated bather load that needs frequent testing and chloramine control. We do this work for clinics, gyms, senior residences and club pools in Lisbon and on the South Bank.
We fit visits around the clinic schedule: before the first session, over lunch or after the last. Corrections that require a wait before users can go back in are planned for those windows, never done mid-day.
The pool is cleared and the written procedure starts: water treatment, filtration for the time required and a check of the readings before reopening. We hand that procedure to the clinic team at the start of the contract, so nobody has to improvise it on the day.
Yes, and it is the most common arrangement: the clinic team tests and logs daily on a sheet we provide, and we do the control testing, parameter adjustment, technical cleaning and equipment. When a daily reading falls out of range, the sheet says what to do and whom to call.

Ask for a proposal for your clinic

Tell us the municipality, tank volume, working temperature and how many sessions you run per day. We reply within 24 hours and book a visit to the installation.

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