A Little History
Hydropower has been around for much longer than many may think. For about 2000yrs!

Durning the 1st century B.C. people were using rivers and steams to turn waterwheels which then would create work (Ristinen).
Waterwheel
http://www.djerassi.org/sculpture/waterwheel.html

Above is a picture of a waterwheel built a man today. This is a great example of how waterwheels may have looked in the 1st centurt B.C.  
How this worked is very simple. The wheel which is built near a source of water was used to turn or push things. This was possible due to the running current of the water hitting the wheel and causing it to turn. This turning motion of the wheel could be connected to what the people needed ot to pull, push or grind. It was that simple. Although not all models were that simple, some were highly complex!