Rachel Proffitt; Home Exercise Programs for Adults With Neurological Injuries: A Survey. Am J Occup Ther 2016;70(3):7003290020. https://doi.org/10.5014/ajot.2016.019729
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© 2021 American Occupational Therapy Association
OBJECTIVE. The purpose of this study was to describe current occupational therapy practices in the usage and prescription of and clinical reasoning process supporting home exercise programs (HEPs) for clients with neurological injuries (CWNIs).
METHOD. A survey was distributed via mail to 2,000 members of the American Occupational Therapy Association. The survey questions concerned basic demographics, current HEP practices, and attitudes toward using HEPs with CWNIs.
RESULTS. In the 360 returned surveys, occupational therapists reported numerous benefits of using HEPs and were able to clearly articulate their clinical reasoning. Commonly reported HEP activities were preparatory in nature, and the most frequently prescribed dosage was 16–30 min daily. Most therapists relied on the same clinical reasoning process but varied in implementation methods.
CONCLUSION. This study’s results highlight the gaps between evidence and practice. The active ingredients in HEPs for CWNIs need to be more clearly defined and described.
Special Interest Sections: gerontology OR physical disabilities OR home & community health OR technology OR work & industry
Work settings: free standing outpatient OR home health OR hospital (non-mental health) OR private practice OR rehabilitation hospital/center OR sub-acute facility/unit OR work/industry/ergonomics OR community-based (e.g. Easter Seal, homeless shelter) OR skilled nursing/long-term care
Practice areas: geriatrics OR hand therapy OR home/community modification OR physical disabilities (adult) OR prevention/health promotion OR private practice OR visual impairment OR work/ergonomics.
What do you feel is beneficial about prescribing HEPs for CWNIs?
What guides your clinical reasoning when prescribing an HEP for CWNIs?
What guides your clinical reasoning when progressing an HEP for CWNIs?
Client goals guide treatment planning, strategies, and choice of activities to ensure true client-centered care in the provision of an HEP.
Occupational therapy practice guidelines are a resource for implementing evidence-based practice but include few guidelines or recommendations for HEPs to guide occupational therapy decision making.
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