Home Exercise Programs for Adults With Neurological Injuries: A Survey

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). A survey was distributed via mail to 2,000 members of the American...

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Bibliographic Details
Published in:The American journal of occupational therapy 2016-05, Vol.70 (3), p.7003290020p1-7003290020p8
Main Author: Proffitt, Rachel
Format: Article
Language:English
Subjects:
Adults
Aging (Individuals)
Anatomy
Care and treatment
Caregivers
Community Relations
Data Analysis
Evidence
Exercise
Focus Groups
Geriatrics
Gerontology
Guidelines
Health aspects
Health Promotion
Injuries
Managerial Occupations
Methods
Mobility
Neurologic manifestations
Occupational therapy
Physical Disabilities
Rehabilitation Programs
Rehabilitation, Disability, and Participation
Resistance (Psychology)
Self care (Health)
Semi Structured Interviews
Visual Impairments
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Summary: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). 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. 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. 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.
ISSN:0272-9490
1943-7676
DOI:10.5014/ajot.2016.019729