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Home Exercise Programs for Adults With Neurological Injuries: A Survey
1Rachel Proffitt, OTD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia; proffittrm@health.missouri.edu.
Summary
Occupational therapists utilize home exercise programs (HEPs) for clients with neurological injuries (CWNIs), but practice gaps exist. Further research is needed to define the active components of HEPs for optimal outcomes.
Area of Science:
- Occupational therapy
- Neurological rehabilitation
- Evidence-based practice
Background:
- Home exercise programs (HEPs) are integral to occupational therapy for clients with neurological injuries (CWNIs).
- Understanding current practices and clinical reasoning behind HEPs is crucial for optimizing rehabilitation outcomes.
Purpose of the Study:
- To describe current occupational therapy practices in the use and prescription of HEPs for CWNIs.
- To explore the clinical reasoning process supporting HEP implementation in this population.
Main Methods:
- A survey was mailed to 2,000 members of the American Occupational Therapy Association.
- Survey responses from 360 occupational therapists detailed demographics, HEP practices, and attitudes towards HEPs for CWNIs.
Main Results:
- Occupational therapists reported significant benefits and clear clinical reasoning for using HEPs with CWNIs.
- Commonly prescribed HEP activities were preparatory, with a frequent dosage of 16-30 minutes daily.
- While clinical reasoning was consistent, implementation methods varied among therapists.
Conclusions:
- Current occupational therapy practices for HEPs in CWNIs show a gap between evidence and application.
- The specific, active components within HEPs for CWNIs require clearer definition and description to enhance therapeutic efficacy.
