Objectives: To analyze pattern of prescribed therapy exercises at Shepherd Center; both the top 10 prescribed exercises and the top 10 most adhered to exercises.DesignAnalysis of all (N=4,363,987) therapy prescriptions for 2020 at Shepherd Center collected via Pt Pal. This study focuses on identifying two groups of exercises (1) top 10 prescribed exercises and (2) top 10 adhered to exercises both overall, as well as within each group at Shepherd Center.
Setting: Shepherd Center in Atlanta, Georgia.
Participants: 4,363,987 exercise sessions of patients at Shepherd Center in 2020.
Interventions: Not applicable.
Main Outcome Measures: There are three foci: patient adherence to exercises, number of therapy exercises prescribed by therapist groups, and trends in exercise prescription by therapist group. All three outcomes are generated based on prescriptions via Pt Pal.
Results: Over half of therapy exercises are prescribed by physical therapists (59.3%, N= 2,587,775) with fewer therapy exercises prescribed by occupational therapists (28.8%, N= 1,258,155) and speech and language pathologists (11.8%, N= 4,362,889). Overall, the exercise adhered to most by patients is ‘Bear Walk’ (93.53%, N = 433) and the most commonly prescribed exercise is ‘VOR x1 Horizontal Gaze Stabilization’ (N = 100,671). For physical therapists, the most adhered to exercise is also ‘Bear Walk’ (93.53%, N = 433) and ‘VOR x1 Horizontal Gaze Stabilization’ is the most commonly prescribed (N = 100,671). For occupational therapists, the exercise with the highest adherence is ‘Wrist Flexion Extension 1’ (92.25%) and most commonly prescribed is ‘Eyes Diagonal Left’ (N = 63,938). For speech and language pathologists, the exercise with the highest adherence is ‘Shaker Exercise (Repetitions)’ (32.87%, N = 143) and the most commonly prescribed exercise is ‘Tongue Hold Exercise (Masaka Maneuver)’ (N=21,845).ConclusionsThe top exercises prescribed are not the top exercises adhered to by patients. Therapists can use this information in their decision-making process when assigning therapy exercises to patients.
Author(s) Disclosures: Naveen Khan and John Dvizak are the leaders of Pt Pal, the program used to collect all datum points in this study.
Understand top prescribed therapy exercises overall, for physical therapists, occupational therapists, and for speech and language pathologists.
Understand top adhered to therapy exercises overall, for physical therapists, occupational therapists, and speech and for language pathologists.
Examine differences between prescribed therapy and adhered to therapy exercises overall, for physical therapists, occupational therapists, and speech and for language pathologists.