Home Exercise Program Prescription in Clinic: Best Practices

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This presentation is a replay from COPA Con 2022, providing another opportunity to access its valuable content and insights.

Abstract:
Home exercise prescription (HEP) and education within the physician’s practice setting is an ever-increasing role widely practiced by clinical athletic trainers. Under the direction of the physician, this education and HEP administered by the athletic trainer can be an excellent tool in helping patients of all ages, and with a large array of musculoskeletal (MSK) pathologies, achieve far better patient reported outcomes. A wide body of literature exists supporting that rehabilitation of all MSK injuries cannot fully occur within the clinical setting alone. Rather, a large emphasis is placed on performing this HEP, in conjunction with formal physical therapy typically (50-80% of all therapy performed). However, research has also shown that adherence to HEP in cohorts is not high (30-50% for non-compliance). Additionally, there are several reported barriers that inhibit patient compliance, adherence, effort, and efficacy to their HEP within the literature. Therefore, the purpose of this presentation will be to develop a list of HEP best practice initiatives, along with determining what types of barriers may be present in preventing patients from achieving high level outcomes. Strategies for developing HEP programs will be given, along with different management techniques for educating patients on the potential barriers that coincide with HEPs. Finally, this presentation will give education and guidance regarding billing for services, along with possible 3rd party reimbursement for prescribing HEPs within the physician’s practice setting. With this information, athletic trainers will gain clearer picture for efficacious treatment of HEP.

Learning Objectives:

  • Attendees will develop a home exercise-based rehabilitation program that is based on the best available evidence.
  • Attendees will distinguish what are the most common barriers for home exercise program adherence.
  • Attendees will implement different intervention strategies to help patients improve exercise adherence and patient reported outcomes.
  • Attendees will summarize what options are available for 3rd party reimbursement relating to HEP prescription.

Level:
Advanced

Domain(s):

  • Domain 4: Therapeutic Intervention
  • Domain 5: Health Care Administration and Professional Responsibility

CEUs:
1.0 Category A

Keywords: home exercise, HEP, rehabilitation, therapy, 3rd party reimbursement

On-Demand (Enhanced Access) Course Expiration:
Courses registered for after February 5, 2025, must be completed by December 31, 2025, at 11:59 p.m. CST.
For full details, refer to the expiration policy on our FAQ page.

Matthew Brewer, MS, LAT, ATC

Matthew Brewer is an athletic trainer in the physician's practice setting with over 18 years of experience. He is currently the associate clinical manager for the Sports Medicine Center at Children's Hospital Colorado. Matthew has worked in numerous settings within the Sports Medicine Center, including the secondary school and club outreach setting.  However, he transitioned fully into the clinical setting in 2018, and has since found his true home. He has worked with numerous providers within the sports medicine center and orthopedics institute, specifically with our primary care sports medicine team, Sports Medicine Orthopedic surgeons, trauma team, cerebral palsy, and limb deformities. Matthew has given numerous talks about a wide range of athletic training topics at the local, regional, and national levels.  In his spare time, Matthew enjoys spending time with his family including his wife and two boys.  He currently lives in Denver, CO, but is a native Iowan. 

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