Date of Award
Master of Physical Therapy (MPT)
Henry C. Wessman
Exercise; Patient Compliance
Adherence to discharge home exercise programs has statistically shown poor results. The purpose of this independent study is to review present-day discharge exercise programs for physical therapy, and to offer alternatives for better adherence (or compliance) and effectiveness.
A brief history of physical therapy and exercise programs is reviewed to outline the progression of the two topics. Behavioral contracting is a strategy used by health professionals to improve patient/client adherence to health regimes. The patient/client signs a contract indicating they will follow the guidelines outlined in their discharge exercise program.
Presently, the most optimal discharge exercise program involves specificity of exercise monitored by a fitness professional much as a certified strength and conditioning specialist (C.S.C.S.), along with some form of behavior contracting. More detailed studies are needed to find optimal training programs for specific long-term rehabilitation needs.
Spooner, Kevin L., "Specificity of discharge exercise programs and behavioral contracting for physical therapy patients" (1993). Physical Therapy Scholarly Projects. 420.