By understanding what rehabilitation services have to offer, you can make well-informed choices.
What is physical therapy?
Physical therapy (sometimes called PT) can help enhance mobility and quality of life by improving strength, balance, endurance, flexibility and posture. Physical therapy can maximize your loved one's ability to get around at home and community, as well as participate in favorite recreational activities.
Where can I get physical therapy, and what happens during the sessions?
Physical therapy services are available in multiple settings including the hospital, rehabilitation center, nursing home, outpatient clinic, adult medical day care, and at home.
In the hospital, rehab hospital or long-term care facility, most treatment sessions take place either in a hospital room or "therapy gym." The goal of physical therapy in these settings is typically to improve function so that the patient is safe to return home with assistance. Your loved one may perform exercises lying down in bed or on a padded mat table to improve ability to get in and out of bed. Doing exercises with weights while sitting increases one's strength and ability to get out of a chair, while exercises with weights while standing improve strength, balance and ability to walk. Very often "parallel bars" are available to provide support for both hands as the patient practices walking.
Physical therapy in an outpatient facility is usually for people who aren't homebound and are able to tolerate a much higher level of activity. It often includes a variety of exercise equipment and machines to improve strength and balance. You may see stationary bicycles, treadmills, arm bikes as well as machines like the leg press. Don't worry – the physical therapist will explain exactly how to use the machines properly and safely at the appropriate amount of weight and resistance for your relative.
Physical therapy in the home may be for those who are unable to leave home due to their medical status. It may also be for people who can get out and about, but logistical issues such as lack of transportation make it difficult to get to an outpatient facility consistently. The goal for PT at home is to maximize function at home and community to improve quality of life. Your loved one may do strengthening exercises lying on the bed, sitting in a chair or standing at the kitchen counter with weights or exercise resistance bands. Balance exercises may also be part of the mix. Your relative may practice going up and down your stairs, getting in and out of the car and walking in the neighborhood.