Archive for Post Rehab Tips

Post Rehab Tip #18 – Follow Up Letters

Using follow-up and thank you letters can grow your post rehab practice and develop referral relationships with medical professionals in your community. Click the link below to listen in on my interview with Jason Hodge, MES, MEPD owner of Medical Fitness Pros of Katy, TX. We discuss the use of follow-up and thank you letters [...]

Post Rehab Tip #17 – Establishing Post Rehab Goals

Establish 30-day and 90-day goals for your post rehab clients. The 30-day goals are short-term and accomplished in 30 days. The long-term goals are accomplished in 90 days. You program should consist of exercises to accomplish these goals. Your focus during the post rehab assessment should be the identification of “residual functional deficits” remaining after [...]

Post Rehab Tip #16 – Balance Training…”Should I Use a Gait Belt?”

 
Balance training is becoming an integral part of medical exercise and post rehab training. The need to maintain safety precautions at all times when training clients with balance dysfunction is vitally important. Click the play button below to watch the video.
 

 
The video clip will discuss the use of gait belt or leather belt when performing [...]

Post Rehab Tip #15 – Assessing Shoulder Impingement

Every post rehab professional has to manage impingement syndrome. Did you know bicipital tendinitis and AC joint sprain have symptoms similar to impingement but are managed differently. The assumption that impingement is the primary culprit with overhead pain or discomfort in the "painful arc" is not always true.

The video clip above reviews the assessment [...]

7 Signs You are Ready to Add a MET/PR Program to your Practice

So, you have been thinking about adding medical exercise training/post rehab fitness to your practice. You aren’t sure if you are ready or if it might too much to handle. Well there are 7 signs your practice is ready to add a Medical Exercise Training/Post Rehab Program. Review the 7 signs below to determine if [...]

Post Rehab Tip #14 – When do I use McKenzie or back extension exercises?

McKenzie or back extension exercises are best used with clients diagnosed with lumbar disc herniation. The goal of McKenzie exercise is to centralize radiating pain into the low back and then eliminate the pain. In recent years I have noted the shotgun use of McKenzie exercise on all lumbar post rehab clients. The McKenzie exercise [...]

Post Rehab Tip #13 – What documents do I need for insurance reimbursement?

When seeking insurance reimbursement for post rehab services contact the client’s insurance claims adjuster. You will need the following documents when you make the contact:
a. Signed post rehab referral for the client’s physician
b. Post Rehab Program Goals (functionally-based)
c. Post Rehab Program Design (include duration, frequency & [...]

Post Rehab Tips #12 – Levels of Assistance

Sometimes you will receive a referral to work with a client that requires assistance with balance, transfers and ambulation. You must be aware of the three levels of assistance. The levels of assistance are:
a. Maximal Assistance
b. Moderate Assistance
c. Minimal Assistance
Click on the link below [...]

Post Rehab Tip #11 – The step-by-step medical history interview

A thorough medical history must be completed on each post rehab client. Verbally ask the client each question on the med history form. Direct interaction with the client allows for a much more accurate medical history appraisal and avoids the possibility of a medical condition slipping through the cracks. The medical condition [...]

Post Rehab Tip #10 – Overall Leg Strength in Post Rehab Fitness

“Overall Leg Strength” is a concept to be considered when working with clients referred with lower extremity disorders such as total knee or hip replacement and ACL rupture. Overall leg strengthening simply means strengthening the muscles of the lower extremity to lift 2-3 x bodyweight. This is important for climbing stairs, stepping off [...]