3. Home Exercise
The exercises which are recommended for the patient to perform
at home are called home exercise.
Home exercise program is an integral part of the treatment plan &
must be carefully designed with the final goal of rehabilitation in
mind.
Aim of home exercise program is to regain flexibility, balance,
strength & range of motion.
Home exercise should be specific according to the age, social
background & home environment.
4. It is not always possible for patients who are doing full time job to
keep special periods for home exercise; for such peoples some
exercises which can be performed at work should be taught.
Example – an office worker with knee injury could practice isotonic
quadriceps exercises under his desk.
All home exercises should have been taught very thoroughly & the
therapist must be satisfied that the patient can perform them
without supervision.
As each exercise selected for home practice is introduced,
suggestions for recognizing improvement should be given to the
patient.
Example – improvement in shoulder movement can be measured
against the good arm with the help of mirror.
5. Therapist should keep in mind that in modern houses, rooms are small & ceilings
are low so exercises should not need height & large areas.
Example – exercises involving running & high throwing of ball should be avoided.
Patients who are at home should be encouraged to perform exercises for short
periods through out the day.
Example – mid-morning, before lunch-time, mid-afternoon & in evening
In early stages of treatment when the muscles are very weak, exercise period
should be shorten & taken more often & in later stages effort could be made to
increase the time span at each practice session.
Exercises practiced at home should be checked regularly by the therapist &
progress recorded.
6. The patient should be told clearly that in what order
the exercises should be performed & how many times to
repeat each exercise.
If any equipment is to be used, then it should be cheap
& readily available.
Example – a small bar or a rolled up newspaper can be used
instead of pole & weights for resistance.
7. INSTRUCTION TO THE PATIENT
Spend at least 10 to 15 minutes twice a day
Try to aim higher up every time
You should not experience pain during the
exercise
If any problem occurs, then therapist should be
contacted immediately
8. STEPS TO MINIMIZE COMPLAIN
Ask patient to keep diary to note the number of repetitions.
Explain the value of exercise to the patient.
Provide an exercise sheet which can illustrate the exercise program.
Provide patient with simple drawings & clearly written instructions of exercise indicating
frequency, duration & number of repetitions.
Provide the least amount of exercise to accomplish the desired goals.