What does HEP stand for in rehabilitation?
Oct 29, 2018 · Oct 29, 2018. A home exercise program (HEP) is one of the most important aspects of physical therapy. This is an individualized set of therapeutic exercises that a patient is given in physical therapy to complete on their own at home. A HEP is given to a patient during their initial evaluation. The patient will go through each exercise with their physical therapist …
What is the home exercise program (HEP)?
Physical Therapy HEP abbreviation meaning defined here. What does HEP stand for in Physical Therapy? Get the top HEP abbreviation related to Physical Therapy. All Acronyms. ... Medical, Rehabilitation, Medical. ADD. Adduction. Medical, Physiotherapy, Exercise Therapy. AFO. Ankle Foot Orthosis. Medical, Physiotherapy, Safety. GHJ.
What is the WebPT HEP?
HEP is WebPT's home exercise program that helps therapists provide patients access to custom prescribed home exercise plans. WebPT empowers rehab therapists to achieve greatness in practice by providing software solutions to continually improve.
What is a HEP in occupational therapy?
HEP stands for Home Exercise Program and we offer optimized solutions for physical therapy, occupational therapy, trainers, doctors and other rehab disciplines. Sign up for FREE membership features such as saving exercise details, creating exercises and printing your HEP's.
What is the purpose of a home exercise program?
What is a Home Exercise Program? A home exercise program is a series of exercises that patients complete at home to maintain strength and increase therapeutic gains. Home exercises are designed to be practical, accessible and feasible so that patients can maximize efforts without instruction.Feb 23, 2018
What is HEP2Go?
HEP2Go. HEP2Go is the #1 fan favorite of free online home exercise programs – and for good reason. It has exercises for multiple disciplines, ranging from OT's and COTA's to PT's/PTA's, athletic trainers, chiropractors and orthopedic physicians.Jan 31, 2022
What should be in a home workout program?
A good home exercise program with easy-to-understand instructions and high-quality therapeutic exercises is key to improving patient outcomes.Include photos of the exercises.Include videos of the exercises (if possible).Include brief overviews of each exercise.Aug 13, 2021
What are the 2 types of goals in an exercise program?
Types of Fitness Goals:Physiological – Physiological goals comprise muscular strength increases, changes in body composition, and increased flexibility.Behavioral – Behaviors that affect fitness and wellness include smoking, sleeping patterns, and television viewing habits. ... Nutritional – Refers to food intake.More items...
How often should you do physical therapy exercises at home?
Performing Exercises On Your Own For the treatment to be effective, we highly recommend performing these exercises around 3 to 5 times a week for 2 to 3 weeks.
How can I strengthen my core at home?
Abdominal crunches are a classic core-strength exercise:Lie on your back and place your feet on a wall so that your knees and hips are bent at 90-degree angles. Tighten your abdominal muscles.Raise your head and shoulders off the floor. ... Return to the start position and repeat.
How do you strengthen your pelvic floor?
To strengthen your pelvic floor muscles, sit comfortably and squeeze the muscles 10 to 15 times. Do not hold your breath or tighten your stomach, bottom or thigh muscles at the same time. When you get used to doing pelvic floor exercises, you can try holding each squeeze for a few seconds.
Does Hep2go have an app?
And EPL has a free phone app for the patient. Both available for android or iPhone. Hep2go has neither, but they do offer the ability to provide a QR code (but only with paid version) so your patient can open a phone viewer.Jun 20, 2017
How can exercise compliance be improved?
Compliance to exercise can be enhanced by increasing lifestyle activities (e.g., climbing stairs, gardening, and walking the dog), developing an appropriate home-based exercise program, and considering short bouts rather than long bouts of activity for patients who “can't find the time to exercise”.Oct 28, 2010
What is exercise compliance?
Also known as compliance and exercise compliance, exercise adherence is a term used to describe how well a patient or client is sticking to:1. Their home exercise program. Their gym program. The recommendations made to them by their health professional or personal trainer.Dec 24, 2021
What is adherence exercise?
Exercise adherence is the extent to which a patient acts in accordance with the advised interval, exercise dose, and exercise dosing regimen.
Why is HEP important?
Adherence to home exercises (HEP) in rehabilitation is a significant problem, and the reasons for this are multifactorial, covering both psychological and situational factors that vary between each individual, and that need to be considered by clinicians in the design of personalized exercise programs.
What is a home exercise program?
Providing a home exercise program (HEP) to patients is one of the most fundamental and important aspects of physiotherapy. Patients who adhere to their prescribed exercises are significantly better at achieving their goals and demonstrate a greater increase in physical function.
What are the health technologies?
Health technologies, such as the use of mobile devices, including mobile phones and tablets, as well as software apps, provide us with the opportunity to better support the patient and clinician, with a data-driven approach that incorporates features designed to increase adherence to exercise such as coaching, self-monitoring and education, as well as remotely monitor adherence rates more objectively.
What does it mean when pain is worse during a treatment session?
Strong. Pain - worsening pain during a treatment session is associated with a barrier to a home exercise program. Low levels of physical activity at baseline - patients who are not used to following a regular fitness program are less likely to incorporate a physiotherapy exercise program into their schedule.
How to educate patients on pain versus harm?
Educating patients on pain versus harm by explaining the nature of pain and nociception and suspending the belief that pain is an indicator of further tissue damage. Reinforcing messages which reduce fear or anxiety about pain. Emphasizing the idea that exercise will lead to less pain, anxiety, and depression.
Can software apps be used in clinics?
Software apps exist on the market and may well change the way of many home exercise plans in clinics. The promise to do such things as " make it easy to build a home exercise program in seconds, with beautifully designed instructional videos. The built-in efficiencies will reduce your workload.
Is pain a barrier to adherence?
Pain - Pain levels during exercise in musculoskeletal patients presented strong evidence as a barrier to adherence in a systematic review. Physical Activity - Studies suggest that those who are physically active at baseline demonstrate significantly better adherence to home exercise programs.
Introduction
- Adherence to home exercises (HEP) in rehabilitation is a significant problem, and the reasons for this are multifactorial, covering both psychological and situational factors that vary between each individual, and that need to be considered by clinicians in the design of personalized exercise programs. 1. Providing a home exercise program (HEP) to patients is one of the most fundamen…
Factors Affecting Compliance and Performance
- When setting a HEP remember that the long list you may put together may be all inclusive but research shows 1. Subjects who were prescribed 2 exercises performed better than subjects who were prescribed 8 exercises, another report finding those prescribed 4 or more exercises had a lower rate of compliance than those prescribed 2 or fewer 2. Subjects who are prescribed 2 exer…
Factors Affecting Adherence
- Perceived Barriers - eg forgetting to exercise, not having the time, not fitting into the daily routine, work schedules(See image, busy multi tasking at home).
- Self-Efficacy ie an individual’s belief in their own capability to achieve a task that will produce a targeted result.
- Threat and Beliefsie The beliefs a patient holds regarding their condition and the decisions m…
- Perceived Barriers - eg forgetting to exercise, not having the time, not fitting into the daily routine, work schedules(See image, busy multi tasking at home).
- Self-Efficacy ie an individual’s belief in their own capability to achieve a task that will produce a targeted result.
- Threat and Beliefsie The beliefs a patient holds regarding their condition and the decisions made by patients are based on their own beliefs, personal experiences, and the information they receive.
- Locus of Control - patients with an external locus of control demonstrate a lesser degree of adherence with HEP.
Health Technologies
- Health technologies, such as the use of mobile devices, including mobile phones and tablets, as well as software apps, provide us with the opportunity to better support the patient and clinician, with a data-driven approach that incorporates features designed to increase adherence to exercise such as coaching, self-monitoring and education, as well as remotely monitor adherenc…
Strategies to Increase Adherence
- Patient Education
1. Educating patients on pain versus harm by explaining the nature of pain and nociception and suspending the belief that pain is an indicator of further tissue damage 2. Reinforcing messages which reduce fear or anxiety about pain 3. Emphasizing the idea that exercise will lead to less pa… - Treatment
1. Minimizing pain during a HEP eg heat, ice or TENSpre or post session. 2. Use a graduated HEP - to reduce anxiety and fear avoidance, progress slowly and gradually to increase patients’ confidence in their own physical abilities 3. Providing clear HEP, both printed and verbal instructi…
Measurements of Adherence
- Diaries. Limitations - poor completion rates, inaccurate recall and self-presentation bias.
- Computer programs, phone applications and wearable technology (e.g. pedometers)
- See also Physical Activity and Outcome Measure
Barriers to Adherence
- Level of Evidence 1. Strong 1. Pain - worsening pain during a treatment session is associated with a barrier to a home exercise program 2. Low levels of physical activity at baseline - patients who are not used to following a regular fitness program are less likely to incorporate a physiotherapy exercise program into their schedule 3. Low self-efficacy 4. Anxiety or stressat baseline - strong …
Resources
- This articleby Bollen et al (2014) cites 58 studies reporting on 61 measures of self-reported adherence, thus the measures can be determined through using the reference list.