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JNPT Discussions

Current research in neurologic physical therapy and its impact on clinical practice.

Wednesday, July 24, 2013

Prevention and wellness in clinical practice
Neurologic PTs are trained to understand that sedentary behavior is not an inevitable consequence of most neurological conditions. PTs are uniquely positioned to intervene at the primary and secondary prevention levels to those living with neurologic conditions. Unfortunately, we allow the structure of our third party payor system and the facilities at which we work dictate the type of care that we provide. Many of our clients are discharged from insurance-reimbursed care and left to fend for themselves in search for health, reduction of disability, and options for physical activity and exercise. Rather than leading the charge to be part of the solution to this problem, the PT community appears willing to tacitly accept as inevitable the pervasiveness of the sedentary lifestyle due to neurologic dysfunction and its deleterious consequences. Do you provide prevention and wellness services in your practice area? If so, please respond and tell the group what group you work with (diagnosis?), where your care is delivered, how participants are referred to you, and how the services are funded. What have been your successes and failures and what are the barriers to this kind of care in your community? How do you advocate for prevention and wellness care? Are you involved with non-profit patient advocacy groups or do you serve on local, state, or federal government institutions that fund this type of care?