This is a “No-Plateau” Zone!
Yes, You Read That Correctly…
Medicare released a Maintenance Therapy Program. In this program, therapists can actually see you to maintain your current status or abilities. It is no longer based on PROGRESS now, rather Skilled and Medically Necessary Therapy. Meaning that as long as therapy is skilled and medically necessary to prevent a decline in condition, we can continue therapy regardless of progress towards a goal.
BUT… Many therapists DO NOT know this or even know how to bill for it. So instead, they still discharge patients due to a lack of progress towards a certain goal. They tell them:
“You have hit a plateau. We need to discharge you. Here are some exercises you can do at home.”
Tired of pointless exercise recommendations?
We also relate our therapy goals to specific things that you want to get back to doing. Then we match our treatments specifically to those goals. This is what makes therapy worth it to you. We will not just tell you, “Perform 2 sets of leg extensions at 10 reps with both legs,” then leave you to do them. Instead, if it is getting harder to walk around the grocery store or reach up to the top cabinet to put dishes away, we help you work specifically on those things. We take you through the balance, endurance, strength, and flexibility to be able to do all those tasks.
Furthermore, most of the time we are working towards controlled, coordinated, and intentional movements. This usually doesn’t even require strength! Rather it involves practicing the movements and making sure the muscle has the flexibility to move the way we need it to. Sometimes it takes a while and lots of practice to get the movements down.
Chances are you have also been told things like, “You will never be able to do that again,” or “You will always need to use the wheelchair (or walker/cane).” That’s simply not always TRUE.