Thursday, April 24, 2014

Importance of a Home Exercise Program (HEP) and Why It's So Hard to Follow Through

You left the physical therapist's office feeling like you were on top of the world. You're doing well with training, and are ready to spend less time at the clinic and more time with your Home Exercise Program (HEP).

But as convenient as it sounded a few weeks ago, you just can't seem to motivate yourself to follow through on your HEP. It just seems to eat away at your free time, and although you know it'll help your recovery, you just can't seem to motivate yourself to follow through. Why? Well, when we're left to our own devices, it's much easier to forget the things that should be motivating our actions to start and we lose confidence in how to even do the HEP on our own. After all, we're not trained chiropractors or physical therapists. So sometimes, not only do we need a little help with a stretch, but we need a little reminding.

Why is a Home Exercise Program Important?
Physical therapy is an important part of physical recovery programs. So, if you want to ensure that you'll return to your everyday activities in spite of injuries like Piriformis Syndrome, you'll have to work at it. An orthopedic surgeon or physical therapist will likely recommend a minimum of 10 minutes of exercise a day for three days a week. Although your therapist will likely work with you to ensure that you know how to perform these exercises correctly, you will be on your own to schedule and perform these exercises without supervision.

What Does the Research Say?
Many people find it easy to set aside 10 minutes of exercise because they don't understand how much it can help. In fact, according to a 2006 Physical Therapy study, 37 percent of patients who receive a HEP do not follow through with the plan. One or more of eight barriers seem to stand in the way. Poor health, weather, weakness, depression, fear of falling, shortness of breath, low expectations and lack of interest are all reasons people cite for not following through with a post-discharge exercise program.

How to Make HEP Adherence Easier
Have you ever told a little white lie to your doctor or health advocate? We've all been there...

“How often do you exercise? Do you smoke? Do you follow a healthy diet?”

These are all questions that we as patients are notorious for, well, fudging. Maybe we feel guilty, but there are benefits to honesty in most cases.

In fact, we're only hurting ourselves by fudging the truth. If you're honest with your physical therapist, chiropractor or orthopedic surgeon about your aversion to exercise, he or she may offer solutions that make it easier for you to stick to your HEP. For example, your medical professional may suggest a Piri-Stretcher® to help with recovery from Piriformis Syndrome. The therapy tool is used to treat Piriformis Syndrome and Sciatica in adults, and it can be used at home as part of a home therapy program for a target piriformis muscle stretch. It helps you complete the stretch on your own, and it's more fun having a tool to help. So you can make the most out of any 10- or 30-minute window in your day. 

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