Understanding the prescription patterns of expert clinicians may elucidate the vestibular-related impairments of individuals after concussion and may provide a resource for therapists who may be starting vestibular rehabilitation programs for management of individuals with concussion, say authors of an article published online in Physiotherapy Research International.
For this study, the authors conducted a retrospective chart review of vestibular rehabilitation home exercise programs prescribed by physical therapists for 104 participants who were diagnosed with concussion. Each of the exercises was classified by exercise type, duration, and frequency. Frequency counts of the most common exercise types were recorded. Exercise progression patterns were examined by determining how exercise types were modified from visit to visit.
Eye-head coordination exercises were the most commonly prescribed exercise type (in 95% of participants), followed by standing static balance exercises (in 88% of participants), and ambulation exercises (in 76% of participants).
The authors add that future research should be directed to relate outcomes to the exercise prescription patterns to improve quality of care.
APTA members Susan L. Whitney, PT, PhD, NCS, ATC, FAPTA, Anne Mucha, PT, MS, NCS, Laura O. Morris, PT, NCS, and Patrick J. Sparto, PT, PhD, are coauthors of the article.