Physical Therapy at Home, Online, or in a Clinic?
Between recent changes in insurance rules and the onset of the pandemic, patients have more options than ever for working with a physical therapist. Virtual physical therapy has quickly moved from a niche offering to the mainstream. And home therapy is for more than just people who can’t leave their home. Having options is great, but it can also complicate decision making. Understanding the benefits of each option can make clear which can best help you meet your goals.
In-Person Physical Therapy
The main advantage of in-person PT is that the therapist is physically with you. That means they can see how you're moving from different angles, adjust your position as you exercise, physically test things like strength and range of motion, and provide manual therapy.
In person PT may work best for:
● New patients - the ability to physically examine you makes it easier for your PT to accurately diagnose what's going on
● Less active patients - if you're not used to exercising and moving, having someone physically present to coach you along as you start out can be helpful
● Patients who have vision and hearing challenges- if you cannot see or hear the screen you and your therapist may have communication difficulties during online sessions
in-person at home or in a clinic?
Depending on your needs, many of the interventions done in a clinic can be done at home. People who need the use of specialized equipment such as a therapy pool or unweighting device, or who require the assist of two therapists for mobility, will benefit from being seen in a clinic. But for many people, therapy at home can offer treatment that is not only convenient, but highly effective because it is personalized to your daily life.
Do you experience pain while working in your home office? Your therapist can assess you at your desk and make recommendations. Are you having difficulty getting around your house after surgery? Your therapist can help you master those steep stairs to the basement.
VIRTUAL PT
The main benefit of virtual PT is convenience and access. Because virtual PT relies on you doing most of your exercise and treatment on your own, appointments can be shorter. This also means that motivation is a good prerequisite to choosing virtual PT. The fact that you don't have to travel to the clinic makes it easier to squeeze a visit into a busy schedule or reach a PT if you live in a rural area. Virtual PT works well for:
● People with common injuries - things like tendonitis, sprains, strains, plantar fasciitis, and overuse injuries are commonly treated by PTs. Because of that, there is a template for treatment that is easily adapted to individual needs.
● People who are comfortable with technology - you don't have to be a technology whiz, but having some familiarity with skype, facetime, or zoom helps or have someone at home who can help you as needed.
● Existing and returning patients - if your physical therapist knows you, it's easier to treat you virtually.
An in-person visit for your initial evaluation can provide a solid foundation to get you started before transitioning to virtual care.
Each of the options have different benefits and limitations and each person needs the option that works for them. The great part of it all is that no matter what, a physical therapist can meet you where you need them.