For years I have read about the benefits of a 20-minute workout. I have come across some studies that showed an improvement of strength, endurance and weight loss within six to eight weeks. If this is true, why do we schedule rehab patients for an hour or more and see them for three months?
Restructuring how we are reimbursed could focus on outcomes rather than length of time a patient is in the rehab gym. If one therapist can get the same results in a shorter amount of time, wouldn't that be more beneficial for the patient, facility and insurance company? I think this would force us to rethink how we treat patients and how patients treat themselves. The patient would need to take more ownership of his care and do more independent activity.
Would one 20-minute session work? What about two 20-minute sessions? There are times I can thoroughly exhaust a patient in 15 minutes. Then I look at the clock and realize I have another 60 minutes of therapy with this person, plus he has OT and ST after me for 75 minutes each. Sometimes it doesn't seem fair to put a patient through so much therapy every day for weeks at a time when that person might be able to reap the same health rewards from shorter workout sessions.