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Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes

CPT4 code

Name of the Procedure:

Therapeutic Activities
Common name(s): Therapeutic Activities, Direct Patient Contact
Technical/Medical terms: Dynamic Functional Performance Activities

Summary

Therapeutic Activities involve one-on-one sessions where a healthcare provider uses dynamic activities to help improve a patient's functional performance. Each session typically lasts 15 minutes.

Purpose

The procedure addresses conditions affecting a patient's ability to perform daily activities. The goal is to enhance physical function, increase mobility, and improve quality of life.

Indications

  • Decreased mobility or flexibility
  • Muscle weakness or atrophy
  • Post-surgical rehabilitation
  • Neurological disorders affecting coordination and function
  • Chronic pain affecting functional capabilities

Preparation

  • Wear comfortable, loose-fitting clothing
  • Bring any relevant medical records or notes
  • No specific diagnostic tests required
  • Inform the therapist of any current medications or medical conditions

Procedure Description

  1. Initial assessment of patient's functional abilities and limitations.
  2. Setting specific, measurable goals for improvement.
  3. Conducting exercises or activities tailored to the patient's needs, such as balance training, resistance exercises, or coordination drills.
  4. Continuous monitoring and adjustment of activities based on patient's progress and feedback. Tools: Resistance bands, balance boards, various therapeutic equipment. No anesthesia or sedation needed.

Duration

Typically performed in 15-minute sessions; can vary based on patient needs and therapy goals.

Setting

Conducted in outpatient clinics, physical therapy centers, or hospital rehabilitation departments.

Personnel

  • Certified Physical Therapist (PT)
  • Occupational Therapist (OT), if applicable

Risks and Complications

Common risks:

  • Temporary muscle soreness
  • Fatigue Rare risks:
  • Minor injury from exercises
  • Overexertion Management: Immediate cessation of problematic activities, use of ice or heat, rest, and possible modification of therapy plan.

Benefits

  • Improved muscle strength and endurance
  • Enhanced balance and coordination
  • Better mobility and flexibility
  • Increased ability to perform daily activities Benefits often realized within a few weeks of regular sessions.

Recovery

  • Follow therapist's post-session instructions, such as rest periods, hydration, and specific stretching exercises.
  • Generally, no downtime; patients can usually resume normal activities immediately.
  • Regular follow-up sessions to track progress and adjust therapy plan.

Alternatives

  • General physical exercise routines
  • Group therapy sessions
  • Alternative therapies (e.g., yoga, pilates) Pros: Group sessions can be more social and less expensive. Cons: Less personalized attention and potentially slower progress compared to one-on-one sessions.

Patient Experience

During the procedure:

  • Possible mild discomfort during activities.
  • Encouragement and support from the therapist. After the procedure:
  • May feel muscle soreness similar to post-exercise. Pain management: Use of over-the-counter pain relievers if necessary, and incorporation of warm-up and cool-down routines to minimize discomfort.

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