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
- Initial assessment of patient's functional abilities and limitations.
- Setting specific, measurable goals for improvement.
- Conducting exercises or activities tailored to the patient's needs, such as balance training, resistance exercises, or coordination drills.
- 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.