Seniors know that physical fitness is critical to accomplishing everyday tasks. They want independence and do not want to burden family and friends. But accidents and illnesses happen. When they do, in-home physical therapy can be an excellent service to help maintain adequate strength, balance and endurance. In-home physical therapy provides treatment to seniors in the comfort, safety and privacy of their own homes. It's especially beneficial to those who find transportation a barrier to keeping appointments.

Physical therapy provides services to help maintain and restore maximum movement and functional abilities. In-home treatments are tailored to a person's living environment, whether the injuries are due to a fall, stroke, cardiac or pulmonary condition, or are orthopedic related. The physical therapist reviews the doctor's referral instructions, discusses with the patient his or her medical history and current problem, conducts an exam based on the patient’s tolerance, and explains recommended treatment and goals.

In-home physical therapists train patients to function effectively in their own home settings and develop individualized programs. Manual therapy, various modalities and therapeutic exercises are used. Therapeutic exercises can include balance activities, resistance training, movements for range of motion and flexibility, and endurance exercises.

There are alarming statistics relating to seniors falling. The Mayo Clinic reports that 30 percent of people over the age of 65 fall each year. Falls are far more common than strokes but can be as serious in their consequences. Physical therapists can help ensure safety in the home by conducting home safety assessments, identifying potential home hazards and recommending modifications. Education of the patient and family in safety awareness and overall wellness in their home environment helps to target the patient's specific needs.

An in-home physical therapy session usually lasts 45 to 60 minutes. The length of the visit varies depending on the injury, physical limitations and level of function. The frequency of visits may be two to three times weekly, but varies on the condition of the patient. The patient should wear something comfortable, such as gym apparel, that they can move easily in and that allows an injury site to be examined. Including family members in the discussions and having them aware of therapy instructions is always helpful. Healing takes time, patience and compliance.

Michael Maresca is the owner of Maresca Physical Therapy, an in-home physical therapy service. He is certified in mechanical diagnosis and therapy by the McKenzie Institute