Functional Restoration Program
At Advantage HCS we use the most up-to-date guidelines to assist us in making sure each patient is placed in the best program available for their needs. Here are very basic rational (among other medical decision making tools) that are used to tell when someone is a candidate for our FRP.
- The patient has completed conservative therapy, does not meet their PDL/PDA for a safe return-to-work, and is not a surgical candidate.
- The patient has more than one treatable condition (such as pain and lumbar) and might require an interdisciplinary structured program.
- The patient’s psychological state is being controlled or is stable.
- The job demands are generally reported in the medium or higher demand level (i.e., not clerical/sedentary work).
- There is no evidence of other medical, behavioral, or other comorbid conditions.
- The patient’s medication regimen must be addressed during the program to allow for a safe return- work-ability.
FRP is usually structured 5 days a week at 8 hours a day. Consistent treatment allows the muscles to grow and strengthen while keeping the patient on a path of progression. Optimum treatment would be ensuring the patient mimics their work schedule each day.
FRP can involve multiple providers including Physical Therapist, Occupational Therapist, Doctors of Chiropractic, Psychologist, Counselors, Masters Level Social Workers, Nutritionist, Acupuncturist, Massage therapist, Personal Trainers, and Medical Doctors. The treatment team is picked after the patient completes multidisciplinary evaluations and determines where the deficits and needs are in the patient care and sets goals with the patient and team.
FRP is an interdisciplinary, individualized, job specific program with the primary goal of return to work. FRP also uses real or simulated work tasks, progressively graded conditioning exercises, pain management coaching techniques, and medication management that is based on the individual’s needs and measured tolerances.
Treatment options may include:
- Cardiovascular endurance training
- Core Strengthening exercise
Occupational/ Vocational Therapy
*based on job description.
- Psychological Therapy available
- Pain Management treatment
- Ancillary services also available in the program
While each patient is different, and each approach is not ever the same, we do have some goals that have been established and are pretty common between each patient. Some of these goals include:
- Mobility Flexibility
- Cardiovascular endurance
- Pain Management
- Cognitive-behavioral issues
- Injury prevention
- Wellness education
- Tolerance to activities of daily living
- Tolerance to specific work requirements
- Tolerance to general work requirements
- Safety and ergonomics
Not just because we are CARF’ed, but because we care, Advantage Healthcare Systems has set common benchmarks that we measure to ensure we continue to have quality outcomes for our patients. Of course with each patient, there might be additional sets of outcomes measured, but here is a list of the common area’s you can trust we will be measuring and reporting back in a Functional Restoration Program:
- Return To Work
- Pre/Post ROM
- Pre/ Post Static Lifting
- PDA/ PDL (Functional Status)
- RTW PDA/ PDL Status
- Follow-up recommendations
- Discharge Disposition
- Use of Medical Care System- Post Treatment
- Use of Medications/ regime