A Survey of Physical Therapists: Long Term Therapy Needs for Persons With Severe Disabilities

Sixty-three physical therapists participated in a survey designed to obtain their opinions regarding long-term and on-going future therapy recommendations for patients with spinal cord injuries, reflex sympathetic dystrophy, traumatic brain injuries, cerebral vascular accidents, cerebral palsy, and severe burns. Overall, therapists indicated these patients needed on-going therapy due to a loss or impairment of motor skills, ambulation skills, and loss or impairment of self-care skills. The primary reason reported for patients not returning to physical therapy for on-going treatment following their acute care was lack of insurance coverage or end of insurance benefits. This study outlines the implications for life care planners to consult with physical therapists regarding the long term on-going therapy needs of their clients, and the purpose and goal of therapy involving the six outlined diagnoses. Recommendations regarding the long-term physical therapy needs are outlined without regard to insurance coverage.