Big Data and Therapy Sessions: Examination of 4 Million Therapy Sessions

Abstract

<h3>Research Objectives</h3> To examine patterns in therapy prescriptions and therapy adherence for all exercises assigned in 2020 at Shepherd Center. <h3>Design</h3> Analysis of all (N=4,363,987) therapy prescriptions for 2020 at Shepherd Center collected via Pt Pal. The study focuses on two main areas (1) therapy prescriptions and (2) therapy session. Therapy prescription includes date, frequency, duration, and exercise. For exercise, includes name, category, and subcategory. Therapy session includes date/time, completion percent, number of reps and sets, and stopping sessions (paused or quit). <h3>Setting</h3> Shepherd Center in Atlanta, Georgia. <h3>Participants</h3> 4,363,987 exercise sessions of patients at Shepherd Center in 2020. <h3>Interventions</h3> Not applicable. <h3>Main Outcome Measures</h3> There are two foci: therapy prescriptions and therapy adherence. This study examined both of these factors for 4,363,987 therapy sessions. <h3>Results</h3> For prescriptions, the average times per day per exercise is 2.357. For each exercise, patients are prescribed an average of 1.806 sets and 6.86 reps per set. Total prescribed time per exercise is 3.816 minutes, on average. For adherence, the average percent complete per exercise is 21.21% with an average of 1.88 minutes spent on each exercise. For patients who did their exercises, the average number of reps they completed is 1.35 and 7.84 reps per set. <h3>Conclusions</h3> Patterns of therapy prescription and therapy adherence are of paramount importance for patients, therapists, and hospitals/rehab centers. By understanding patterns in prescriptions and prescription adherence, therapists are empowered to make informed decisions in their prescription patterns. <h3>Author(s) Disclosures</h3> Naveen Khan and John Dvizak are the leaders of Pt Pal, the program used to collect all datum points in this study.