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Clinical Pathway: Activity Tolerance

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The Recovr Rehabilitation System (RRS) can be used to facilitate increased activity tolerance needed for functional mobility and self-care.

Impacted ADL: Mobility: GG0170

Impacted Outcome:

  • Transfer: G0110B
  • Walk in room: G0110C
  • Walk in corridor: G0110D
  • Locomotion on & off unit: G0110E & G0110F
  • Dressing: G0110G
  • Bathing: G0120

Functional Abilities & Goals – Activity Tolerance: Increase resident’s functional endurance to maximize independence with mobility and self-care.

Indications for RRS use to facilitate activity tolerance

  • Stroke
  • Spinal cord injury
  • Parkinson’s Disease
  • Degenerative neurological conditions
  • Lower extremity orthopedic conditions
  • Total hip and total knee replacements
  • Lower extremity amputation
  • Balance deficit
  • Frequent falls
  • Generalized weakness
  • Endurance training

RRS Set-up for activity tolerance:

  1. Facilitate safe sitting or standing with assistance, equipment, or adapted devices as needed (e.g. walker, stander, manual assistance from therapist, etc…)
  2. Use Kinect Settings to select the resident you’d like to track.
  3. Use the Lesson Planner to select which arm to use, where targets will appear, and how frequently to provide rest breaks based on resident’s range of motion, endurance, and treatment goals. Work to improve the resident’s activity tolerance by increasing the number of reaches required or gameplay time between rest breaks. Upgrade task by having the resident play from more challenging positions (for example, playing from unsupported rather than supported sitting) to increase activity tolerance.
  4. Use Required Elbow Extension to determine the amount of elbow extension needed to hit on-screen targets. Selecting a higher percentage will require more elbow extension.
  5. Set the Start Position. Start positions set closer to the resident’s body will require less sitting or standing balance and postural control. Start positions farther away will be more challenging.
  6. During game play, provide physical assistance as needed to ensure resident’s safety and modify environmental set-up using adapted equipment to provide the appropriate level of challenge.

Tracking Progress Through RRS Data:

  • Use the rest breaks taken and minutes played metrics to track the resident’s progress over time with the RRS.