The Rise of ‘Prehabilitation’ in Physical Therapy

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By: FYZICAL Therapy and Balance Center Staff
Traditionally, people have often visited physical therapists to treat pain they experience as a result of injuries. Many are unaware, however, that physical therapists offer broad medical expertise and can provide a wide range of services, including preventative care. Serving as a leader in “prehabilitation” services, FYZICAL Therapy and Balance Centers promotes a comprehensive approach to care that aims to improve patients’ overall wellness by addressing current issues, identifying potential health problems and guiding patients on prevention. With 38 locations in 12 states, FYZICAL serves as a medical, science-based business offering prescribed physical therapy, state-of-the-art balance centers and medically based fitness programs.
In an effort to shift the physical therapy industry away from its tradition of providing primarily reactive care, FYZICAL offers a variety of prevention-focused “prehabilitation” services, including thorough evaluations to identify specific health issues that patients are likely to develop over time. This includes the company’s innovative BodyQ service, a testing program that identifies deficiencies throughout the body. Serving to identify potential sources of future injury, this integrated testing program assesses an individual’s movement, balance, function, general health and recovery. This examination serves as a key tool in identifying an individual’s total body strength, balance, movement and posture so providers can identify health issues that might worsen as a result of factors such as age or incorrect exercise form. Balance disorders that can progress with age and potentially lead to dangerous falls serve as key examples of issues that might initially go unnoticed by patients.
In addition to identifying potential balance issues, the BodyQ exam offers valuable information that physical therapists can apply toward helping patients safely reach their wellness goals, such as losing weight, engaging in athletic competitions or recovering from injuries. FYZICAL providers utilize the results of the BodyQ test and additional evaluations to design medically based exercise plans for patients.
This focus on “prehabilitation” allows physical therapists to acquire new sources of business. Preventative services empower patients to take charge of their health, and a number of people are willing to pay directly for these types of services, many of which are not covered by insurance providers. Prevention is a priority for FYZICAL, as the company recognizes that the existing physical therapy business model is simply not sustainable amid declining payments. In a Medicare reimbursement example for four common procedure codes in one visit, Liz Kuba, D.P.T. stated, “Your reimbursement declined more than 20 percent in 2013 compared to just three years ago for the exact same treatment provided. What kind of business model can support, much less sustain, that?” FYZICAL helps independent physical therapists across the nation develop new ways of doing business in a rapidly changing environment.
FYZICAL also provides physical therapists with access to cutting-edge technology to treat patients’ current health issues. For individuals experiencing dizziness or balance issues, services are available through FYZICAL in which a team of specialists conducts specific tests to identify the source of the condition, including extensive hearing and inner-ear testing. Although the source of balance issues was once diagnosed on a subjective basis, advanced technology now allows providers to quickly determine the cause. These technologies include a computerized dynamic posturography test, a vestibular autorotation test and a videonystagmography test examining issues with the inner ear and the eyes that can impact posture. FYZICAL reports that these tests identify the specific issues behind 90 percent of patients who experience balance issues.
Advancements have also been made for treating balance and dizziness disorders. FYZICAL directs patients from around the world to seek treatment at a FYZICAL clinic in Nevada that offers treatment with the Epley Omniax chair, a specialized piece of technology that helps address dizziness and vertigo in a matter of seconds. Less than a dozen of these specialized systems are available for patient treatment across the world.
FYZICAL’s efforts to treat dizziness and balance issues, in addition to providing conventional physical therapy services, serve to address a widespread need. An estimated 40 percent of Americans experience dizziness issues significant enough to seek medical treatment, according to information from the U.S. Department of Health and Human Services.
At its core, the FYZICAL brand is an organization of private practice owners who have access to an elite group of industry leaders in both physical therapy and business management. This affiliation of private business owners allows physical therapists to remain 100 percent independent while receiving valuable support from FYZICAL to position their businesses for success.
FYZICAL will discuss its efforts to transform the physical therapy industry during two free seminars in October. The first seminar is scheduled for Oct. 11 at the Renaissance Orlando at SeaWorld in Orlando. The second is scheduled for Oct. 18 at the JW Marriott Las Vegas Resort & Spa in Las Vegas.
To learn more about FYZICAL’s innovative physical therapy business model and its upcoming seminars, visit

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  • do they also offer whole body MRI?

    Wyatt September 30, 2014 9:50 am Reply
  • Superb, what a web site it is! This weblog provides useful data to us,
    keep it up.

    professional career coaching November 12, 2014 5:40 pm Reply
  • I had no idea that physical therapists could help people with prevention also. It is really cool that they are able to help keep you from being injured. Physical therapists definitely have a wide range of skills and talents. It would definitely take a lot of hard work to be able to go into this field.

    Hedley Fulton March 9, 2015 4:33 pm Reply

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