PROGRAM PROGRAM DESCRIPTION DELIVERED BY PROGRAM COSTS KEY WORDS WEBSITE/ PROGRAM GOALS & TRAINING CONTACT TARGET AUDIENCE REQUIREMENTS The Otago Exercise The initial Training Cost: fall prevention Increase strength, 4-5 visits with a physical therapist Completion of the online strength edu/aging/cgec/exerc balance, and endurance. (PT) over 8 weeks with monthly phone evaluation and -Online training cost $25; Program ise-program Lifestyle change to calls for a year and optional follow up prescription is done Optional participation in a Therapists receive up to 3.0 balance by a licensed CEUs upon completion. physical activity incorporate strength and visits at 6, 9, and 12 months free database to patient physical therapist progress and program -If patient demonstrates progressive resistance balance training a minimum 17 exercises total the PT evaluates – of 2 per week. RCT the older adult and selects the most The follow up visits fidelity at medical necessity and has a physical therapy demonstrated a 35% appropriate exercises from the 17 to can be done by a physician referral, then licensed physical Medicare can potentially health promotion reduction in falls in high challenge the older adult. Note: Therapists and therapy assistant cover cost of physical therapy self-management risk older adults. The exercises are progressed to agencies who participate continue to challenge the adult as The follow up in the database are eligible under Medicare Part B which Target Audience they improve strength and balance phone calls can be to be promoted nationally does require a patient co-pay. done by the PT, a Training Supplies: Community-dwelling frail Adjustable ankle weights are used for for offering the OEP older adults. Most health coach, or -Adjustable ankle weights for 3 of the exercises and weight is effective for those who are progressively increased over the other individual patients up to 20# cost age 80 and over or 65 and course of the program who is able to varies communicate -Exercises and patient older and frail. Can be The older adult does the exercises for implemented in the home, progress to the PT resources can be approximately 30 minutes three times a outpatient, assisted living week. The exercises downloaded in or . facilities as well as in the When the adult is strong enough can be done independently or community to walk for exercise, a walking program supervised in a one is prescribed and progressed to up to on one or group 30 minutes three times a week The older adult can do their setting prescribed exercises in the home independently or with assistance, or in a group exercise settings as long as they do their prescribed exercises
PROGRAM WEBSITE/ CONTACT PROGRAM GOALS & TARGET AUDIENCE PROGRAM DESCRIPTION DELIVERED BY TRAINING REQUIREMENTS PROGRAM COSTS KEY WORDS The Otago Exercise Program edu/aging/cgec/exerc ise-program Increase strength, balance, and endurance. Lifestyle change to incorporate strength and balance training a minimum of 2 per week. RCT demonstrated a 35% reduction in falls in high risk older adults. Target Audience Community-dwelling frail older adults. Most effective for those who are age 80 and over or 65 and older and frail. Can be implemented in the home, outpatient, assisted living facilities as well as in the community 4-5 visits with a physical therapist (PT) over 8 weeks with monthly phone calls for a year and optional follow up visits at 6, 9, and 12 months 17 exercises total – the PT evaluates the older adult and selects the most appropriate exercises from the 17 to challenge the older adult. The exercises are progressed to continue to challenge the adult as they improve strength and balance Adjustable ankle weights are used for 3 of the exercises and weight is progressively increased over the course of the program The older adult does the exercises for approximately 30 minutes three times a week. When the adult is strong enough to walk for exercise, a walking program is prescribed and progressed to up to 30 minutes three times a week The older adult can do their prescribed exercises in the home independently or with assistance, or in a group exercise settings as long as they do their prescribed exercises The initial evaluation and prescription is done by a licensed physical therapist The follow up visits can be done by a licensed physical therapy assistant The follow up phone calls can be done by the PT, a health coach, or other individual who is able to communicate progress to the PT The exercises can be done independently or supervised in a one on one or group setting Completion of the online Optional participation in a free database to patient progress and program fidelity at Note: Therapists and agencies who participate in the database are eligible to be promoted nationally for offering the OEP Training Cost: -Online training cost $25; Therapists receive up to 3.0 CEUs upon completion. -If patient demonstrates medical necessity and has a physician referral, then Medicare can potentially cover cost of physical therapy under Medicare Part B which does require a patient co-pay. Training Supplies: -Adjustable ankle weights for patients up to 20# cost varies -Exercises and patient resources can be downloaded in or . fall prevention strength balance physical activity progressive resistance physical therapy health promotion self-management
Select-Evidence-Based-Fall-Prevention-Programs-Grid-July-20-2017.docx