Home physiotherapy is much more than a convenience: it is often the most effective solution for patients with mobility difficulties, frail older people or those recovering after surgery. Working in the patient's familiar environment has proven therapeutic advantages.
Indications for home physiotherapy
Home physiotherapy is indicated after orthopaedic procedures (hip and knee replacements, femoral fractures), stroke and neurological injuries, neurodegenerative diseases (Parkinson's disease, ALS), chronic respiratory conditions, and whenever travelling to a clinic would pose a risk or excessive strain for the patient.
What happens during a home session
The physiotherapist initially assesses the home environment and the patient's remaining abilities, develops a personalised rehabilitation plan and works on mobilisation, muscle strengthening, balance and independence in daily activities. They also teach relatives how to support the patient correctly between sessions.
Frequency and duration of treatment
Session frequency varies according to the clinical condition and rehabilitation goals. Treatment usually starts with 3-5 intensive sessions per week and gradually decreases as the patient regains independence.
📚 Scientific evidence
- Winstein C.J. et al. (2016). Guidelines for Adult Stroke Rehabilitation. Stroke, 47(6):e98-e169.
- Di Monaco M. et al. (2011). Home-based rehabilitation after hip fracture. Eur J Phys Rehabil Med, 47(2):261-8.
- Ministerio della Salute (2011). Linee guida per le attività di riabilitazione. Roma.
