Activity Modification and Dosing

Patients must complete certain harmful activities to meet their daily life responsibilities. These activities must be modified into a format that the patient can perform safely. This may mean changing how the activity is performed by using compensatory strategies or by changing the frequency or intensity of the activity. Other activities are not essential but are the patient's choice. These activities, if harmful, ought to be reduced so that the patient's relative activity is reduced to allow healing. Patient education is helpful to effect these behavior changes. If it is possible, the patient may arrange with co-workers or family members to decrease these activities temporarily. For example, a college professor presents with wrist pain. He works on the computer 8 h per day while at work. He is not in the position to reduce this time. However, the interview reveals that when he comes home, he spends an additional 6 h per night on a hobby that involves use of the computer. In this situation, if the patient can reduce his hobby time by 4 h, he will still be able to work and still obtain a relative decrease in repetitive wrist activity level.

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