Home-based physiotherapy is not merely a logistical solution for patients with reduced mobility, but a therapeutic choice aimed at optimising functional recovery within the real-life environment.
Working directly in the home allows everyday spaces to become an effective rehabilitation setting, where movements are contextualised and immediately applicable. Below are five examples of activities guided by a physiotherapist.
1) Re-education of postural transitions and bed mobility
In post-operative phases or chronic conditions, recovery often begins with managing movement in bed. The physiotherapist teaches safe and efficient strategies to move from lying to sitting and then to standing, respecting joint protection and individual needs.
2) Gait training and obstacle negotiation
Home-based gait rehabilitation focuses on real walking paths: corridors, thresholds, rugs and stairs. The physiotherapist adapts techniques, rhythm and aids to the architectural features of the home to ensure safe mobility.
3) Ergonomic adjustment of seating and workstations
Many musculoskeletal issues arise from poor posture. The physiotherapist analyses sitting habits on sofas or desks and provides practical ergonomic adjustments to reduce spinal strain and prevent recurrence.
4) Balance and coordination exercises in complex environments
Balance training is performed in real-life situations, such as moving through narrow spaces or reaching for objects. These exercises enhance proprioception, reduce fall risk and increase confidence.
5) Education on assistance techniques and newborn care
Home sessions provide valuable training for family members. This includes safe patient handling techniques and, in paediatric contexts, guidance on proper infant positioning during daily activities such as sleep and tummy time.
