New York State Medical Treatment Guidelines for
Therapeutic Exercise in workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Therapeutic Exercise.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders. The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Rehabilitation of Therapeutic Exercise

Rehabilitation(supervised formal therapy) needed after a work-related injury should be concentrated on regaining the functional ability needed to meet the patient’s daily and work obligations and enable them to return to work, with the goal of returning the injured worker to their pre-injury status to the extent that is practical.

Active therapy calls for the patient to put in an internal effort to finish a particular activity or assignment. The procedures known as passive therapy rely on modalities that are administered by a therapist rather than the patient exerting any effort on their side.

Passive therapies are typically seen as a way to speed up an active therapy programme and achieve concurrently objective functional gains. Over passive interventions, active initiatives should be prioritised.

To sustain improvement levels, the patient should be advised to continue both active and passive therapies at home as an extension of the therapeutic process.

To facilitate functional gains, assistive devices may be used as an adjuvant measure in the rehabilitation strategy.

Physical / Occupational Therapy of Therapeutic Exercise

Physical / Occupational Therapy of Therapeutic Exercise are recommended to enhance performance, including a variety of both motion and power.

Frequency/Dose/Duration: The severity of the constraint often determines the frequency of visits. For the first two weeks of a fitness programme, two to three visits per week are typical. For mild individuals, the total number of visits could be as low as two to three, or as high as 12 to 15 if objective functional improvement was documented.

Patients should be advised to continue both active and passive therapy at home as part of the rehabilitation plan in order to extend the healing process and sustain progress.

Indications: All postoperative and patients under conservative management.

Indications for Discontinuation: Pain, intolerance, lack of effectiveness, or noncompliance are all resolved.

Therapeutic Exercise

Therapeutic exercise where the therapist guides the patient through a monitored clinic and home programme to strengthen the shoulder muscles that support the joint. Shoulder abductors, internal and external shoulder rotators, and scapula stabilisers are among the movements and muscles that need to be strengthened. Exercises that are tolerated are progressed from isometric to isotonic.

Therapeutic Exercise

Therapeutic Exercise are recommended in a few cases when clinically necessary.


  • Isometrics in a sling, weeks 1-3.
    Progressive isotonic exercises for weeks 3 through 8.
    Weeks 8–12: Once the rotator cuff strength has returned to normal and full active elevation has been attained, start performing overhead exercises.

What our office can do if you have workers compensation injuries

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.


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