We are here to serve you:

	Strongly Agree or Agree	Neutral, Disagree, or Strongly Disagree
Stillwater	98%	2%
Maplewood	98%	2%
Lake Elmo	97%	3%
Forest Lake	99%	1%
White Bear Lake	99%	1%
West St. Paul	99%	1%
North St. Paul	99%	1%

          

“Our staff treats you as an important and valued person.”  

	Strongly Agree or Agree	Neutral, Disagree, or Strongly Disagree
Stillwater	98%	2%
Maplewood	97%	3%
Lake Elmo	97%	3%
Forest Lake	99%	1%
White Bear Lake	99%	1%
West St. Paul	99%	1%
North St. Paul	99%	1%

        

Functional Outcomes

Functional outcomes describe the extent to which patients achieve or progress adequately toward the goals they hope to attain regarding their day to day activities at home, work, and/or recreation. 

Since 1996, OSI therapists have recorded whether each of our patients:
• “Met or adequately progressed toward expected functional outcomes”
OR
• “Did not progress adequately toward outcomes”
OR
• “Did not complete therapy and we are not sure of outcome”

OSI has attained and measured outstanding results with the tens of thousands of patients we have treated since we started collecting functional outcomes.  Some conditions are more and some less likely to respond as desired to our therapy interventions than others depending on the type and severity of a patient’s specific clinical condition, 70-90% of our patients have attained successful outcomes and are thus able to:
• return to desired functional activities either while in therapy or within a reasonable period of time following completion of their therapy,
• are able to avoid surgery or other medical intervention, or
• achieve their desired goal of being better able to self manage the condition. 

We can provide more detailed functional outcome reports on request.

In October 2005, we converted our outcomes process to FOTO (Focus on Therapeutic Outcomes), which is a national outcomes service that will allow us to compare our outcomes to those of hundreds of other therapy practices around the country.  FOTO is based on a patient’s perception of how she or he has improved functionally with therapy, and is a highly validated and reliable process for determining patient functional outcomes relative to the therapy received.  As soon as we see enough patients for an adequate sample size, we will display our FOTO outcomes and ranking among therapy providers nationally.

Utilization outcomes

Utilization outcomes refer to the average number of visits that patients are seen in physical or occupational therapy for specific conditions. 
For more accurate information, some conditions have been subcategorized by factors that impact utilization.  These CATEGORIES are based on:

SEVERITY OF SYMPTOMS & FUNCTIONAL DEMAND WHEN THERAPY STARTS. 
The subcategories are listed below the condition.
*ROM = Range of Motion

Upper Extremity Conditions               Average # of Visits   

Shoulder Impingement Syndrome	5.4
Start physical therapy with:
- Full ROM but painful	4.4
- Moderate loss of ROM	5.8
- Severe loss of ROM	7.0
Shoulder Instability	5.2
Start physical therapy with:
- Full ROM, pain and instability	4.0
- Limited ROM, instability	6.3
- instability with impingement	5.5
Rotator Cuff Repair	13.5
- Partial tear, low functional demand	10.7
(usually Medicare)
- Partial tear, high functional demand	12.2
(usually work comp)
- Large tear, low functional demand	13.1
(usually Medicare)
- Large tear, high functional demand	14.0
(usually work comp)
Shoulder Decompression	10.3
- Low functional demand	9.4
- High functinal demand	10.4
Shoulder Stabilization Surgery	11.3
All categories similar utilization
Elbow Epicondylitis	6.2
Start therapy with:
- Minimally limited ROM & strength,	4.5
low functional demand
- Minimally limited ROM & strength,	5.6
high functional demand
- Severely limited ROM & strength,	7.0
low functional demand
- Severely limited ROM & strength	7.9
high functional demand
Carpal Tunnel Syndromde	5.6
- Low functional demand	4.4
- High functional demand	5.7
Carpal Tunnel Release	6.5
- Low functional demand	4.8
- High functinoal demand	6.9
Wrist Fracture	6.8
- Minimally limited wrist ROM	5.6
- Severely limited wrist ROM	7.1

Lower Extremity Conditions              Average # of Visits    

Hip Dysfunction	5.0
Start physical therapy with:
- Full ROM, no limp, pain	4.0
- Minimally limited ROM,	5.0
minimal limp with pain
- Severely limited ROM,	5.6
moderate to severe limp, pain
Non-Op Knee Injuries	4.4
Start physical therapy with:
- Full ROM, no limp, pain and/or instability	3.3
- Minimally limited ROM, minimal limp	4.2
- Severely limited ROM, severe limp	5.8
Patellofemoral Pain	4.3
- Patella subluxation	4.0
- Patella dislocation	5.8
- Patella tendonitis	4.6
ACL Reconstruction	10.2
All categories similar utilization
Knee Arthroscopy	6.3
Start physical therapy with:
- Full ROM, no limp	3.4
- Minimally limited ROM, minimal limp	5.0
- Moderately limited ROM, moderate limp	7.7
Total Knee Replacement	10.1
Start physical therapy with:
- More than 100 degree knee flexion,	5.6
minimal limp
- 90 - 100 degree knee flexion,	8.2
moderate limp
- <90 degree knee flexion, severe limp	12.5
Ankle Sprain	4.7
- Grade I sprain with minimal to no swelling,	3.4
no limp
- Grade II sprain with moderate swelling,	4.8
limp
- Grade III sprain, high ankle sprain,	6.5
severe swelling, limp

Spine and TMJ                                  Average # of Visits    

Lumbopelvic Dysfunction	5.1
Start physical therapy with:
- Low back pain, low functional demand	4.3
- Low back pain, high functional demand	4.8
- Lower extremity symptoms,	5.4
low functional demand
- Lower extremity symptoms,	5.8
high functional demand
Post Operative Lumbar Spine	7.7
- Decompression	7.5
- Fusion	8.3
Cervical Spine Dysfunction	5.5
Start physical therapy with:
- Neck pain, low functional demand	4.7
- Neck pain, high functional demand	5.4
- Upper extremity symptoms,	6.5
low functional demand
- Upper extremity symptoms,	5.8
high functional demand
TMJ Disorder (no surgery)	6.0
All categories similar utilization
Post Operative TMJ Disorder	7.8
All categories similar utilization

Pelvic Conditions                               Average # of Visits    

Urinary Incontinence	4.0
Pelvic Pain	6.5
Start physical therapy with:
- Intermittent pain	5.6
- Constant pain	6.8