Which of the following is a challenge identified in integrating high-intensity stepping into rehabilitation settings?

Integrating high-intensity stepping into rehabilitation settings often faces challenges related to time and workflow constraints. In rehabilitation environments, particularly those that are busy or resource-limited, the scheduling and allocation of time for specific interventions can be difficult. High-intensity stepping requires dedicated time not only for the activity itself but also for appropriate patient assessment, setup, and monitoring to ensure safety and effectiveness. Additionally, staff may be spread thin, managing multiple patients and interventions, which can lead to prioritization conflicts.

The challenge of time and workflow is especially pronounced in settings that rely heavily on efficiency due to high patient volumes or limited therapy resources. Effective integration of such interventions may also necessitate changes in existing workflows, which can be met with resistance or can disrupt established routines, making it a complex integration effort.

While patient motivation, equipment availability, and medication management can also play roles in rehabilitation practices, the fundamental challenge of efficiently integrating high-intensity stepping is directly tied to the overall workflow and time management in therapy settings. Ensuring that high-intensity stepping is systematically incorporated without compromising the quality of care for patients requires addressing these logistical realities.