Narrow BOS to Wide BOS
Occupational Therapy Intervention : Balance
Documentation and Activity Rationale
Patient participated in agility-centered activity using a high contrast agility ladder to invoke the vestibular, neuromuscular, muscular, and visual perceptual body systems in order to increase balance, gross coordination, visual perception, agility, invoke involuntary postural correction, attention to task, motor planning, movement intention, and neuromuscular communication. The patient demonstrated difficulty in performing a forward linear pattern which required him to alternate between a narrow BOS and wide BOS x6 step sequence. CGA with x4 errors requiring verbal and visual cues.
Grading Strategies
Grading Up:
- add dual task component
- more metronome beat
- increase speed of task
Grading Down:
- stand in one square and complete step pattern
- complete at a slow pace
Appropriate Diagnoses / Deficits
- Alzheimer’s
- Dementias
- Memory Changes
- Parkinson’s Disease
- CVA
- TBI
