Clinical Resources for Occupational Therapy - Buffalo Occupational Therapy

Neuromuscular Re Education OT Goals Occupational Therapy Goals BOT Portal - Buffalo Occupational Therapy

OT Goals for Neuromuscular Re-Education

Neuromuscular ReEducation Treatments for Occupational Therapy BOT Portal - Buffalo Occupational Therapy

Neuromuscular Re Education - Buffalo Occupational Therapy

Neuromuscular Re-Education is a foundational component of the occupational therapy process – especially when working with neurological-based diagnoses, balance deficits, coordination deficits, and motor learning! Don’t forget to brush up on treatments, documentation examples, and more in The Portal!

Neuromuscular Re-Education Masterclass

Simple Goals for Neuromuscular Re-Education

The patient [or caregiver] demonstrates an understanding of adverse compensatory methods during the motor learning process as evidenced by verbally recalling [xx/xx] preselected statements within [xx] weeks.

The patient [or caregiver] communicates understanding of positioning and daily mobility strategies to prevent contractures and skin breakdown as evidenced by verbal discussion with practitioner and demonstration of learned skills within [xx] days/weeks.

The patient will demonstrate a reduction in abnormal muscle tone of [specific body part] as evidenced by increased measurement of uninhibited active range of motion or functional movement pattern by [xx degrees] within [xx] weeks.

The patient will demonstrate improvement in normal movement patterns as evidenced by completion of [occupation-based activity] without presence of compensatory movement patterns within [xx] weeks.

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Goals Continuums and Progressions for Neuromuscular Re-Education

Dynamic Sitting Balance

The patient will first improve dynamic sitting balance (and later standing balance), posture and gait as well as in intra-limb coordination as evidenced by an overall point improvement in the clinical ataxia scale SARA of greater than or equal to 8 points in 24 weeks.

Checkpoints:

Complete 100% of SARA initial assessment (15%)
6-8 sessions

2 sessions: Educate client on crucial compensatory Movement techniques including replacing rapid multi joint movement with slower movements with sequential single joints movements (15%)

2 sessions: Rehearse movements for goal directed stepping (15%)

2 sessions: Star point balance performance training (15%)

Tandem line with narrow BOS single-leg tap out and touch line with LOB x 60 ft (90%)
SARA Re-Test with outcome improvement (100%)

9 Hole Peg Test

The patient will improve bilateral fine motor coordination and prehension as evidenced by improved score of at least 7 seconds on the R handed 9 hole peg test according to normative data for those diagnosed with MS within 12 weeks.

9 Hole Peg Test (Normative Data established for MS)

Dominant side (Goal 17.81 seconds)

Non-Dominant (Goal 18.49 seconds)

R 26 seconds , L 23 seconds

Checkpoints: