Seated Hula Hoop Group | Occupational Therapy Intervention

Seated Hula Hoop Group Intervention

Occupational Therapy Intervention : Group Intervention

Documentation and Activity Rationale

The patient engaged in a BUE AROM, mm Elongation, and generalized strengthening activity requiring them to hold the hula hoop at various points to elicit gross shoulder flexion, pronation/supination, internal/external rotation, scapular protraction/retraction. The patient perform 2×15 each movement pattern with noted fatigue at the end of sequence. Therapeutic rest offered.

Grading Strategies

Grading Up:

complete standing as a dynamic balance activity
complete with a weighted hula hoop

Grading Down:

offer rest breaks between each set

Appropriate Diagnoses / Deficits

Generalized weakness
Balance deficits (when graded to a stand)
Memory Changes
Attention deficits [alternating/divided]
CVA
TBI

Tandem Walking Group | Occupational Therapy Intervention

OT Practitioners

Group Therapy Intervention

Occupational Therapy Intervention : Tandem Walking – Group

Documentation and Activity Rationale

The patient engaged in tandem gait pattern to reduce trunk-tilt, center of mass displacement, medial-lateral feet distance, and frequency of stepping error as well as increase lateral support strengthening, trunk/core support, movement intention, and eye-foot coordination in order to improve community mobility. Walking in tandem has been proven to promote increased strength, gait stability, neural excitation for greater plasticity, and increased carryover into other functional movements. The patient walked approximately 30-40 ft CGA without the use of an ambulation device with moderate difficulty and verbal cues throughout entire task to slow down and focus on stable movements. The patient was not able to exemplify complete tandem pattern and was off by approximately 50%.

Grading Strategies

Grading Up:

place tandem line in “Z” formation
integrate dual-tasking

Grading Down:

begin with wider BOS that is challenging but achievable and grade from there

Appropriate Diagnoses / Deficits

Balance deficits
Memory Changes
CVA
TBI

Side Step to Elevated Surface | Occupational Therapy Intervention

OT Practitioners

Lower Extremity Strengthening – Step Ups

Occupational Therapy Intervention : Lower Extremity Strengthening

Documentation and Activity Rationale

The patient engaged in LE strengthening exercise in which she was tasked with single-leg balance, gait clearance and maintaining postural alignment in order to decrease balance deficits and increase hip flexors and peripheral musculature of the LE’s.

Grading Strategies

Grading Up:

increase speed
increase repetitions

Grading Down:

lower aerobic stepper
provide study support for balance and safety (e.g. chair, non-wheeled walker)

Appropriate Diagnoses / Deficits

Generalized weakness
Balance deficits
Muscle imbalances
CVA
TBI

Agility Ladder Forward Cross Midline Group | Occupational Therapy Interventions

OT Practitioners

Agility Ladder with Midline Crossing – Group

Occupational Therapy Intervention : Group Intervention

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 midline crossing pattern which required him to challenge his single leg balance by moving his LLE to the other side of his RLE and vise versal. CGA with x4 errors requiring verbal and visual cues.

Grading Strategies

Grading Up:

complete with metronome
complete more complex pattern
integrate dual-tasking (e.g. have patient count by 2’s)

Grading Down:

begin with a more simple pattern, challenging the patient to still not touch the yellow or black lines

Appropriate Diagnoses / Deficits

Memory Changes
Attention deficits [alternating/divided]
CVA
TBI
Balance deficits

Contralateral Marching Group | Occupational Therapy Interventions

OT Practitioners

Contralateral Marching – Group

Occupational Therapy Intervention : Group Intervention

Documentation and Activity Rationale

The patient engaged in slow contralateral marching to promote neural re-patterning, neural organization, enhancement of cognition, and interhemispheric communication. The patient slowly raised contralateral upper and lower extremity in a holding pattern to maximize intentional motor activation, increase hip, knee, and ankle stability, while also promoting UE strengthening and flexibility. The patient performed 50 marches on each side with minimal difficulty and contact guard assistance.

Grading Strategies

Grading Up:

integrate into dual-tasking (e.g. count by 2’s, make part of an obstacle course)

Grading Down:

provide a sturdy chair for one hand to switch off and on during each repetition
do task seated

Appropriate Diagnoses / Deficits

balance deficits
generalized weakness
memory Changes
CVA
TBI