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Getting Up from Ground Level | Occupational Therapy Intervention

Getting Up from Ground Level | Occupational Therapy Intervention

OT Practitioners

Getting up from Ground Level

Occupational Therapy Intervention : Functional Intervention

Documentation and Activity Rationale

The patient engaged in a transfer from ground level in quadruped position to standing independently using furniture for assistance. The patient was tasked with motor planning, weight shifting through all extremities. Therapist provided education in safety awareness and proper body mechanics throughout the floor to stand transfer in order to increased patient ability to achieve independent functional mobility without assistance. 

Grading Strategies

Grading Down: 

  • supply a pillow for the patient’s knees
  • use a sturdy chair or ottoman to help the patient boost self

Appropriate Diagnoses / Deficits

  • older adults
  • balance deficits 
  • CVA
  • TBI

Memory Obstacle Course | Occupational Therapy Interventions

Memory Obstacle Course | Occupational Therapy Interventions

OT Practitioners

Memory Obstacle Course

Occupational Therapy Intervention : Dual Tasking

Documentation and Activity Rationale

The patient engaged in a dual-tasking obstacle course designed with alternating (3) hurdles with 6″ rise 2″ run and (3) aerobic steps 8″ rise by 13″ run to simulate various obstacles required during continuous community mobility. The patient was given 2-4 instructions varying between the difficulty of single-step and multi-step commands in order to assess and enhance working memory, topographical orientation, selective attention, sustained attention, and emotional regulation under pressure.

Grading Strategies

Grading Up: 

  • more complex image
  • more hurdles/activity
  • less cues

Grading Down: 

  • remove the hurdles
  • less busy environment

Appropriate Diagnoses / Deficits

  • Alzheimer’s
  • Dementias
  • Memory Changes
  • Attention deficits [alternating/divided]
  • CVA
  • TBI

Narrow BOS to Wide BOS | Occupational Therapy Interventions

OT Practitioners

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

Opening a Jar Activity | Occupational Therapy Interventions

Opening a Jar Activity | Occupational Therapy Interventions

OT Practitioners

Functional Hand Strength – Jar Opening

Occupational Therapy Intervention : Functional Hand Strength

Documentation and Activity Rationale

The patient engaged functional hand strengthening activity in which she was tasked with maintaining a spherical grasp against ‘power web’ resistance. The patient completed x2 repetitions of x3 different sized lids in order to increase intrinsic and extrinsic hand musculature and increase participation in patient-specified meaningful activities like opening jars, pop bottles, medicine bottles, containers, and more. 

Grading Strategies

Grading Up: 

  • increase repetitions 
  • increase variability in lid/functional grasp items 

Grading Down: 

  • begin with AROM before adding resistance
  • decrease repetitions 
  • incorporate rest breaks in between each set

Appropriate Diagnoses / Deficits

  • generalized weakness
  • atrophy s/p hand and/or wrist surgery

Reaching in Cupboard | Occupational Therapy Interventions

Reaching in Cupboard | Occupational Therapy Interventions

OT Practitioners

Functional Reaching Intervetion

Occupational Therapy Intervention : Functional Reaching

Documentation and Activity Rationale

The patient engaged in an activity requiring him to stand on balance pad [uneven surface] with BLE to evoke balance and right reaction while reaching upward and crossing midline to retrieve yellow theraband. Once yellow theraband secured in grasp, the patient was required to shift his gaze posteriorly, return to forward, and complete cross-midline resistance training. 10 reps each side. This task is used to improve the patient’s ability to maintain balance while reaching up into cupboards which he identified to be a challenge for him.

Grading Strategies

Grading Up: 

  • have pt stand on bosu ball 
  • increase frequency of directional changes 
  • incorporate into an obstacle course

Grading Down: 

  • eliminate dynamic foam pad
  • complete seated

Appropriate Diagnoses / Deficits

  • balance deficits 
  • CVA
  • TBI

Context Based Functional Ambulation Training | Occupational Therapy Intervention

Context Based Functional Ambulation Training | Occupational Therapy Intervention

OT Practitioners

Functional Ambulation Training

Occupational Therapy Intervention : Functional Ambulation Training

Documentation and Activity Rationale

Patient engaged in ambulation across multiple terrains for 15 minutes in indoor and outdoor environments in order to improve functional and community mobility. Patient required CGA to navigate elevations and depressions in terrain, but was otherwise independent with ambulation. 

Grading Strategies

Grading Up: 

  • increase the difficulty of the terrain 
  • increase time/milage

Grading Down: 

  • start in clinic with busy environment (e.g. chairs, hurdles…) 

Appropriate Diagnoses / Deficits

  • CVA
  • TBI