Dual Tasking on Variable Surfaces with Handwriting
Occupational Therapy Intervention : Dual Tasking
Documentation and Activity Rationale
The patient engaged in cognitive-motor dual tasking techniques. leveraging motor-based practices for inter-hemishpheric communication to elicit neuronal excitation overflow into executive functioning and increased functional independence. The patient engaged in a task requiring auditory memory and alternating memory via the memorization of 5/5 occupation-specifc vocabulary words in order to practice writing during the completion of the 5 point obstacle course with hurdles and unstable surfaces. The patient recalled 5/5 vocabulary words with good wrist extension during writing task. Written text continues to display ascending orientation demonstrating persisting visual spacial deficits.
Grading Strategies
Grading Up:
- Use ankle or wrist weights
- Increased obstacles
- Speed
- Holding something
Grading Down:
- Decrease speed
- Decreased obstacles
- Decreased words
- Decrease length of course
Appropriate Diagnoses / Deficits
- SCI
- CVA
- TBI
