Dynamic Standing with Diagonal UB Pattern
Occupational Therapy Intervention: Dynamic Standing
Documentation and Activity Rationale
The patient engaged in dynamic standing activity in which they were tasked with completing repetitions of a UE diagonal pattern. Diagonal patterns have been researched in order to support claims that the brain recognizes rotational and diagonal patterns better than isolated movements during neuro-rehab. The patient was cued to maintain a narrow BOS in order to challenge and remediate noted balance deficits. The patient completed 2×15 repetitions utilizing intertwined hand-over-hand to support and facilitate movement from hypotonic LUE.
Grading Strategies
Grading Up:
- stand in tandem stance
- increased repetitions
- switch between different stances each repetition
Grading Down:
- slightly wider BOS
- provide contact assistance
Appropriate Diagnoses / Deficits
- Alzheimer’s
- balance deficits
- CVA
- TBI
