Agility Ladder + Side Step Group | Occupational Therapy Intervention

Group Therapy Intervention – Agility Ladder

Occupational Therapy Intervention : Group – Agility Ladder

Documentation and Activity Rationale

The 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:

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

Dynamic Agility Ladder Step Pattern Group | Occupational Therapy Intervention

OT Practitioners

Dynamic Agility Ladder – Group

Occupational Therapy Intervention : Agility Ladder – Group

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 pattern which required him to use speed while side-stepping in a diagonal pattern. CGA with x4 errors requiring verbal and visual cues.

Grading Strategies

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

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

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