Pitch Back | Occupational Therapy Intervention

Pitch Back

Occupational Therapy Intervention : Pitch Back

Documentation and Activity Rationale

The patient engaged in dynamic standing activity requiring the propulsion of weighted balls [ 16oz, 18oz, 20oz] from 8ft away to a pitchback altering between objects for recognition and enhancement of modulation ability. The task was performed 2×25 reps while alternating between right and left extremity enhancing BUE strength and range of motion, forearm strength, functional grasp/intrinsic strength, reaction time, force absorption through palm and wrist joint, balance, postural alignment, gross muscle stamina, and endurance for activity.

Grading Strategies

Grading Up:

switch throwing and catching hand
involve changes in head positioning (vestibular)

Grading Down:

use a larger ball
stand closer to the pitch back

Appropriate Diagnoses / Deficits

decreased coordination
s/p hand and/or wrist surgery
CVA
TBI

Pitch Back with Kinesiology Tape | Occupational Therapy Interventions

OT Practitioners

Pitch Back with Kinesiology Tape

Occupational Therapy Intervention: Pitch Back

Documentation and Activity Rationale

The patient engaged in a dynamic standing activity requiring the propulsion of weighted balls [ 16oz, 18oz, 20oz] from 8ft away to a pitchback altering between objects for recognition and enhancement of modulation ability. The task was performed 2×25 reps while alternating between right and left extremity enhancing BUE strength and range of motion, forearm strength, functional grasp/intrinsic strength, reaction time, force absorption through palm and wrist joint, balance, postural alignment, gross muscle stamina, and endurance for activity.

(Kinesiology tape application prior to pitch back) The patient engaged in approximately 12 minutes of neuromuscular re-education through proprioceptive manipulation, muscle elongation, and application of dermal material to provide ongoing proprioceptive input and support to the patient between sessions thus promoting the brain’s awareness of the RUE and muscle recruitment for wrist support and decreased pain.

Grading Strategies

Grading Up:

incorporate directional changes
increase activity demands

Grading Down:

use a larger ball
catch with both hands

Appropriate Diagnoses / Deficits

muscle weakness
atrophy s/p hand and/or wrist injury
CVA
TBI

Multi-Modal Dynamic Seated Activity Posture | Occupational Therapy Interventions

OT Practitioners

Dynamic Seated Postural Activity

Occupational Therapy Intervention: Multi-Modal Dynamic Seated Postural Activity

Documentation and Activity Rationale

The patient engaged in a dynamic unsupported seated activity requiring him to toss a beanbag through a hoop approximately 6 feet off the ground suspended from the ceiling. The task utilized to encourage/elicit neck extension, strong posture, movement/task initiation, eye/hand coordination, modulation, and sustained attention to the task. The patient required moderate verbal cues through activity to complete the requirements of the task and was able to successfully accomplish an accurate toss 5 / 15 attempts

Grading Strategies

Grading Up:

complete standing
integrate midline crossing
have pt retrieve beanbags before tossing them through

Grading Down:

sit closer to hoola hoop
place hoola hoop on floor

Appropriate Diagnoses / Deficits

Dementias
Parkinsons
CVA
TBI
Kyphotic posturing