Volitional Functional Grasp
Occupational Therapy Intervention : Cylindrical Grasp
Documentation and Activity Rationale
The patient engaged in a grasp and release activity in today’s session emphasizing principles of interhemispheric communication by way of continuous midline crossing in order to promote neural excitation, UE strength, ROM, motor initiation, motor termination, and calibration of UE movements. The patient was set up in a high-back chair and was tasked with reaching and grasping an object with a cynlindrical grasp. The patient completed 3×12 repetitions in today’s session.
Grading Strategies
Grading Up:
- complete standing/ dynamically
- challenge pt with numerous items (e.g. bean bags, cones…)
Grading Down:
- start with smaller objects that the patient is able to form the whole hand around
- move the object to facilitate complete grasp (turning the object so that the patient can complete the grasp)
Appropriate Diagnoses / Deficits
- CVA
- TBI
- Alzheimer’s (cognitive deficits that result in difficulty of grasp and release/ movement initiation)
