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Work Hardening and UB Strength

Occupational Therapy Intervention: Work Hardening and UB Strength

Documentation and Activity Rationale

The patient engaged in a work hardening task in which she was tasked with shoulder (adduction and abduction), forearm, wrist, and intrinsic hand strengthening. The task required the patient to manipulate <50lbs for x10 repetitions in order to prepare the patient for return to work s/p hand injury. 

Grading Strategies

Grading Up: 

  • increased repetitions
  • increased weight 

Grading Down: 

  • less weight
  • begin with the movement pattern

Appropriate Diagnoses / Deficits

  • Atrophy s/p hand and/or wrist injury
  • muscle weakness
  • hypo/hypertonicity
  • TBI
  • CVA
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