Occupational therapy practitioners are trained at assessing body function, activity limitations, and participation restrictions (Roe, 2013). Such restriction includes; physical disability. An occupational therapist must evaluate the client's baseline function before creating an intervention to help in reducing long-term disability by facilitating the participation in everyday activities, areas of occupation, and social roles (Powell, Rich, & Wise, 2016). According to parenting and child care “A physical disability is any condition that permanently prevents normal body movement and/or control. There are many different types of physical disabilities. Some of the main ones include; Muscular dystrophies, Acquired brain and spinal injuries, Spina bifida, Cerebral palsy” (2016). However, the underlying factor of physical disability is motor control. Motor control is referred as the ability to use
Coppieters, M. W., & Butler, D. S. (2008). Do ‘sliders’ slide and ‘tensioners’ tension? An analysis of neurodynamic techniques and considerations regarding their application. Manual therapy, 13(3),
There are numerous approaches to stroke rehabilitation, some of which are still in the early stages of development. Behavioral performance in any area, such as sensory-motor and cognitive function, is most likely to improve when motor activity is willful, repetitive and task specific.
The biomechanical approach assumes that the client has the capacity for voluntary control of the body (muscle control) and mind (motivation). It is anatomy and physiology that determines normal function, and humans are biomechanical beings whose range of motion (ROM), strength, and endurance have physiological and kinetic potential as well as role relevant behaviors. The biomechanical frame of reference is a key reference to use in conjunction with various others in enabling OT to access and identify a client’s occupational performance within the various activities of daily living. It is important when taking a holistic approach to practice, as
This papers purpose is to describe to the reader an Occupational therapy treatment plan and therapy session using the OTPF as its base to describe client’s performance. It is based off a case study of a 26 year old male racecar driver who suffered a traumatic brain injury and is now admitted into the hospitals ICU unit under a coma. The paper begins with a brief overview of the clients Injuries and occupational profile. It continues with goals that the therapist has set for the client and caregivers and concludes with the client’s treatment plan, along with a SOAP note which explains the client’s treatment and gives other healthcare workers information about the therapists goals and progress of the client
When moving and positioning an individual it is important to ensure they are not moved more than their body is capable of, as muscles can only move bones at the joint as far as the joint allows. It is also important to move and handle correctly to ensure nerve fibres are not damaged as they are delicate structures and also important as they send impulses to muscles which enables the muscles to contract and relax. When an individual is moved and positioned it is important this happens smoothly. Sudden movements or pulling in any direction of an individual’s limbs or
The task-centered model was developed by William Reid and Laura Epstein with the goal to implement an effective short-term intervention that focuses on resolving psychosocial problems that the client has identified as the main tasks of the intervention. The task centered model emphasizes on helping clients develop and achieve desire tasks or actions to alleviate their problems and identifies clients as the primary agents of change. Its theoretical framework has been influenced by learning theory, Perlman’s problem solving approach, and behavioral
Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice
The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many
"The purpose of Goal setting is to operationally define the specific desired outcomes and describe the factors involved in achieving the outcome" (Julia Bowman and Lise. L. Mogensen, 2010, p.100). Goals can be split up into two different types. A Short term goal "is the pathway leading up to the long term goal" (Julia Bowman and Lise. L. Mogensen, 2010, p.100). Long term goals "have been described as the destination of therapy" (Julia Bowman and Lise. L. Mogensen, 2010, p.100). For therapists the long term goal is how far the client wants to improve; if it is being fully independent, being able to do the cleaning, the long term goal would be set to get them to that place. However, if the client is not reaching their goals, this is when grading comes to place. "Grading is the modification of an activity to support the client's performance" (Bridgett,2011, OT A-Z: G is for Grading). Grading is all about adjusting the goal to make it easier or harder for the client. If the client was about to do their goal very quickly you would change their goal to make it harder for them; thus they can work towards a new goal. The occupation performance model looks at what makes the person be able to do or not do the task. With this the therapist will write down what is preventing the client from reaching their
The assumptions underlying the occupational performance model fall into assumptions about the human occupation, human performance, and as a self -organizing systems. Assumptions are derived from core philosophical tenets of occupational therapy which have been described by the Canadian Association of Occupational Therapy, the clients are viewed by a wholistic perspective as being comprised of interacting elements of mind, body, and sprits. The values, beliefs, and principles of the clients are developed in treatments
The development of the “ Brains Program was guided by evidence based research and collaboration with various hospitals. Due to the short time frame and multidisciplinary input required, an Occupational Therapy model of practice was not considered by the OT’s at South West Health Care. However, The Person-Occupation- Environment -Performance (PEOP) model is applicable when selecting patients to participate in the “Active Brains Group” (Baum & Christiansen., 2005). The PEOP model takes into account both intrinsic and extrinsic factors as well as a persons performance ability whilst completing the occupational task. (Hoffman, Bennett & Del Mar., 2010). This allows for a holistic view of the person and their functional abilities (Hoffman, Bennett
Occupational Therapy is a growing field; one that is constantly changing as technology becomes more advanced. There are different techniques and methods used in this field, as well as the field of physical therapy, in order assist in client advancement and growth. The traditional method being discussed is Proprioceptive Neuromuscular Facilitation also known as PNF and the contemporary technique is Kinesio Taping. These techniques and methods came about for the same purpose, and that is to ultimately help both the Practitioners and of course clients they work with.
The key concepts of a cognitive behavioral approach have been broken down into a four-stage process. According to Corey (2016), “the specific unique characteristics of behavior therapy include conducting a behavioral assessment, precisely spelling out collaborative treatment goals, formulating a specific treatment procedure appropriate to a particular problem, and objectively evaluating the outcomes of therapy” (p. 349). The behavioral assessment is aimed at gathering as much detailed information about the client’s problem. This part of the process will also focus on the client’s current functioning and life conditions and taking samples of his or her behaviors to provide information about how the client typically functions in various situations. Lastly, the behavioral assessment is narrowly focused and integrated with therapy.
To optimize the patient functional status and progress, the rehabilitation centers are work to implement global treatment strategies. Commission on Accreditation of Rehabilitation Facilities, it is international organization majors on enhancing the quality of services that rehabilitation centers use to meet the needs of the patients for best achievable results. It covers different specialty including the stroke specialty program. CARF provides global accreditation and accredits the medical rehabilitation program to be the best in the provision of rehabilitation services. This discussing the effectiveness of a rehabilitation center awarded by international standard and updated treatment on the quality improvement plan for stroke patient. This essay will analyze the physiotherapy rehabilitation plan and its influence on functional activity of stroke patient. After that, consider the advance of quality performance and treatment for the stroke program in rehabilitation centers