Proprioceptive Neuromuscular Facilitation VS. Kinesio Taping Phillip Jean-Juste and Hakeem Johnson Kinesiology OTA 103 Lainisha McMiller-Turner July 9, 2015 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 background of Proprioceptive Neuromuscular Facilitation (PNF) is traced back to the late 1940s/early 1950s with Herman Kabat (MD), Margaret Knott (PT), and Dorothy Voss (PT) being the developers of this method. PNF was developed to treat neurological dysfunctions (such as multiple sclerosis and cerebral palsy) . “This was an attempt to gain better control in a population of neurologically impaired instead of just offering the standard treatment at the time which was range of motion exercising and gate belt training”(Knott and Voss, 1968). Even though PNF was developed for neurological dysfunctions overtime it also became principle used in others areas of life such as with athletes and personal/physical trainers. The common misconception with
My shadowing experience this summer has taught me so many new things about physical therapy. It has allowed me to observe the practice and make sense of the new information I have learned. Although therapy has not changed, the lenses through which I view it have. I no longer see a patient performing arbitrary exercises, I see muscles moving in specific patterns. I no longer see a passive stretch being performed, I see soft tissues, ligaments, and capsules being mobilized. I no longer see a diagnosis that receives that same treatment, I see a person that is struggling with an issue and passionate people willing to help through genuine care. I Had my first observation at The Medical Arts Research Center(MARC), an outpatient physical therapy facility in San Antonio. There, I observed 9 patients with musculoskeletal conditions. These included 8 adults and 1 pediatric. The second clinic was Peak Physical Therapy, an outpatient physical therapy clinic in Wylie, Texas. There I saw 8 patients with musculoskeletal conditions including 6 adults and 2 pediatric. During these observations, I saw many components of physical therapy practice. The last place I shadowed was Warm Springs Rehab Hospital of San Antonio. I observed in the post-acute medical facility in which we saw 7 patients with neuromuscular conditions, including 5 adults and 2 pediatric.
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
Keeping a patient motivated, active, and engaged in the process is always important “it’s our foundation of Occupational Therapy Practice”. I would be extremely pleased to see my patients happy, smiling and slowly improving over time. I want to be there for them and help them as much as I know I can. I want to be a person who changes a life. My goal is to see my patients being able to regain abilities once again, for them not to give up and for them to show me that in the end it was worth it and I made someone regain
What intrigues me most in the field of Occupational Therapy is that I could make a positive impact in the lives of others. An occupational therapist can help a patient revitalize their physical, cognitive, or emotional disabilities, and develop or restore its functionality through continuous practice and effort. There is nothing more fulfilling for me than to see an individual achieving the greatest possible independence. This train of thought arose when I observed an occupational therapist working with my mother to return her arm to feeling normal again after her accident.
Angelo is a 65-year-old male who has left-sided hemiparesis because of a right cerebrovascular accident that occurred 7 years ago. Though he has left upper extremity weakness, it does not affect his right upper extremity, which is his dominant side. Angelo uses a cane to ambulate between locations, yet he needs to use a rail in order to climb up stairs, and he uses an ankle-foot-orthosis to support his left foot. Although Angelo has no visual and/or perceptual deficits, Angelo struggles to flex his shoulder, extend his elbow, and both flex and extend his fingers. Angelo experiences diminished sensation on his left upper extremity, but it depends on the time of day. When Angelo sits down on a chair next to the table, he places his left upper extremity on the top of the table to support it, using his right upper extremity. In addition, Angelo is able to articulate
Turning and ambulation after activities will be enhanced if pain is controlled or tolerable because promotes muscle relaxation.
I stated to formulate my research questions when I surfed the American Physical Therapy Association (APTA). I read some of documents that
Exemplar three shows evidence of my personal experience, which has strengthened my ability to relate to clients and my passion for occupational therapy. It has also allowed me to demonstrate my understanding of a range of techniques, in
By implementing a class into the curriculum at the University of Findlay that focuses on the collaboration of physical and occupational therapy when treating prosthetics students will be better prepared for treating a patient with a prosthetic in the future. This type of class will not only teach the ways to assess and treat a prosthetic patient it will also cover how interacting with the other members of the therapy team can improve the overall rehabilitation process. Thank you for taking your time to read our proposal. We look forward to the possibility of working with you on this
The occupational therapy process is the client-centred delivery of occupational therapy services. (AOTA, 2008) There are many variations to the occupational therapy process and how it is carried out but it does have a clear beginning point and stages throughout the process. Conceptual models interact with the occupational therapy process at all stages. These are evaluation, intervention, revaluation and therapy outcomes. Evaluation (often called assessment) is the gathering and analysing of information whose results are used by the occupational therapist to organise and administer interventions to to help clients in changing their
Occupational therapy has been in the process of continued development since the 1900’s. With several contributors helping to build the groundwork for creating the awareness needed to bring occupational therapy into the field of health care. Continued research is contributing to the ongoing significance of how occupational therapy is a vital aspect in promoting increased independences in all aspects of healthcare. (Willard, Schell, 2014) With the incorporation of “Occupational Therapy Practice Framework Domain and Process (3rd ed.)” helps creates the foundation for occupational therapy clinicians as well as other health care providers in facilitating the core believe of occupational and the relationship of health and occupation. (AOTA 2014) Therefore, providing a uniform outline of the various aspects of each individual and how they are interconnected to create the foundation of each individual. With a greater understanding of the foundations of that induvial, the clinician can then facilitate the best therapeutic treatment plan for that individual to achieve their personal goals with unified foundations of care.
Pt participated in a 60-minutes treatment session for developmental milestone in the OT gym. Pt jumped on the trampoline, performed valance, exercises(squat, X-jumps, Knee cross, and donkey kicks), obstacle course (6 steps, picked up a card for speech therapist, swing, and dock walk)to increase sensory input( proprioception, vestibular, tactile, and visual), fine and gross motor skills, self-regulation, body awareness, balance, bilateral coordination, and behavioral issues. First, pt jumped on the trampoline for 10 rounds. Second, pt performed valance while placed in a wilbager position with arms extended to pick-up simulated fruits as instructed by the therapist. Third, pt performed exercises (squats, x-jumps, knee cross, donkey kicks for
The first component involves repetitive, task-oriented training of the affected upper extremity for 6 hours a day for 10 or 15 consecutive weekdays. During the intervention phase, the participant is supervised by an interventionist as they practice functional task activities such as shaping or task practice. Shaping is a training method based on principles of behavioral training. The motor objective is approached by small steps, and each functional activity is practiced for a set of ten 30 trials. Task practice is not structured to be individual trials. It involves functionally based activities (e.g., writing wrapping a gift) that are performed continuously for a period of 15 – 20
The aim of this study was to investigate whether repetitive transcranial magnetic stimulation (rTMS) can improve motor recovery in lower extremities of the patients with subacute stage spinal cord injury (SCI). This study was conducted with 19 subjects diagnosed with paraplegia because of SCI. The experimental group included 10 subjects who underwent active rTMS, and the control group included 9 subjects who underwent sham rTMS. The SCI patients in the experimental group underwent conventional rehabilitation therapy, and active rTMS was applied daily to the hotspot of the lesional hemisphere. The SCI patients in the control group underwent sham rTMS and conventional rehabilitation therapy. The participants in both the groups received therapy five days per week for six weeks. Latency, amplitude, and velocity were assessed before and after the six-week therapy period. A significant difference in post-treatment gains for the latency and velocity was observed between the experimental and control groups (p 0.05). We conclude that rTMS may be beneficial in improving motor recovery in lower extremities of subacute stage SCI patients.
There are many different conceptual models available to occupational therapists today. These include the Canadian model of occupational performance and engagement (CMOP-E), the Model of Human Occupation (MOHO), the biomechanics model, the Kawa model and the rehabilitation model. These are very important to the profession and in guiding the occupational therapy process. The focus of this essay will mainly be on the MOHO.