Home Therapeutic Act
| Select | Name | Description | Delete |
|---|---|---|---|
| Arm arc act | to promote UE ROM, crossing midline, trunk rotation, core strength, and sitting/standing balance for UB dressing. | ||
| Balance training | w/ use of cones and rings to increase supported/unsupported sitting/ standing balance while shifting weight to promote fall prevention. Seated rest in between each stand. | ||
| Ball squeeze | for hand strengthening for fasteners, adjusting sleeves, pulling up pants, managing shoes and socks, and using adaptive equipment. | ||
| Ball toss | act facilitate righting reactions to reduce fall risks (for toileting task.) to increase UE coordination for UB dressing/ | ||
| Bilateral coordination | act to increase safety and efficiency in fxnl mobility and fxnl txf. | ||
| Boxing | act to improve gross motor coordination and trunk rotation to prevent future falls. Verbal cues to keep core tight during punching. Tactile cues at hips for weight shifting. Tactile cues at scapula for posture. Verbal cues for lifting strategies. | ||
| catch | Pt engages in a game of catch using BUE to facilitate grasp and release patterns. | ||
| Facilitation | w/ functional posterior reach, trunk rotation and balance for fxnl tasks. | ||
| fxnl cog act | Pt engaged in fxnl cognition act, including card sorting by color, suits, and numerically, to facilitate following directions, working memory, and concentration to increase fxnl skills for ADLs. Pt demo ability to sort cards w/ 2 VC to correct errors. | ||
| Impairment | Decreased hip mobility Poor core stability/trunk control Decreased trunk rotation Decreased proprioception Limited shoulder range of motion Lack of fine motor coordination Visual deficits Poor head and neck control Limited upper extremity movement Decreased lower extremity (hip, knee, ankle) strength Decreased upper extremity (elbow, shoulder, wrist, hand) strength Difficulty with motor planning Difficulty with sequencing Cognitive impairment | ||
| Item retrieval | to promote functional reach in multi-directions, balance and coordination. | ||
| Peripheral vision test | Cranial nerve 3,4,6= motor system of eyes (side vision) w/out turning head 1. Peripheral vision result: - use card to cover each eye result: 3. Eye tracking result: move in 6: convergent- together divergent-away *1. look forward at COTA's nose while COTA holds sticks (red and black). 2. add card. 3. Keep head still while moving eyes.(H pattern: outside of face-shoulder width and 12"-18" inches away. Convergent- Divergence- | ||
| Posterior pass backs | act to promote shoulder rotation, UE ROM, coordination, grasp, and trunk mobility for UB dressing. | ||
| Pt ed fall prevention | strategies during ADLs/IADLs. Pt demo verbal understanding stating they have a grab bar at home and will be removing rugs. Provided fall prevention handout to promote carry over. | ||
| Pt engages in | Pt participates in Facilitation w/ | ||
| Pt engages in cognitive act | to focus on organization, problem-solving, and sequencing to carry out everyday tasks. | ||
| Safety cards | Pt engaged in lifting and posture activities while referencing the visual safety cards. Lifted a weighted box from the floor, reached for an object on a higher shelf, and performed bending movements to simulate daily tasks. Min verbal cues to emphasize correct lifting technique prior to task. Pt demonstrated improved form and body alignment, post education from visual safety cues. | ||
| Seated act | w/ 1# wrist weight to promote BUE ROM, strengthening, bilateral intergration, sitting balance, and eye-hand coordination. | ||
| Sensory testing | Cranial nerve trigeminal nerve test- 5 touch and motor. Pt close eyes for sensory. Sensory test: use qtip to touch pt's face to see response. Up, middle, lower. Motor test: temporal and mandible. Pt to bite. | ||
| Stereognosis test | w/ 5 items for pt to feel in hand w/ vision occluded. Pt able to identify _/5 items correctly. *identifying items correctly w/ a sense of touch w/out using your eyes. Common house hold items. | ||
| Trunk rotation | item retrieval to promote reaching across midline, UE ROM and coordination, and grasp for item retrieval. | ||
| Unsupported sitting act | to promote functional reach in multi-directions, balance, and coordination for bathing tasks. | ||
| Visual scanning act | to promote visual attention and safety awareness. Pt instructed to locate/retrieve 3 items in numerical order during w/c---fxnl mobility. |
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