Special Topics Mod 3

LSVT Big and PWR

exercise programs for individuals with parkinsons disease

Functional balance grading scale

observation based screening that detects severity of balance impairments

• must be assessed while using their assistive device

• static and dynamic

• sitting and standing

spinal cord independence measure (SCIM)

developed for use in the patients with spinal cord injuries (SCI) to assess their ability to do their ADLs and daily routine

3 domains: self-care, respiration and sphincter management, mobilitiy

Semmes Weinstein

sensory test used to assess touch perception and nerve function by applying monofilaments of varying thickness to the skin

OTs role in high tetraplegia C1-4 SCI

main goal: prevent contractures

educate client how to direct care/ engage in decision making

training on how to use mouth stick (c3-4 only)

positioning in bed

ROM exercises

splints

wheelchair (tilt in space for pressure relief)

electric feeder

caregiver education

OT role in C5 SCI

splint/ orthosis for grasp

universal U or C shaped cuff

balanced forearm orthosis

wrist cock up splint

repetitive training sessions to strengthen muscles

OT role in C6 SCI

tenodesis grasp introduced

flexor hinge splint

alternate grasp patterns

clothing loops

introduce sliding board transfer

safety and training in self propelling indoors

OT role in C7 tetraplegia

• education on bed mobility (can roll in bed)

• education on transfers

• wheelchair safety/ strengthening

• reaching exercises (diagonal patterns)

• UE ADLs training

• depression scoot/ airplane transfers

OTs role in C8 SCI

LE, ADLs, transfers, and bowel/bladder movement may require assistance (reacher)

ADL training (build up handles)

theraputty and other fine motor strengthening exercises

dermatome

specific area on body that relies on a specific spinal nerve to carry signals to the brain

conditions or disorders that impact dermatomes

• injuries

• spine tumors

• infections

• congenital

• ischemia

spinal nerves of the head, face, and neck (study them individually)

C2-C4

spinal nerves of the upper limbs (study them individually)

C5-T2

functions affected with t1-10 SCI

trunk control

leg function

bowel bladder

sensation

OT role in t1-4 SCI

• adaptive equipment

• mobility skills: sitting balance, wheelchair, functional transfer training

• energy conservation

• endurance training

• strengthening and ROM

OT role in T5-7

• long sit for LB self care

• functional mobility and transfer training

OT role in T10-L1 SCI

• education on orthotics for dressing

• adaptive equipment for functional mobility (standing frame/ orthotics)

L1-5 SCI

• loss of function in hips and legs

• little to no bowel or bladder control

• alters LB sensation

S1-S5

• loss of some function in hips and legs

• various degrees of bowel and bladder control

• increased ability to walk without a/e

study each nerve individually

!!!

L1-L5 equipment

lightweight wheelchair

KAFO

S1-S5 equipment

AFO

L1-S5 gait training

lokomat robotic assisted gait device

L1-S5 bladder and bowel managment

• care and management of drainage system or stoma

• education on proper hygiene, schedules

• pelvic floor training

L1-S5 interventions

• UB strengthening

• accessibility and fall risk - home environment

• wheelchair transfers

• patient and family education