How do I avoid duplicate billing with PT for Balance and Stability?
What are the 6 principles of stability?
- Lower your Center of Gravity
- Focus on single point
- Increase Base of Support
- Increase Friction
- Keep your center of gravity and line of gravity in your base of support
How can I use yoga for balance training during a treatment?
Balance Activities in occupational therapy services are unique in that the OTP is thinking about the occupational performance, future multi-context implications, and (most importantly) the source of the client’s dysfunction so that it can be remediated or restored to it’s maximum capacity. An occupational therapy practitioner should never forget that our primary role is to restore function the correct way in order to allow our client to live a least-restrictive lifestyle. We must apply the study of medicine to analyze our client’s diagnosis, the study of biomechanics and kinesiology to restore and maximize function, and the psychosocial model in order to provide a balance between the medical and social science frame of mind. THIS is occupational therapy!
Showcase: Balance Activities for Occupational Therapy
Assessments to use in Evaluation and Progress Notes:
- BERG Balance Assessment
- Timed Up and Go
- 5 Times Sit to Stand
- 10ft Tandem Line
- Modified Falls Efficacy Scale
- ABC Balance Scale
Helpful Printables in the Occupational Therapy Store
How should you approach balance in Occupational Therapy?
Explanation: An occupational therapy practitioner has a secret sauce to rehabilitation. What separates us from everyone else is that we use activity analysis for repair and we work in continuums! We are holistic practitioners who work in both the social and medical models which means we understand that there is a sequence that must be used for maximum recovery. What is the treatment continuum for balance in occupational therapy? How should you format your plan of care or treatment plans to help someone improve their balance for maximum occupational therapy performance? Well, first of all – be prepared for 6-12 weeks of work! Balance takes a long time to correct!!! An occupational therapy practitioner is required to improve the balance so much that the balance system is effective across any context his/her patient may find themselves. So, what’s the balance continuum of occupational therapy treatments?
- Postural Alignment Assessment and Gait Assessment
- Address muscle mal-alignments, imbalances, and generalized weakness
- Static sitting – supported (postural endurance and body mechanics)
- Static sitting – unsupported (postural endurance and body mechanics)
- Dynamic sitting activities / exercises — progress to multi-modal dynamic sitting activities
- Static standing
- Transitional movement efficiency and stability
- Dynamic standing activities requiring unilateral upper extremity involvement, one hand support
- Dynamic standing activities requiring bilateral upper extremity involvement
- Dynamic standing activities requiring extensive weight shift beyond base of support
- Dynamic standing activities requiring bilateral upper extremity involvement with reach outside or beyond base of support
- Gait Training
Occupational Therapy Treatment and Documentation Examples
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