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Neuromuscular Re-Education is a foundational component of the occupational therapy process – especially when working with neurological-based diagnoses, balance deficits, coordination deficits, and motor learning! Don’t forget to brush up on treatments, documentation examples, and more in The Portal!

The patient [or caregiver] demonstrates an understanding of adverse compensatory methods during the motor learning process as evidenced by verbally recalling [xx/xx] preselected statements within [xx] weeks. 

The patient [or caregiver] communicates understanding of positioning and daily mobility strategies to prevent contractures and skin breakdown as evidenced by verbal discussion with practitioner and demonstration of learned skills within [xx] days/weeks. 

The patient will demonstrate a reduction in  abnormal muscle tone of [specific body part] as evidenced by increased measurement of uninhibited active range of motion or functional movement pattern by  [xx degrees] within [xx] weeks. 

 The patient will demonstrate improvement in normal movement patterns as evidenced by completion of [occupation-based activity] without presence of compensatory movement patterns within [xx] weeks. 

Dynamic Sitting Balance

The patient will first improve dynamic sitting balance (and later standing balance), posture and gait as well as in intra-limb coordination as evidenced by an overall point improvement in the clinical ataxia scale SARA of greater than or equal to 8 points in 24 weeks. 

Checkpoints:

• Complete 100% of SARA initial assessment  (15%) 
• 6-8 sessions

2 sessions: Educate client on crucial compensatory Movement techniques including replacing rapid multi joint movement with slower movements with sequential single joints movements (15%) 

2 sessions: Rehearse movements for goal directed stepping (15%) 

2 sessions: Star point balance performance training (15%)

• Tandem line with narrow BOS single-leg tap out and touch line with LOB x 60 ft (90%)
• SARA Re-Test with outcome improvement (100%) 

9 Hole Peg Test

The patient will improve bilateral fine motor coordination and prehension as evidenced by improved score of at least 7 seconds on the R handed  9 hole peg test according to normative data for those diagnosed with MS within 12 weeks. 

9 Hole Peg Test (Normative Data established for MS) 

Dominant side (Goal 17.81 seconds) 

Non-Dominant (Goal 18.49 seconds)

R 26 seconds , L 23 seconds

Checkpoints: 

• Improved original score by 2 seconds (25%)
• Improved original score by 4 seconds (50%)
• Improved original score by 6 seconds (75%)
• Improved original score by 7 seconds (100%)

Balance Confidence and Balance Insecurity

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Sensory Processing and Sensorimotor Interactions

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Sensory Processing and Sensorimotor Interactions

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Increase Active Range of Motion in Presence of Spasticity 

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Self-Management of Spasticity

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FMA-UE

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Decreased Compensatory Movement Strategies

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 Sitting Balance

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Dual Tasking – Auditory Memory, Recall, and Balance Restoration

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