Group Therapy Intervention – Agility Ladder

Occupational Therapy Intervention : Group – Agility Ladder

Documentation and Activity Rationale

The patient participated in agility-centered activity using a high contrast agility ladder to invoke the vestibular, neuromuscular, muscular, and visual perceptual body systems in order to increase balance, gross coordination, visual perception, agility, invoke involuntary postural correction, attention to task, motor planning, movement intention, and neuromuscular communication. The patient demonstrated difficulty in performing a forward linear pattern which required him to alternate between a narrow BOS and wide BOS x6 step sequence. CGA with x4 errors requiring verbal and visual cues.

Grading Strategies

Grading Up: 

  • complete with metronome 
  • complete more complex pattern
  • integrate dual-tasking (e.g. have patient count by 2’s)

Grading Down: 

  • begin with a more simple pattern, challenging the patient to still not touch the yellow or black lines 

Appropriate Diagnoses / Deficits

  • Memory Changes
  • Attention deficits [alternating/divided]
  • CVA
  • TBI
  • Balance deficits