Dual Tasking on Variable Surfaces with Handwriting

Occupational Therapy Intervention : Dual Tasking

Documentation and Activity Rationale

The patient engaged in cognitive-motor dual tasking techniques. leveraging motor-based practices  for inter-hemishpheric communication to elicit neuronal excitation overflow into executive functioning and increased functional independence. The patient engaged in a task requiring auditory memory and alternating memory via the memorization of 5/5 occupation-specifc  vocabulary words  in order to practice writing during the completion of the 5 point obstacle course with hurdles and unstable surfaces. The patient recalled 5/5 vocabulary words with good wrist extension during writing task. Written text continues to display ascending orientation demonstrating persisting visual spacial deficits. 

Grading Strategies

Grading Up:

  • Use ankle or wrist weights
  • Increased obstacles
  • Speed
  • Holding something 

Grading Down: 

  • Decrease speed
  • Decreased obstacles
  • Decreased words
  • Decrease length of course

Appropriate Diagnoses / Deficits


  • SCI
  • CVA
  • TBI