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Dynamic Stepping with Functional Reach and Controlled Movement

Occupational Therapy Intervention : Dynamic Stepping

Documentation and Activity Rationale

The patient engaged in dynamic standing activity on unstable surface using a foam pad requiring balance on one foot with unilateral upper extremity support and volitional catch-release of weighted 16oz ball using opposite UE. The multimodal occupation-centered activity is purposed to improve weight-shift, elicit righting reaction, establish COG, increased multi-cognitive-kinetic-tasking, increased postural alignment, and improve perceived balance confidence for increased safe, independent participation in work and leisure occupatioins requiring these functions and skills. 

Grading Strategies

Grading Up: 

  • Use ankle or wrist weights
  • Increase Weighted ball
  • Alternate arm/leg used for activity
  • Speed / Time (how many successful throws in x amount of minutes) 

Grading Down: 

  • Untimed
  • Decrease or eliminate weighted ball
  • Stand with both feet on the balance pad, or remove the pad entirely

Appropriate Diagnoses / Deficits

  • Generalized Weakness
  • SCI
  • CVA
  • TBI
  • Balance deficits