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Upper Body Functional Movement Pattern

Occupational Therapy Intervention: Functional Movement Patterns

Documentation and Activity Rationale

The patient engaged in functional movement pattern strengthening activity. The task required the patient to retrieve x9 16, 18, and 20 oz weighted balls from the middle of her back. The patient was given additional therapist provided resistance in order for a just-right challenge. The movement pattern invoked shoulder extension, internal rotation, and adduction, forearm flexion, pronation/supination, and wrist and digit flexion and extension. This activity is purposed to improve strength and activity tolerance through repetition and progressive overload in order to increase participation in daily activities such as UB dressing and decrease pain. 

Grading Strategies

Grading Up: 

  • begin with the balls at waist level
  • provide no therapist added resistance
  • given tactile cue as to where you are holding the ball
  • integrate duel tasking

Grading Down: 

  • increase resistance
  • use only higher weight balls
  • do task seated

Appropriate Diagnoses / Deficits

  • Atrophy s/p wrist/hand surgery
  • Frozen shoulder (adhesive capsulitis)
  • Osteoarthritis
  • Decrease ROM
  • s/p rotator cuff injury