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Pitch Back

Occupational Therapy Intervention : Pitch Back

Documentation and Activity Rationale

The patient engaged in dynamic standing activity requiring the propulsion of weighted balls [ 16oz, 18oz, 20oz] from 8ft away to a pitchback altering between objects for recognition and enhancement of modulation ability. The task was performed 2×25 reps while alternating between right and left extremity enhancing BUE strength and range of motion, forearm strength, functional grasp/intrinsic strength, reaction time, force absorption through palm and wrist joint, balance, postural alignment, gross muscle stamina, and endurance for activity.

Grading Strategies

Grading Up: 

  • switch throwing and catching hand
  • involve changes in head positioning (vestibular) 

Grading Down: 

  • use a larger ball
  • stand closer to the pitch back 

Appropriate Diagnoses / Deficits

  • decreased coordination 
  • s/p hand and/or wrist surgery
  • CVA
  • TBI