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Pitch Back with Kinesiology Tape

Occupational Therapy Intervention: Pitch Back 

Documentation and Activity Rationale

The patient engaged in a 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.

(Kinesiology tape application prior to pitch back) The patient engaged in approximately 12 minutes of neuromuscular re-education through proprioceptive manipulation, muscle elongation, and application of dermal material to provide ongoing proprioceptive input and support to the patient between sessions thus promoting the brain’s awareness of the RUE and muscle recruitment for wrist support and decreased pain. 

Grading Strategies

Grading Up: 

  • incorporate directional changes
  • increase activity demands

Grading Down: 

  • use a larger ball
  • catch with both hands

Appropriate Diagnoses / Deficits

  • muscle weakness
  • atrophy s/p hand and/or wrist injury
  • CVA
  • TBI