Functional Reaching Intervetion

Occupational Therapy Intervention : Functional Reaching

Documentation and Activity Rationale

The patient engaged in an activity requiring him to stand on balance pad [uneven surface] with BLE to evoke balance and right reaction while reaching upward and crossing midline to retrieve yellow theraband. Once yellow theraband secured in grasp, the patient was required to shift his gaze posteriorly, return to forward, and complete cross-midline resistance training. 10 reps each side. This task is used to improve the patient’s ability to maintain balance while reaching up into cupboards which he identified to be a challenge for him.

Grading Strategies

Grading Up: 

  • have pt stand on bosu ball 
  • increase frequency of directional changes 
  • incorporate into an obstacle course

Grading Down: 

  • eliminate dynamic foam pad
  • complete seated

Appropriate Diagnoses / Deficits

  • balance deficits 
  • CVA
  • TBI