Visual Spatial Dual Tasking

Occupational Therapy Intervention : Dual Tasking

Documentation and Activity Rationale

The patient engaged in a dual-tasking activity with an emphasis on visual memory and recall. The task required the patient to receive a 3-part image at point A, ambulate 20 ft while clearing obstacles of various sizes and heights, and recall and draw the image received at Pt A. This activity is purposed to improve the relationship between perceptual processing and encoding, storage, and retrieval of the resulting neural representations after approximately 10 seconds of time-lapse. The patient demonstrated no evidence of LOB or instability. She required between 2-3 repetitions per image with 2-3 verbal cues. 3 step directions are moderately difficult for the patient.

Grading Strategies

Grading Up: 

  • more complex image
  • more hurdles/activity
  • ask an unrelated question after the patient reviews the image and before she walks

Grading Down: 

  •  remove the hurdles
  • simple images
  • eliminate walking
  • do task seated

Appropriate Diagnoses / Deficits

  • Alzheimer’s
  • Dementias
  • Memory Changes
  • Attention deficits [alternating/divided]
  • CVA
  • TBI