Step, Tap, Align Group | Occupational Therapy Intervention

Group Therapy Intervention

Occupational Therapy Intervention : Group Therapy

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 narrow BOS
increase the frequency of stepping
integrate dual-tasking (e.g. counting by 2’s)

Grading Down:

increase BOS
decrease stepping outside of BOS (e.g. “tap your foot to the side every 5 steps)

Appropriate Diagnoses / Deficits

Balance deficits
Memory Changes
CVA
TBI

One Leg Stance and Cross Midline Tap Group | Occupational Therapy Intervention

OT Practitioners

Group Therapy Intervention – Balance

Occupational Therapy Intervention : Group Therapy Intervention

Documentation and Activity Rationale

The patient engaged in LE dynamic balance activity designed to promote neuronal excitation, brain plasticity, interhemispheric communication, balance, agility, visualization, and stability. Alternating toe taps were completed invoking crossing midline using a visual target to ensure maximum range and visual perceptual skills, BUE cross midline, internal rotation, adduction > outside BOS. 15 reps were completed per LE.

Grading Strategies

Grading Up:

integrate dual-tasking
utilize directional component (e.g. “tap you left foot 3 times and your right foot 2 times)

Grading Down:

allow for one-handed support (e.g. a chair/non-wheeled walker)

Appropriate Diagnoses / Deficits

Balance deficits
Memory Changes
CVA
TBI