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Occupational Therapy Case Study

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The intervention session will take place at an acute inpatient rehabilitation hospital – BESTRehab. The supplies needed includes an adjustable table, chair, washcloth, a variety of bathing items (shampoo, conditioner, loofah, and a towel), a video made by the occupational therapist or found online of an individual pushing a washcloth across a table, a device such as a computer to play the video, and an educational handout. The client will first be educated on what neuroplasticity is, followed by how engaging in action-observation training will further enhance the neuroplasticity of the brain. The client will also be informed on the importance of watching their hand when they are moving, because by doing this it will further increase the client’s …show more content…
The OTR will have previously made a video (or found one online) of an individual pushing a washcloth across a table. The client will sit down, and the therapist will ask the client to flex their shoulder as far as they can, so the table height can be adjusted to the height that allows the client to be able to get his arm on the table, given his current level of shoulder flexion (40 degrees). Next, the OTR will instruct the patient to pay close attention to the video, watching how the individual moves their arms, hands, and head. The client will attempt to place his arm on the table. Given the clients ability, the OTR may have to provide physical assistance by lifting the clients arm onto the table and stabilizing the arm on the table. The OTR may need to adjust the clients arm position, making sure the arm is pronated on the table. However, the amount of assistance should decrease as the client gains more strength and AROM. Once the arm is in a good position, the client will slide the washcloth forward as far as he can and backwards. This task will be repeated by the client. As the client gains more degrees of AROM in his (L) UE, the table will be raised slightly, so the shoulder flexion needed to place his hand on the table is increased. To make it more purposeful, the items used to bathe such as shampoo, conditioner, loofah, or a towel will be placed just out of reach of the client. The therapist

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