I  DO use shoulder arcs too. 

For  the  most  part, every SNF I have worked in has at least one arc,
the  colored cones and peg boards. I agree they do look child like and
could be designed differently, like black, red and silver or maybe one
could  purchase weighted disc's, cones or pegs. I sometimes use velcro
wrist  weights, or I have the Pt stand to do the activity, or place it
on  the  floor  to  achieve  and  grade  depending  on  their short or
long term  goals  with B/UE-LE  ROM/strength/ADL's  etc.  Because many
facilities  "Therapy  Rooms"  have  limited  space,  budgets etc. they
purchase  and  have  their  OT's  use of them. Because these items are
portable  and  light  weight,  I  often  work with Pt's in their rooms
(bedridden)and I am better able to get them to achieve their UE/LE ADL
goals:  dressing,  bathing and grooming, where otherwise my options to
achieve  them would be limited. This is not a perfect OT world we work
in. I enjoy reading OTlist.

Keep up the good work Ron!

B Sullivan COTA/L







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