Without giving anyone my 2 cents, I want to pose this question to the listserv:
What neurofacilitation strategies other than NDT/Bobath principles and PNF do
we (therapists)offer for a dense (0/5 strength) hemiplegic UE?
Second question: What is one's opinion about whether an OT working on a stroke
service should have a "practical" understanding and implementation of
NDT/bobath principles? Is it necessary?
I hope I didn't give away my viewpoint..
Arley Johnson, MS, OTR/L
________________________________
From: [EMAIL PROTECTED] on behalf of Ron Carson
Sent: Sun 8/12/2007 3:54 PM
To: Sue Hossack
Subject: Re: [OTlist] OTlist Digest, Vol 31, Issue 11
Thanks Sue
----- Original Message -----
From: Sue Hossack <[EMAIL PROTECTED]>
Sent: Sunday, August 12, 2007
To: [email protected] <[email protected]>
Subj: [OTlist] OTlist Digest, Vol 31, Issue 11
SH> Hi Ron
SH> Mary Warren (Who runs the low vision rehab classes at University of
SH> Alabama OT dept) uses compensatory techniques for visual field cuts. She
SH> teaches clients to scan all quadrants. both for mobility and for close
SH> work such as reading. She has an expensive tool called a Dynavision 200,
SH> but it is easy enough to build your own. On a large board (5'x5') put
SH> numbers in a random patterns located over the entire board. The client
SH> has to find all the numbers in order. At first they will not find the
SH> ones on the side of the filed cut, so teach them to turn their head more
SH> until they find it. Learn to scan in a circular movement. Scan blind
SH> field first. Turn head to view periphery of board.
SH> Next set up a scan course: Place large numbers on walls doors etc along
SH> a path taken by the client. Client must search for each number as they
SH> walk along the path. client must turn head and scan area as they walk
SH> along. For reading teach client to scan whole paper, practice reading
SH> saccades. Have sheet of paper with letters or numbers on outer edges
SH> only, client must scan from side to side to see all of them. Next have a
SH> sheet of random letters, underline some of them and have client find the
SH> underlined letters.
SH> Some notes:
SH> Compensation requires conscious cognitive strategy. Must believe vision
SH> cannot be trusted on deficit side. Awareness allows client to develop
SH> intellectual over-ride.
SH> Hope this is clear!
SH> Sue
SH> --
SH> Sue Hossack MOT, OTR/L, ATP
SH> Occupational Therapist
SH> http://www.ot-care.com
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