Field Cuts

Thank you Mary, that was quite informative and wish I'd had some of
that info earlier today.

One technique I've learned/used is successful with patients with
neglect, using red tape (or whatever "colored" tape available) on the
neglected field side. Tape down a page with written paragraphs,
cancellation H test, etc, then cue the patient to keep scanning back
to the red tape (in effect teaching them to scan further on their
neglected side).

A tip I have given for patients to assist with scanning is to keep
looking left to right (or right to left) until they can see both
shoulders...or point their nose to their left shoulder when looking
for something (for someone with left neglect).

Ron Reeder, OTR


On 8/13/07, [EMAIL PROTECTED] <[EMAIL PROTECTED]> wrote:
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> Today's Topics:
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>    1. Re: OTlist Digest, Vol 31, Issue 11 (Ron Carson)
>    2. Neurofacilitation for dense UE hemi (Johnson, Arley)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Sun, 12 Aug 2007 15:54:02 -0400
> From: Ron Carson <[EMAIL PROTECTED]>
> Subject: Re: [OTlist] OTlist Digest, Vol 31, Issue 11
> To: Sue Hossack <OTlist@OTnow.com>
> Message-ID: <[EMAIL PROTECTED]>
> Content-Type: text/plain; charset=us-ascii
>
> Thanks Sue
>
> ----- Original Message -----
> From: Sue Hossack <[EMAIL PROTECTED]>
> Sent: Sunday, August 12, 2007
> To:   otlist@otnow.com <otlist@otnow.com>
> 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
>
>
>
>
>
>
>
> ------------------------------
>
> Message: 2
> Date: Sun, 12 Aug 2007 23:10:50 -0400
> From: "Johnson, Arley" <[EMAIL PROTECTED]>
> Subject: [OTlist] Neurofacilitation for dense UE hemi
> To: <OTlist@OTnow.com>
> Message-ID:
>         <[EMAIL PROTECTED]>
> Content-Type: text/plain; charset="iso-8859-1"
>
> 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:   otlist@otnow.com <otlist@otnow.com>
> 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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