I agree with you Ron...we only overcome our fears by attempting the task
and succeeding.  As for balance control, the same holds true and also
one must "fall" to learn how to regain balance control.....so, maybe use
a "secure" environment (i.e. things to grab on or mats to fall on, and
give challenges while she walks with cane (i.e. changing positions,
shoving her, people walking in front of her, etc)...also, maybe she will
do better without a cane - maybe the cane just adds more complexity to
the task

David A. Lehman, PhD, PT

Associate Professor

Tennessee State University

Department of Physical Therapy

3500 John A. Merritt Blvd.

Nashville, TN 37209

615-963-5946

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-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
Behalf Of Ron Carson
Sent: Friday, September 07, 2007 11:34 AM
To: OTlist
Subject: [OTlist] Overcoming Fear During Mobility

Hello All:

Any  great  suggestions  for  helping someone overcome fear with using a
cane?  The  patient  really wants to be independent but she is scared of
falling.  She  is physically and mentally able to use the cane with only
occasional  cueing, but she is just fearful. But, she wants to learn to
safely  and effectively use her cane. Suggestions? I've told her that
all
that  I know to do is give her the opportunity to be successful with her
cane  but  she  must  internalize  this success. I likened it to someone
learning to walk a tightrope. They are at first fearful but after proper
instruction  and  successful  engagement,  their  fear subsides. But,
not
everyone  would  be able to control their fear in such a situation. I am
considering  that  this patient will not be able to find balance between
confidence and fear.

Thanks,

Ron

--
"... as a profession that offers unique services that are ideally suited
to  meet  the health, participation, and quality of life needs of people
of  all  ages,  occupational  therapy  is well-positioned to succeed and
flourish in the 21st century." [Fred Somers, AJOT, April, 2005, p. 127]

"The  part of convalescence that I found most profoundly humiliating and
depressing  was  [OT]...  I was reduced to playing with brightly colored
plastic  letters  ...  like  a three-year-old..." [AJOT, April, 2005, p.
231]


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