Ron> And,  I  do not think  a  therapist  can  mentally  switch  from 
Ron> component   level   to  occupation   level   treatment. Maybe I'm
Ron> wrong, but I think it's one or the other.

But  in  your  case  study  you  are switching back and forth from the
component  level  to  eventually  the  occupational  level.   Standing
tolerance=component   level   (cardiovasular,  quad  strength,  static
standing  balance).   Ambulation=componet  level (cardiovascular, quad
strength   both   concentric   and   eccentric  contractions,  dynamic
balance).   All  of  this  was  leading  to  the individual's personal
occupational goal.

In  my  case  study  I was switching back and forth from the component
level  to  eventually  the  occupational  level.   Estim  to the digit
extensors=component  level  (facilitation  of  the  neural  pathway to
enhance neuroplasticity which in turn leads to digit extensor strength
and  control).   All  of  this  leading   to the individual's personal
occupational goal.

Chris Nahrwold MS, OTR






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