VIDEO ANALYSIS PRESENTATION OCCT 502: ANALYSIS OF MOVEMENT IN OCCUPATION Stephanie Perry-Brideau...
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Transcript of VIDEO ANALYSIS PRESENTATION OCCT 502: ANALYSIS OF MOVEMENT IN OCCUPATION Stephanie Perry-Brideau...
VIDEO ANALYSIS PRESENTATION
OCCT 502: ANALYSIS OF MOVEMENT IN OCCUPATION
Stephanie Perry-Brideau
Anna Suchy
JP Kriel
STROKE STATS
Stroke is the third leading cause of death in the United States
Stroke is the leading cause of serious, long-term disability in the United States
Strokes can—and do—occur at ANY age. Nearly one quarter of strokes occur in people under the age of 65
On average, every 40 seconds someone in the United States has a stroke
US Stroke deaths: 35+ (1991-1998)
Stroke Statistics, 2011
“Last year I had a stroke. It left me in bad shape. I had to teach myself how to walk and talk again. It’s been a long, hard fight. My speech is not perfect but I’m getting there.“ – Dick Clark
People, 2006
CLIENT DESCRIPTION
Young stroke survivor
Difficulties with ADLs and upper extremity
techniques
Exhibits expressive aphasia, cognitive/perceptual
deficits and right hemiplegia.
Self-Care, 2008
OCCUPATIONS AFFECTED BY IMPAIRMENTS ADLs IADLs Rest & Sleep Education Work Play Leisure Social Participation
Occupational Therapy Practice, 2008
HOW IS THE WRIST JOINT AFFECTED BY THE CLIENT’S IMPAIRMENT?
Skeletal Considerations
Articular Considerations
Arthrokinematics
Muscular
Considerations
Innervating Nerves
Servicing Arteries
Lippert, L.S., 2006
BIOMECHANICS NEEDED FOR CLIENT’S MOVEMENTS
Static
o COG
o BOS
o Stability/Balance
o Posture
o Thoracic support
Dynamic
o Trunk flexion/extension
o Lifting impaired arm
o Torsional/Rotary
movement
o Using functional hand
Lippert, L.S., 2006
BIOMECHANICAL FRAME OF REFERENCE
Reduce impairment/teach new skills
Improve ROM and flexibility in impaired arm, also preventing contractures
Improve strength of both impaired arm and compensating arm
Improve endurance of impaired arm to perform task for long duration
Improve structural stability with COG and BOS
Improve coordination
REHABILITATION FRAME OF REFERENCE
Improving independence with adaptive equipment
Choosing methods by collaborating with client
Dysfunction due to stroke Teaching how to use
adaptive equipment Modifying client’s home
environment Adapting tasks and activities
INFLUENCE OF MOTOR CONTROL/MOTOR LEARNING
Impaired fine motor skills (ie: issues buttoning) Paralysis of right arm and hand Spasticity could lead to possible contracture;
splinting may be necessary Poor reflexes Lack of balance and coordination; trunk stability
devices may be necessary Spatial and perceptual impairment affecting
ability to judge distances (ie: placing impaired arm into sleeve, looking down to button shirt)
INFLUENCE OF ENVIRONMENTAL DEMANDS
Person:o Impaired sensory and
cognitive abilitieso Expressive aphasiao Right hemiplegia
Tasks:o ADL and IADL assistanceo Son/father/boyfriend roleso Ability to perform tasks will
lead to future role performance
Context:o Temporal: late 20s, dependent on
caregiver, tasks performed in hospital before returning home
o Environmental/Social: assistive devices, home modification, relationships at home, religious practice
Personal-Context-Task Transaction:o Use of assistive devices and
routine modification before becoming independent
o Independence will allow client to better perform tasks in any setting
REFERENCESLippert, L.S. (2006). Clinical kinesiology and anatomy. Philadelphia: F.A. Davis Company.
Occupational therapy practice framework: domain and process 2nd edition. (2008). Bethesda,
MD: American Occupational Therapy Association, Inc.
Self-care: dressing in acute care part two. (2008). [Web]. Retrieved from http://www.icelearning.com
Silverman, S. M. (2006, January 2). Dick Clark Makes New Year's Return - Dick Clark : People.com. People.com : The #1 Celebrity Site for breaking news, celebrity pictures and star style. Retrieved October 4, 2011, from http://www.people.com/people/article/0.com
Stroke Statistics. (2011, September 02). Retrieved from
http://www.strokecenter.org/patients/stats.htm#Charts
Ways of living: intervention strategies to enable participation (4th ed.). (2011). Bethesda: American Occupational Therapy Association.