Saturday, March 23, 2013

Fun Activity - bilateral hand and standing tolerance


For less than $7.00 I purchased the children’s socks and the laundry basket. (70% off valentine day socks and 3 packs from the dollar store).

This activity worked well for the three patient I had try it - they were able to perform the task by matching the socks and rolling the socks together while standing. To perform the task they had to let go of the walker and use both hands, they were engaged in matching the bright colors and the different patterns. One of the patients has very low cognition secondary to Alzheimer's and when given one step directions had trouble matching a red block to a red square, yet when given the socks she was able to stand and match 13 pairs. 






Dynamic standing with w/w (CGA, SBA) and unilateral and/or bilateral integration hand hold, to increase ROM and Independence for ADL’s. Stood for  ______ minutes with ____ rest breaks with ______ balance*.  

Dynamic balance, SBA with w/w performing 2 handed task with G/N balance, stood 10 minutes with rest breaks.

Peg Board 
Cooking
Washing Dishes
Folding Clothes
Matching and Folding Socks
ADL’s standing at sink for _____minutes  - brushing teeth, combing hair, washing face.
Catch With A Ball (harder and faster to catch)
Hitting A Balloon, (lighter, unpredictable)
Cards, solitaire, war (matching suits or colors, sequencing numbers)
Word Search
Arm Bike



  • Balance Grades (static & dynamic)

N 100% intact

G may be slightly imparied, but “never” loses balance - may stabilize self
G- occasional loss of balance, but able to independently regain balance

F+ occasional loss of balance, but able to indptly regain with occasional contact  guarding  (CGA or FIB)
F requires constant guarding to maintain balance
F- requires minimal assistance to maintain balance

P+ requires MODERATE assistance to maintain balance
P requires MAXIMAL assistance
P- is nearly dependent for maintaining balance
P-- is completely dependent for maintaining balance

I no assistance at all


Standing Balance

Static Maintaining a posture without movement
Dynamic Movement in a posture
Supported Sitting - Patient has back support or at least one extremity touching a  surface.

Standing - Patient has more than 2 extremities (i.e. assistive device)  touching the floor.

Unsupported Sitting - Patient is able to sit without back support or support of extremities on a surface

Standing - Patient has only 2 extremities touching the floor. Close supervision - Stand right by the patient


Contact guard or F.I.B (finger in belt) hand on person
MIN A - pt does most of procedure (90%)
MOD A - 50/50%
MAX A - therapist 80%, patient 20%
D - Dependent patient is of no help at all

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