John Smith is a 68-year-old male suffering from the early stages of Parkinson’s disease (PD). John was diagnosed last month and is currently suffering from mild symptoms of bradykinesia and has developed a unilateral resting tremor. However, he has described the symptoms as inconvenient, but not completely disabling. He exhibits difficulty with motor planning, poor dynamic stabilization, inadequate limb control, and poor timing of his center of mass (COM) forward velocity. John is currently not a fall risk and he lives in a one-story apartment by himself. The main reason why he receiving home care is because he is having difficulty weight shifting when he tries to answer the front door. Therefore, John’s goal is to be able to efficiency get
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It is whether or not the action outcome was successful or unsuccessful. It should be clear, to the point, and should not be given after each trial. It should not be given after each trial because it may result in the patient relying too much upon KR and not enough on independent processing.
PT: John, we are going to take a 2-minute break. While you are resting I want you to think about yourself getting up from the chair to answer the door the way you just did it. Imagine yourself weight shifting forward and rising from the chair. (Mental practice)
Learners are encouraged to think about how they will organize their movement and timing. Mental practice, in this case, would be John thinking about weight shifting and walking to the door. It is concrete practice with something you gave them or telling the patient to go through the task in their head repeatedly. This is different from mental imagery because that is when you are taking something and using it to your advantage.
PT: John, let’s try getting up from the chair and going to the front door 5 times (Blocked …show more content…
It allows the patient to transfer the skill to related activities. Furthermore, it challenges the patient to problem solve. It is a test to see if the patient can take what they learned and apply it to another activity that requires the same skill sets. In this case, Johns chair was a high, firm chair. After they took a walk around the apartment he sat down in a different lower chair. This challenges his weight shifting abilities and induces the patient to work on his problem-solving abilities. By successfully performing the task, John will be able to sit in any chair in his apartment and not be restrained to the first chair that he had previously opted to only sit
It is whether or not the action outcome was successful or unsuccessful. It should be clear, to the point, and should not be given after each trial. It should not be given after each trial because it may result in the patient relying too much upon KR and not enough on independent processing.
PT: John, we are going to take a 2-minute break. While you are resting I want you to think about yourself getting up from the chair to answer the door the way you just did it. Imagine yourself weight shifting forward and rising from the chair. (Mental practice)
Learners are encouraged to think about how they will organize their movement and timing. Mental practice, in this case, would be John thinking about weight shifting and walking to the door. It is concrete practice with something you gave them or telling the patient to go through the task in their head repeatedly. This is different from mental imagery because that is when you are taking something and using it to your advantage.
PT: John, let’s try getting up from the chair and going to the front door 5 times (Blocked …show more content…
It allows the patient to transfer the skill to related activities. Furthermore, it challenges the patient to problem solve. It is a test to see if the patient can take what they learned and apply it to another activity that requires the same skill sets. In this case, Johns chair was a high, firm chair. After they took a walk around the apartment he sat down in a different lower chair. This challenges his weight shifting abilities and induces the patient to work on his problem-solving abilities. By successfully performing the task, John will be able to sit in any chair in his apartment and not be restrained to the first chair that he had previously opted to only sit