M.B. will play a modified ball toss game to improve her dynamic sitting balance. The light in the room will be dimmed and soft, relaxing music will be played in the background. M.B including the occupational therapist will sit at a chair. A therapy ball will be used to facilitate this game. Prior to starting the activity, the therapist will explain the process of the activity. The therapist will use her right hand to hold the ball on her right side and ask M.B. to use her left hand to cross and touch the balloon to encourage crossing midline. After touching the balloon, the therapist will switch hand to hold the balloon on her left side and ask M.B. to use her right hand to touch the balloon. Once each position of the ball …show more content…
will be seated in a chair at the table with the therapist sitting on her left side. Before beginning the activity, the therapist will provide a hand exercise program for M.B. to work on her both hands’ pinch strength to be able to pinch and hold the materials for the activity. M.B. will be asked to touch the tip of her left hand’s each finger to the thumb of the same hand and hold for 5 seconds. Once each finger has been touched, M.B. will rest for 30 seconds and do it with the right hand. M.B. will do this exercise on her own five times a week and with the therapist on the day of visits. The therapist will model this process prior to beginning the exercise. After finishing exercise program, the therapist will set up the equipment and tools for M.B. needs to work on her pinch strength and coordination. In front of her will be 5 sets of color-coded graded resistance pinch pins, a plastic bin with three horizontal metal rods of different diameters, and a vertical metal rod on her right hand side. M.B. will then be asked to put 10 yellow, red, and green resistance pins onto the rods with her right hand so that she improves her pincer grasp strength as well as eye-hand coordination. The therapist will keep the activity at her …show more content…
would like to prepare meals for her husband, but her standing endurance is poor. She couldn’t stand up for too long during meal preparation. M.B. also has difficulty with pincer grasp to hold the materials and tools properly. This activity involves all difficulties in a motivating way for M.B. by focusing on improving her standing endurance, upper extremity range of motion, and strengthen pincer grasp to be able to complete her desired task. Research shows that encouragement from therapist enhances a sense of self-efficacy with regard to performing the activity can significantly increase occupational performance (Chen et al., 1999). The therapist will provide verbal cues and verbal positive reinforcement during the