Case Study: Summer's Occupational Therapy

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Summer was assessed August 2014 using a developmental screening assessment - the Schedule of Growing Skills (SOGS). Following this assessment it was agreed that an 8 week block of home based therapy would be provided by CDT to facilitate some constraint modified induced movement therapy (CMIMT), followed by bilateral hand use therapy.

During term three of 2015 Summer was offered an 8 week block of intensive occupational therapy (OT) at home to address the family’s functional goals with fine and bilateral upper limb motor tasks. Prior to starting this program, Summer attended orthotics and was provided with a hand mitten for her dominant hand (left).
Summers functional goals were prioritized with Sarah (6/5/15) as
• Bilateral hand function, to increase her independence with dressing and personal activity of daily living
…show more content…
Summer actively participated in unilateral play for 20 – 25 minutes. On observation Summer acknowledged that her left hand was constrained, when attempting to use her dominant left hand, this did not appear to bother her. She continued to play with her right hand, playing with wooden blocks, fishing with magnetic rode, turning pages of book which was read to her and opened with interactive pages and flaps hiding animal pictures. Summer demonstrated functional prehensile hand movement (involves grasp of an object and may be subdivided according to the purpose of the grasp: precision or power) with her right hand and arm and included cylinder grip, pinch grip, palmar supinate grasp, flat hand push and finger push. During the second CMIMT session Sarah and I agreed that on observing Summer’s high functioning levels with the CMIMT that the following six sessions focusing on bilateral hand therapy and a toileting

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