-----Oprindelig meddelelse-----
Fra: Katherine L. Hardigan <[EMAIL PROTECTED]>
Til: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Dato: 20. marts 2001 13:43
Emne: Re: Is Constrainted-Induced Movement Legitimate
Occupational Therapy
>It sounds barbaric. Why not tell a person with a spinal cord
injury to
>get up and walk?
Not exactly - but then Ron's explanation IS over-simplyfied. The
clients are provided with a sling for their non-effected UE -
it's NOT tied up. And the clients are not "taken" and "placed in
situations requir�ng......." etc etc. They should be informed and
consenting.
Basicly it's just a lot of training for the effected UE - both
function and every ADL-skill that is needed for several hours
every day. And I have considered presenting the idea (a modified
version) to a few of my clients - only one problem kept me from
doing it:
I have yet to meet a client that wouldn't be "grounded" during
CI-training sessions due to their need for their non-affected UE
for locomotion (balancing, using cane, crutch,
wheelchair-propelling etc). And then the natural/overall/global
aproach sort of disapears - and this becomes again just another
training session while we sit here at the table..........
Another thing to consider is: This doesn't take away the
importance of "grading/graduating" (what do you say?) the
difficulty of the activities and tasks presented while the client
is in constrained mode.
I'm rather sure nobody will grow, learn or improve from
unsuccessfully trying to wipe their behind after toilet due to
lack of ROM.....
But I'll go look for some articles I might still have somewhere
on my pc - so we'll better know what we're discussing!
susanne, denmark
>On Mon, 19 Mar 2001, Ron Carson wrote:
>
>> Hello All:
>>
>> The recent surge in interest regarding CI Movement is making
me wonder if
>> this is a legitimate form of OT practice?
>>
>> As I understand it, CI therapy's design is to take clients
with
>> neurological damage but with some residual UE function, bind
their
>> non-effected UE and place in them in situations requiring use
of their
>> effected UE to perform daily tasks. This is an extremely
over-simplified
>> explanation so I hope more knowledgeable readers will "fill in
any
>> missing blanks"
>>
>> Some research indicates that for selected patients, there is
marked and
>> lasting improvement in ROM, strength and 'functional' use of
the
>> effected extremity.
>>
>> As it is currently understood, is this research and treatment
something that
>> should excite OT's and something we should practice? Or is
this something
>> best left to PT?
>>
>> Ron
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