Chris, I'm going to reply, but I need to take a break ...

Ron
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Ron Carson MHS, OT

----- Original Message -----
From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Sent: Wednesday, October 29, 2008
To:   OTlist@OTnow.com <OTlist@OTnow.com>
Subj: [OTlist] Best Practice

Ron>> And,  I  do not think  a  therapist  can  mentally  switch  from 
Ron>> component   level   to  occupation   level   treatment. Maybe I'm
Ron>> wrong, but I think it's one or the other.

cac> But  in  your  case  study  you  are switching back and forth from the
cac> component  level  to  eventually  the  occupational  level.   Standing
cac> tolerance=component   level   (cardiovasular,  quad  strength,  static
cac> standing  balance).   Ambulation=componet  level (cardiovascular, quad
cac> strength   both   concentric   and   eccentric  contractions,  dynamic
cac> balance).   All  of  this  was  leading  to  the individual's personal
cac> occupational goal.

cac> In  my  case  study  I was switching back and forth from the component
cac> level  to  eventually  the  occupational  level.   Estim  to the digit
cac> extensors=component  level  (facilitation  of  the  neural  pathway to
cac> enhance neuroplasticity which in turn leads to digit extensor strength
cac> and  control).   All  of  this  leading   to the individual's personal
cac> occupational goal.

cac> Chris Nahrwold MS, OTR






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