Re: [OTlist] patient post op spinal surgery
In my experience spasms are taken care of with medication. I'm thinking the only thing we did post op was gentle ROM, and follow the docs elevation restrictions, and resting splints depending on the level of injury. Good Luck Andrea -Original Message- From: auggie seno To: otlist@otnow.com Sent: Fri, Apr 16, 2010 7:20 pm Subject: [OTlist] patient post op spinal surgery Hi everyone, im fairly new to this site.. but im really in need of answers to my questions. im currently having a s/p spinal surgery px who has been having a lot of ms spasms and can you tell me what type of relaxation exercises, technique i could use to help him... i would surely and gladly appreciate your input into this.. joni -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
[OTlist] Fwd: Evidence
Sorry there is a correction on the website. Its "http://www.eyecanlearn.com. Sorry about that Andrea Houtras MS,OTR/L -Original Message- From: ikaria2...@aol.com To: OTlist@OTnow.com Sent: Fri, Mar 12, 2010 7:14 pm Subject: Re: [OTlist] Evidence Hi, I have been trying to remediate handwriting issues in the middle school population as well. I would agree with Michael that proximal stability is key. Using this principal in conjunction with some of the core concepts and astronaut protocol by Mary Kawar have also been useful in preping the ocular-vestibular systems and following through with functional tasks. I have had some progress with spacing and sizing difficulties. Using the visual therapy literature and Kawar's "Eye sight to insight" I try to move kids using scanning from peripheral to focal vision. You can also do this by practicing saccades and pursuits, or scanning, copying and visual discrimination tasks. A great web sight to look at is http://www.eyecansee.com , and www.abcjesuslovesme.com. ; They both have free printable visual/perception worksheets and games. Good luck. Andrea Houtras, MS,OTR/L -Original Message- From: Michael Holmes To: otl...@otnow.com. Sent: Thu, Mar 11, 2010 1:03 pm Subject: [OTlist] Evidence Just to interject about the handwriting requests. I remember a saying that, "Proximal stability allows distal control." Perhaps a fancy way of saying that scapular/shoulder weakness prevents a solid foundation for stability to allow greater fine motor control with the writing utensil. The joint laxity, poor endurance, poor posture, etc., are all things that contribute to poor penmanship. Sorry if this is redundant, but hopeful it helps. Michael Holmes OTR/L -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Evidence
Hi, I have been trying to remediate handwriting issues in the middle school population as well. I would agree with Michael that proximal stability is key. Using this principal in conjunction with some of the core concepts and astronaut protocol by Mary Kawar have also been useful in preping the ocular-vestibular systems and following through with functional tasks. I have had some progress with spacing and sizing difficulties. Using the visual therapy literature and Kawar's "Eye sight to insight" I try to move kids using scanning from peripheral to focal vision. You can also do this by practicing saccades and pursuits, or scanning, copying and visual discrimination tasks. A great web sight to look at is http://www.eyecansee.com , and www.abcjesuslovesme.com. They both have free printable visual/perception worksheets and games. Good luck. Andrea Houtras, MS,OTR/L -Original Message- From: Michael Holmes To: otl...@otnow.com. Sent: Thu, Mar 11, 2010 1:03 pm Subject: [OTlist] Evidence Just to interject about the handwriting requests. I remember a saying that, "Proximal stability allows distal control." Perhaps a fancy way of saying that scapular/shoulder weakness prevents a solid foundation for stability to allow greater fine motor control with the writing utensil. The joint laxity, poor endurance, poor posture, etc., are all things that contribute to poor penmanship. Sorry if this is redundant, but hopeful it helps. Michael Holmes OTR/L -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Evidence?
Hi, I am going to be the devils advocate, and say that this child may very well have skipped a few crucial developmental stages most possibly contributing to the problem. We are trained in dissecting these problems and intervening at these levels to re mediate the problem. In a school based model, we are asked to create adaptations, or when possible treat children using school related functional strategies that may serve to best support their academics in or out of class. I have seen kids receive years of therapy with little gains for various reasons. Poor follow through, limited family involvement, limited intensity and the list goes on. My dilemma rests with Renee. The restrictions we are up against in the schools often limits our ability to make real progress. This child's true underlying issues are thereafter never met, yet services continue for years. If in fact, this child has true shoulder girdle instability, and probably postural instability, among other issues, can one time weekly help re mediate these issues or consultation + a home exercise program? I recently took a course with Mary Kawar "Eye Sight To Insight" It was a wonderful course with a wealth of strategies backed up with theory and some research. She did respond to a question related to frequency and intensity of services in her school based practice. She recommended 1x weekly with parent involvement and a strong home exercise program to be completed 2x daily. Her Research and theory was not backed by any evidence, however the vision therapy literature is beginning to demonstrate some strong evidence when coupled with occupational therapy. Andrea Houtras MSOTR/L-Hamilton Pediatric Therapy LLC -Origi From: Joan Riches To: OTlist@OTnow.com Sent: Fri, Feb 19, 2010 2:37 pm Subject: Re: [OTlist] Evidence? Renee What did you suss out regarding the reason that he grips his pen or pencil so hard that his hand gets tired?-or was that your conclusion? In my experience and this is not research evidence or even particularly large handwriting problems can go back to atypical development of the shoulder girdle in infancy so that the child was unable to hold up his hands to explore the movements of his fingers. This can be a result of treatment for congenitally dislocated hips among other things - anything that prevents pushing up from the prone position. By the time the shoulder girdle strengthens there are more interesting things to do than be fascinated with fingers so they remain undifferentiated. I'm sure your recommendations are designed to remedy this. It might help the mother to understand if she thinks back and realizes that this developmental step was skipped for one reason or another and that meaningful activities will be more effective than exercises. How does he do with activities that require him to manipulate very small pieces - Lego model building etc? Joan Riches B.Sc.O.T., OT(C) Specialist in Cognitive Disability High River, Alberta, Canada -Original Message- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com] On Behalf Of Renee Lowrey Sent: February 19, 2010 5:19 AM To: otlist@otnow.com Subject: [OTlist] Evidence? I am working in a school district where we provide ‘hands-on’ consultation. I work with a student to see which intervention strategies (accommodations/modifications) will work best and then education teachers on how to use and follow through with the recommendations. I recently completed an eval on a student for handwriting legibility (per mom). I recommended acc/mods for home & school and provided some strengthening activities that could be incorporated into the natural context of his school day. Unfortunately, but mom was not satisfied with these recommendations. She wants us to work on hand strengthening (like in the a clinic) setting so his hand doesn’t get tired when he writes (He’s in 3rd grade now). No matter how I explain how services are better provided in the context of the classroom and how the acc/mods will allow him to participate in his education, she is not satisfied. She doesn’t want him to depend on the acc/mods, which she thinks will result in decreased hand strength and therefore illegible handwriting. Does anyone know of any research regarding the efficacy, or lack thereof, of hand strengthening exercises and improved hand writing; or of the benefits of a consultation model rather than an direct, pull-out model in school systems? Any info will be most appreciated. Thanks, Renée L., OTR/L -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.435 / Virus Database: 271.1.1/2691 - Release Date: 02/19/10 07:34:00 No virus found in this outgoing message. Checked by AVG - www.avg.com Version: 8.5.435 / Virus Database: 271.1.1/2691 - Release Date: 02/19/10 07:34:00 --
Re: [OTlist] Flu shot
Hi all, my son has recently been exposed to a virus which presented as swine. the docs didn't see it necessary to swab him for a confirmation of what type of flu it was. they are not testing for it in the office, and feel that if isnt as dangerous as the media is making it out to be. Not sure if they are down playing the danger or is the media over doing it. I have heard of many cases of swine in the schools that have ended well considering the kids had no pre-existing conditions. I am opting out of taking the flu vacc and swine vacc. I would rather take my risks with the virus than long term tremors. good luck... andrea -Original Message- From: jcd...@gmail.com To: OTlist@OTnow.com Sent: Sun, Oct 25, 2009 8:24 pm Subject: Re: [OTlist] Flu shot My wife and I have been debating about it. We normally do not do any flu shots ut it's scary. I think if you got the flu, you have build the antibodies and ave some immunity. I read somewhere that if you get sick you have the ntibodies for about 20 yrs. If you get the shot it only last for about 2 yrs. he other thing about the shot is that they are made with metals (the djunctives), and I don't think that can be good for you. If the shot was a one ime deal, it would be better. Did you guys hear about the football heerleader who after receiving the flu shot, she developed irreversible shaky ovements. I it a difficult decision.The government thinks we should. We ere almost forced to get the shot, if you wanted to continue to work. Long nough, good night. Juan ent on the Sprint® Now Network from my BlackBerry® -Original Message- rom: jamie thomas ate: Sun, 25 Oct 2009 10:13:26 o: ubject: Re: [OTlist] Flu shot HI, am home with a newborn (he's 2 months old now), and I also have a 2 year old. 'm due to return to work (as a school OT) in January, but am seriously onsidering trying to extend my leave so that I don't have to send my kids to aycare (I'm especially worried about a 4 month old being exposed to swine lu). My 2 year old just had the flu, and I was so worried it made me realize hat I would feel better having him get the swine flu vaccine than have him atch the actual virus. He just received the typical seasonal flu vaccine this eek, and my husband and I will get it too. We also plan to get the swine flu accine, so that none of us risk the chance of getting swine flu and passing it n to my newborn. It's a difficult decision to make because you hear that it s only as bad as the seasonal flu, but but now we have a state of emergency eclared...and in the end I will feel safer having us all vaccinated (except my ewborn of course)... jamie --- On Sun, 10/25/09, Pat Ellison wrote: From: Pat Ellison ubject: Re: [OTlist] Flu shot o: OTlist@OTnow.com ate: Sunday, October 25, 2009, 9:25 AM I already got the seasonal flu shot, as did my usband. We both get it every year. As a severe sthmatic, I plan to also get the H1N1 vaccine as soon as it is available. Pat At 09:54 AM 10/25/2009, you wrote: Hello all. I was just wondering what is your thoughts on the flu shots for yourselves and family. Young and old? You guys think it's safe? Sent on the Sprint® Now Network from my BlackBerry® -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- ptions? ww.otnow.com/mailman/options/otlist_otnow.com Archive? ww.mail-archive.com/otlist@otnow.com - ptions? ww.otnow.com/mailman/options/otlist_otnow.com Archive? ww.mail-archive.com/otlist@otnow.com - ptions? ww.otnow.com/mailman/options/otlist_otnow.com Archive? ww.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
