I am also an avid reader of this site - Motor Neuron Disease.
________________________________ From: Ron Carson <rdcar...@otnow.com> To: Lucy Simpson <OTlist@OTnow.com> Sent: Sunday, January 18, 2009 6:33:09 PM Subject: Re: [OTlist] MND - relaxation techniques I'll be the "dumb"one and ask, what's MND? ----- Original Message ----- From: Lucy Simpson <lucy_simpso...@yahoo.co.uk> Sent: Sunday, January 18, 2009 To: OTlist@OTnow.com <OTlist@OTnow.com> Subj: [OTlist] MND - relaxation techniques LS> I am an avid reader of this list, and now seek some advice! LS> I am a Physical disability community OT and am currently seeing LS> an MND patient. We are addressing her environmental/adaptaion LS> needs as they arise she is having a wet room installed, and a LS> closomat toilet currently. She is now wheelchair dependent, but independent with transfers. LS> LS> We are also looking at symptom management and quality of life. LS> One area we are looking at is fatigue and anxiety management. LS> Fortunately this patient is very realistic and fully engaging in therapy. LS> LS> I am aware of basic relaxation techniques, and deep breathing is LS> a core element of these techniques. I have heard that as MND is LS> synonimous with breathing difficulties, teaching deep breathing LS> techniques can actually result in increasing anxiety as it draws LS> attention to an area of concern...... LS> LS> Does anyone have advice on MND specific relaxation techniques or re general relaxation resources? LS> LS> be grateful for any input LS> Kind Regards LS> Lucy Payne LS> For Quality Stationery and Greetings Cards check out this website: LS> www.phoenix-trading.co.uk/web/lucysimpson LS> Save it in your favourites for the next time you need cards. LS> LS> --- On Sun, 18/1/09, cmnahrw...@aol.com <cmnahrw...@aol.com> wrote: LS> From: cmnahrw...@aol.com <cmnahrw...@aol.com> LS> Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training LS> To: OTlist@OTnow.com LS> Date: Sunday, 18 January, 2009, 7:29 PM LS> I don't have a direct answer to that.? I guess it depends on where your LS> level of expertise falls in this area.? I have it easy, because I work with an LS> amazing group of PTs who teach me on each patient how they want them to walk.? LS> That way I can help the patient receive the much needed practice in this LS> area,but at the same time I can consult with the PT since I did not have this LS> area taught in school.? I always attempt to complete the sit to stands and the LS> low level functional mobility in a context of an occupation that the patient has LS> determined important a) walking to dresser to gather clothes b) walking to the LS> toilet to complete toileting c) walking to the dining room chair for meal time. LS> It is then amazing when the patient can perform the functional mobility, and LS> then carryout out the occupation!.? LS> Ninety nine percent of the time when I ask a patient what their goals are for LS> rehab they state to "walk better".? I then ask them why they want to LS> walk better.? They often look at me strangely and then state so I can get to the LS> kitchen and cook, do the laundry, go out to eat with my friends, etc etc.? The LS> occupational goals nearly write themselves. LS> Chris Nahrwold MS, OTR LS> -----Original Message----- LS> From: Ron Carson <rdcar...@otnow.com> LS> To: cmnahrw...@aol.com <OTlist@OTnow.com> LS> Sent: Sat, 17 Jan 2009 7:38 pm LS> Subject: Re: [OTlist] Fn. Mobility ~vs~ Gait Training LS> I like your definitions. LS> In the two cases you mention, the patients are already ambulatory. LS> What if they weren't and still wanted to achieve the same outcomes? LS> ----- Original Message ----- LS> From: cmnahrw...@aol.com <cmnahrw...@aol.com> LS> Sent: Saturday, January 17, 2009 LS> To: OTlist@OTnow.com <OTlist@OTnow.com> LS> Subj: [OTlist] Fn. Mobility ~vs~ Gait Training cac>> To me functional mobility is the process of getting to point A to cac>> point B regardless of compensation techniqes in the context of an cac>> activity or a desired functional outcome.? Just the other day I cac>> had a patient who wanted to cook and set the table for her cac>> family, to achieve this desired outcome a walker tray had to cac>> implemented with further practice of safe strategies.? Just the cac>> other day I had a hip replacement patient who wanted to be able cac>> to get to the bathroom safely without breaking her hip cac>> precautions, so? raised toilet was implemented with further cac>> practice of safe strategies. cac>> Gait training is when a therapist observes a patient's gait and cac>> objectively determines what movement functions?cause the patient cac>> to walk "abnormally".? They then use therapeutic LS> techniques to cac>> faciliate a normal gait pattern.? I see this being used by PT in cac>> neurological rehabilitation.? cac>> Chris LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com LS> LS> -- LS> Options? LS> www.otnow.com/mailman/options/otlist_otnow.com LS> Archive? LS> www.mail-archive.com/otlist@otnow.com -- 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