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Showing posts from April, 2019

"Man From the South"

Consider how the daily routine and the occupations of the soldier in the story might change if he lost the bet. Also think about what the daily occupations of the wife of the man betting against the soldier might look like. In a blog post, and assuming the soldier loses the bet, identify an occupation that is likely to be impacted in either character. Why will this occupation be affected, and what is one modification (equipment and/or strategy) that might help the solider or the wife to regain independence in that particular occupation?  Although we think of the little finger as useless, it is very much needed for grip strength. An occupation that would likely be impacted by no little finger or only having one finger and a thumb would be brushing your teeth. Brushing your teeth is an activity of daily living that if not easily done could mess up your daily routine. Typically, when brushing your teeth, you perform a power grip. A power grip uses all fingers and thumb to grasp

Health Promotion-Knowledge Check

Professor Flick discussed health promotion and how it relates to the field of occupational therapy and the AOTA Vision 2025.  As health care providers, we need to make sure the quality of our care is great and the satisfaction of our clients are met which will improve the clients experience. We should also be improving the health of all different populations as well as knowing the systems and the levels that could collaborate and integrate to reduce the per capita cost of health care. These are all a part of the Triple Aim which is how we as health care providers will improve health care.  I loved this topic about health care promotion. My undergraduate degree was exercise science and I absolutely loved every aspect of helping individuals learn how to live a healthy lifestyle. I feel like this topic related to the background knowledge I have and how I, as an OT practitioner, can use all the knowledge I’ve gained to promote health and well-being in my community. I learned that as a

Biomechanics Blog #3

What is the clinical relevance of the Scapulohumeral Rhythm? How can it affect your ROM measurements of the shoulder? The Scapulohumeral Rhythm is the interaction of movement between the scapula and the humerus. It is required for full upper limb elevation. The movement is a ratio of 2:1 in the glenohumeral joint to that of the scapulothoracic joint. The humerus rotates at 120 degrees and the scapula rotates at 60 degrees giving the glenohumeral joint a full 180 degrees of motion. The movements are concurrent and allow for an increase of ROM. The movement between the two allow for good length tension relationship among the muscles acting across the shoulder to produce movement. Any interruption to this pattern could result in decrease in function and range of motion. Poor shoulder stability can also result in an impingement. For example, If the scapula doesn't move, the acromion could cause friction in the subacromial space. Arm movement is needed for various everyday activities

Can Occupational Therapy Help with ADHD?

I chose to listen to the podcast “Can Occupational Therapy Help with ADHD?”. I chose this podcast because of my interest in ADHD. My 7-year-old brother was diagnosed with ADHD back in December and my mom really struggled with what to do next. The doctor suggested medication, but she was hesitant just because of his age and the unknown of his reaction and the side effects. She didn’t want him to be labeled as the trouble maker, or the kid who can’t keep his hands to himself or can’t listen. Occupational Therapy is something I did mention to her but I am going to have her listen to this podcast and hope it gives her more insight like it did for me.  I enjoyed listening to Dr. Landcaster talk about the “just right challenge” and what that can look like for children with ADHD. What I learned is it’s all about finding what works best for the child on an individual level. She described the brain as a car engine. She would as, “Is the engine in neutral or really low where it can’t go anywh

Biomechanics Blog #2

Proper positioning for measuring ROM is crucial if you’re wanting to receive an accurate measurement. Bony landmarks can tell you where to position the axis, stationary arm, and moving arm. Incorrect positioning of the goniometer, the client, and yourself could give you an incorrect measurement. Bony landmarks also give us good interrater reliability. No matter what therapist is performing ROM, they all have a common landmark to position the goniometer. For MMT, the test position is mid joint position. Mid joint or mid ROM is the position for optimal muscle contraction against gravity or in gravity eliminated position. If test position is incorrect it could lead to the body being at a mechanical disadvantage or active insufficiency within the muscle. It could also be considered a safety precaution, so its important to have your client in the correct test position. If the client is unable to perform full ROM, or unable to resist during a MMT then you would need to move the client into a

Biomechanics Blog #1

An action that is part of my daily routine is tying my shoes. When I tie my shoes, my trunk is sitting in a chair and my foot is flat on the floor. My knees are flexed a 90-degree angle. When I go to tie my shoes, I flex my hip to bring my foot closer to my hands. The flexion of the hips would occur in the sagittal plane about the frontal axis. The osteokinemaics of the hip is open kinematic chain because the proximal portion is fixed (trunk) while the distal portion is moving (femur).  The Arthrokinematics, is the femur is the convex segment rolling superiorly and gliding inferiorly on the concave acetabulum. The prime mover for the hip flexion is the iliopsoas, which performs a concentric contraction.