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Selecting Tasks & Activities With a Focus on Function
|What are your patient’s goals?
During the initial assessment, I always ask my patient what they would like to be able to do. A patient’s goals are usually expressed in functional terms.
|Determine key problem areas
Selective movements of the elbow, wrist and hand are easier to assess in a sidelying position (inhibiting abnormal shoulder movements).
|Facilitate movement components
Once I have determined which selective movements are missing, I use facilitation methods in a prefunctional task, in other words, a task that will prepare them for function.
|Put movement into function
Finally, I choose a functional activity that requires the same movements I used during prefunctional tasks. Functional activities help the patient to bridge the gap between movement and function.
For more in-depth information, see: Functional Treatment Ideas & Strategies in Adult Hemiplegia.