Occupational Therapy Case Study

Prior to the first session, the occupational therapist, registered (OTR) will work with Mr. Meyers, to create the most appropriate schedule for therapy sessions. In addition, a homework schedule will be created with Mr. Meyers for other periods during each day in which he will be required to wear the constraint on his (R) UE for two hours as he engages in other random functional task using his (L) hand. To track progress and maintain consistency with after session homework activities using the (L) UE, Mr. Meyers will be required to keep an activity log documenting each activity performed. During his treatment session with the OTR, Mr. Meyers will also be wearing a constraining glove on his right (R) UE to enhance begin facilitating the use

Meyers will be engaging in the simple task of wiping the tables and counters with a cleaning sponge using his (L) hand. Given that therapy session will be at the client’s home, the OTR will mostly utilize natural equipment commonly used by the client to perform the tasks. However, the OTR will bring a “just-in-case” supply bag during for the session. To set up for the activity, the OTR will assist Mr. Meyers with carrying the equipment from the storage area to the table. The OTR will then guide the client to sit at the table with his knees at a 90-degree angle and feet flat on the floor under his knees. He will be using the table as support as he rests both forearms on the table. Upon sitting down, the OTR will assist Mr. Meyers in putting on the constraint glove brought by the OTR, on his (R) hand. All supplies will then be laid out in front of Mr. Meyers on the table. The OTR will then cue Mr. Meyers into reaching for the cleaning solvent with his (L) hand, grasp the bottle using a cylindrical grip then pull the bottle within a comfortable reaching location. He will then use his (L) hand to reach for the medium-sized sponge using finger extension and minor flexion of the interphalangeal (IP) joints to grasp and pull it closer to his body. The OTR will then instruct the client to use his (R) constraint hand to stabilize the spray bottle, then use his (L) hand with his thumb abducted and his fingers adducted and slightly flexed, to squeeze the lever to spray the solution