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    Welcome To My Case Study Presentation: BHPI, CRP, Savar Dhaka

    Uploaded by

    Kaushik Dipto Roy
    This case study presentation summarizes the occupational therapy treatment of a 10-year-old boy diagnosed with hemiplegic cerebral palsy affecting his right side. The summary includes: 1) An assessment was conducted which found difficulties with bilateral coordination, fine motor skills on the right side, and posture. Goals were set to improve cycling skills and hand function. 2) A treatment plan was created using a neurodevelopmental approach, compensatory strategies like equipment modifications, and the MOHO model. Therapies focused on bilateral integration, weight bearing, and sensory stimulation. 3) After 5 days of therapy, the client was able to use both hands in activities and parents learned home exercise techniques.

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    Welcome To My Case Study Presentation: BHPI, CRP, Savar Dhaka

    Uploaded by

    Kaushik Dipto Roy
    29 views19 pages
    This case study presentation summarizes the occupational therapy treatment of a 10-year-old boy diagnosed with hemiplegic cerebral palsy affecting his right side. The summary includes: 1) An assessment was conducted which found difficulties with bilateral coordination, fine motor skills on the right side, and posture. Goals were set to improve cycling skills and hand function. 2) A treatment plan was created using a neurodevelopmental approach, compensatory strategies like equipment modifications, and the MOHO model. Therapies focused on bilateral integration, weight bearing, and sensory stimulation. 3) After 5 days of therapy, the client was able to use both hands in activities and parents learned home exercise techniques.

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    Cbr Dinajpur Sourav

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    This case study presentation summarizes the occupational therapy treatment of a 10-year-old boy diagnosed with hemiplegic cerebral palsy affecting his right side. The summary includes: 1) An assessment was conducted which found difficulties with bilateral coordination, fine motor skills on the right side, and posture. Goals were set to improve cycling skills and hand function. 2) A treatment plan was created using a neurodevelopmental approach, compensatory strategies like equipment modifications, and the MOHO model. Therapies focused on bilateral integration, weight bearing, and sensory stimulation. 3) After 5 days of therapy, the client was able to use both hands in activities and parents learned home exercise techniques.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    29 views19 pages

    Welcome To My Case Study Presentation: BHPI, CRP, Savar Dhaka

    Uploaded by

    Kaushik Dipto Roy
    This case study presentation summarizes the occupational therapy treatment of a 10-year-old boy diagnosed with hemiplegic cerebral palsy affecting his right side. The summary includes: 1) An assessment was conducted which found difficulties with bilateral coordination, fine motor skills on the right side, and posture. Goals were set to improve cycling skills and hand function. 2) A treatment plan was created using a neurodevelopmental approach, compensatory strategies like equipment modifications, and the MOHO model. Therapies focused on bilateral integration, weight bearing, and sensory stimulation. 3) After 5 days of therapy, the client was able to use both hands in activities and parents learned home exercise techniques.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 19

    Welcome to my Case

    Study presentation

    Prepared by: Kaushik Dipto Roy


    B.Sc in Occupational Therapy,
    3rd year, Roll no-17
    BHPI,CRP,Savar Dhaka
    Contents of the Case Study
    Case Scenario
    Occupational Therapy process
    Assessment
    Diagnosis
    Problem list
    Goals
    Treatment plan
    Functional outcome
    Recommendation
    Case scenario
    The client name is S’’ and the client is 10 year old boy. He
    read in class four. His father is a barber and mother is a
    housewife. During pregnancy time the mothers health was
    good. The born in his own house by obstetersia. After 18
    days later of his birth he suffered in pneumonia & stays 3
    days in a local hospital. When he growing up at the age of
    1-3 years that time his family member noticed that he can
    delay every activity like rolling, crawling, walking. Then
    his family member take him to a hospital and after that
    they able to know that the boy suffered from cerebral
    palsy.
    Occupational Therapy Treatment Process
    Receiving referral

    Assessment

    Treatment plan

    Treatment implementation

    Treatment evaluation
    Assessment
    Diagnosis : Hemiplegic Cerebral palsy (Right side)
    Performance components
    1. Physical presentation: Good
    2. Dress up: Good
    3. Posture: Do not maintain proper posture.
    4. Eye hand co-ordination: Good
    Communication: Client’s communication skill is Good
     Environment:
    Home environment: Rural area,Tin shed house, asian type toilet,
    electricity available and muddy road
    Social environment: Society takes him positively & try to helps
    him.
    Sensory skills: normal in tactile, visual, auditory, vestibular, and
    propioceptive
    Neuromuscular status:
    Tone: Presence of light spastic tone in right side upper limb
    Range of motion:
    Upper limb: left side normal but right side is little poor
    than left side.
    Lower limb: Presence of light tone in right side but left
    side is normal. Leg length discrepancy (right leg short)
    Muscle strength: In right side right hand according to
    modified oxford grade scale 4
    Functional gross motor:
    Sitting, walking, jumping, running all are able to do.
    Transitional movements, Postural control, Autonomic reaction &
    Visual perception : Normal
    Perceptual motor:
    Body awareness: Normal
    Body Co-ordination: Poor due to presence of spastic tone in right
    hand.
    Bi-lateral integration: Poor
    Cognitive skills:
    Level of arousal: good
    Attention span & Problem solving skills : Poor.
    Able to follow instruction: good
    Fine motor skills:
    Bi-lateral hand use: Poor, due presence of spastic tone in right
    hand.
    In- hand manipulation: Right hands manipulation skill is poor.
    Writing skills: Writing in left hand
    Behavior: Good
    Occupational performance: According to FIM scale (1-7)
    Area Eating Dressi Groom Bathin Toileti Mobilit Playing
    ng ing g ng y

    Score 5 6 5 4 4 6 5

    Does the client attend school ? Yes


    Leisure: Watching TV
    Oral motor Control: Presence of drooling
    Assessment tools
    Occupational Therapy Evaluation Form
    (According to caregiver assistance scale)
    1st assessment :
    Self care total: 28
    Hand skills:11
    Social function: 20
    2nd assessment
    Self care total:32
    Hand skills: 16
    Social function: 22
    Problem List Short Term Long Term Treatment
    Goal Goal Plan
    Client faces •Client will try to •Client will be able •Practice weight
    difficulty in coordinate his both to perform proper bearing activity
    performing cycling hand to grip handle cycling skill after 3 with right hand in
    activity due to – when cycling after months of therapy horse sitting
    •Difficulty to hold 5 days of therapy session. position.
    or grip cycle handle session. •Practice rolling pin
    by both hand due in sitting position.
    to poor bilateral •Client will try to •Provide modified
    coordination. catch the right side hand cycle for
    •Presence of light break and release using both hand to
    spastic tone in right after 5 days of improve bilateral
    upper limb. therapy session . coordination
    •Difficulty to catch •Modification of
    the cycle brake due cycle paddle for
    to poor catch and easy to use
    release skill. paddling by right
    •Difficulty to leg.
    paddling by right •Practice reach,
    leg due to leg carry and release by
    length discrepancy different shape and
    size object.
    Some pictures of modification
    and modified equipment
    1.Practice weight bearing 2.Using rolling pin
    3.Modification of paddle 4.Drooling management
    Practice with modified hand cycle
    Equipment
    Therapist made a modified hand cycle with local
    resources .
    Resources: 1. steel pipe
    2. Cycle paddle
    3. local nut
    It have to use by both hand
    So it improves client
    Bilateral integration.
    Frame of reference

    Physiological frame of reference:


    Student therapist used Physiological frame of reference
    because the client has problem in Nervous system and
    musculoskeletal system. For that reason the client has difficulty
    to engage her self into different productivities, as well as self
    care, leisure, social activities. I used Physiological Frame Of
    Reference for improving client performance in productivity.
    Humanistic frame of reference:
    Therapist has used this frame of reference because it allows
    client centered practice. Therapist gave priority to client’s
    choice and interest. If Therapist didn’t give priority to client’s
    interest she won’t be motivated to cooperate with the Therapist
    and take the intervention.
     Compensatory frame of reference:
    Therapist used this frame of reference because therapist
    provide a modified equipment.

    Neurodevelopmental approach: Therapist used


    neurodevelopmental approach to treated the hemiplegic
    utilization, positioning, weight bearing, reflex
    inhibition and sensory stimulation
    Model
    Model of human occupation (MOHO):Therapist used
    model of human occupation (MOHO). Because this
    model is strongly based on application of occupation. All
    age group are covered occupational behavior is achieved
    though exploration to restore.
    Rehabilitation: Therapist used this model for this client
    to enable the individual functional ability, physical
    rehabilitation, assessment and retraining of activities of
    daily living, cycling, maximize the potential of retained
    and this the reason rehabilitation model are used.
    Outcome
    After 5 days of therapy session the client try to use his
    both hand in every work.
    After 5 days of therapy session his parents understand
    how to do all the therapy ‘
    His parents understand the drooling management
    techniques & provide it on their child every day.
    Recommendation
    1. To continue weight bearing practice in sitting position
    2. To continue using rolling pin in sitting position
    3. To continue practice in modified hand cycle by using
    both hand in chair sitting position
    4. To continue drooling management technique.
    Discussion??

    Thank You all

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