VIDEO
ANALYSIS
PRESENTATION
OCCT 502: ANALYSIS OF MOVEMENT
IN OCCUPATION
Stephanie Perry-Brideau
Anna Suchy
JP Kriel
http://www.icelearningcenter.com/university-video-library/upper-extremity-dressing
STROKE STATS
 Stroke is the third leading cause of
death in the United States
 Stroke is the leading cause of
serious, long-term disability in the
United States
 Strokes can—and do—occur at
ANY age. Nearly one quarter of
strokes occur in people under the
age of 65
 On average, every 40 seconds
someone in the United States has a
stroke
Stroke Statistics, 2011
US Stroke deaths: 35+ (1991-1998)
“Last year I had a
stroke. It left me in bad
shape. I had to teach
myself how to walk
and talk again. It’s been
a long, hard fight. My
speech is not perfect
but I’m getting there.“
– Dick Clark
People, 2006
CLIENT DESCRIPTION

Young stroke survivor

Difficulties with ADLs and upper extremity
techniques

Exhibits expressive aphasia, cognitive/perceptual
deficits and right hemiplegia.
Self-Care, 2008
OCCUPATIONS AFFECTED BY
IMPAIRMENTS
 ADLs
 IADLs
 Rest & Sleep
 Education
 Work
 Play
 Leisure
 Social Participation
Occupational Therapy Practice, 2008
HOW IS THE WRIST JOINT AFFECTED BY
THE CLIENT’S IMPAIRMENT?
Skeletal Considerations
Articular Considerations
Arthrokinematics
Muscular Considerations
Innervating Nerves
Servicing Arteries
Lippert, L.S., 2006
BIOMECHANICS NEEDED FOR CLIENT’S
MOVEMENTS
 Static
o COG
o BOS
o Stability/Balance
o Posture
o Thoracic support
Lippert, L.S., 2006
Dynamic
o Trunk flexion/extension
o Lifting impaired arm
o Torsional/Rotary movement
o Using functional hand
BIOMECHANICAL FRAME OF REFERENCE
 Reduce impairment/teach new skills
 Improve ROM and flexibility in impaired
arm, also preventing contractures
 Improve strength of both impaired arm
and compensating arm
 Improve endurance of impaired arm to
perform task for long duration
 Improve structural stability with COG
and BOS
 Improve coordination
REHABILITATION FRAME OF REFERENCE
 Improving independence with
adaptive equipment
 Choosing methods by collaborating
with client
 Dysfunction due to stroke
 Teaching how to use adaptive
equipment
 Modifying client’s home
environment
 Adapting tasks and activities
INFLUENCE OF MOTOR
CONTROL/MOTOR LEARNING
 Impaired fine motor skills (ie: issues buttoning)
 Paralysis of right arm and hand
 Spasticity could lead to possible contracture; splinting may
be necessary
 Poor reflexes
 Lack of balance and coordination; trunk stability devices
may be necessary
 Spatial and perceptual impairment affecting ability to judge
distances (ie: placing impaired arm into sleeve, looking down
to button shirt)
INFLUENCE OF ENVIRONMENTAL
DEMANDS
 Person:
o Impaired sensory and cognitive
abilities
o Expressive aphasia
o Right hemiplegia
 Tasks:
o ADL and IADL assistance
o Son/father/boyfriend roles
o Ability to perform tasks will lead
to future role performance
 Context:
o Temporal: late 20s, dependent on
caregiver, tasks performed in hospital
before returning home
o Environmental/Social: assistive devices,
home modification, relationships at home,
religious practice
 Personal-Context-Task
Transaction:
o Use of assistive devices and routine
modification before becoming
independent
o Independence will allow client to better
perform tasks in any setting
REFERENCES
Lippert, L.S. (2006). Clinical kinesiology and anatomy. Philadelphia: F.A. Davis Company.
Occupational therapy practice framework: domain and process 2nd edition. (2008). Bethesda,
MD: American Occupational Therapy Association, Inc.
Self-care: dressing in acute care part two. (2008). [Web]. Retrieved from http://www.icelearning.com
Silverman, S. M. (2006, January 2). Dick Clark Makes New Year's Return - Dick Clark : People.com. People.com : The #1
Celebrity Site for breaking news, celebrity pictures and star style. Retrieved October 4, 2011, from
http://www.people.com/people/article/0.com
Stroke Statistics. (2011, September 02). Retrieved from
http://www.strokecenter.org/patients/stats.htm#Charts
Ways of living: intervention strategies to enable participation (4th ed.). (2011). Bethesda: American Occupational Therapy
Association.