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Bridging the Gap to Evidence Based Neurorehabilitation Practice
The term “evidence based practice” is now ingrained in our clinical knowledge and discussions though there still remains a gap between knowledge and actual implementation of evidence based interventions. Much research has been done on why this gap persists in order to find methods of bridging this gap. I recently read an article by Fleming-Castaldy & Gillen (2013) in the American Journal of Occupational Therapy that discussed some of these issues. As Director of Clinical Services at Saebo Inc, I couldn’t help but feel a sense of satisfaction when reading this article as it fully validates that Saebo is providing current...
“I am not sure how we managed treating proximal weakness without the SaeboMAS in the past”
The SaeboMAS helped facilitate my stroke patient with poor proximal strength and shoulder pain to utilize the emerging functional use of his hand. The patient was able to complete high repetitions of reaching and grasping without any of the typical complaints of discomfort. It also encouraged him to work on lower extremity balance and promoted functional standing. The SaeboMAS was simple to set up and it was easy to adjust. I am not sure how we managed treating proximal weakness without it in the past! Kristi McKamey, OTR/L ___________________________________________ Whether you are a caregiver, occupational therapist or even a stroke survivor yourself, Saebo provides stroke survivors young...
How Effective is Botox in Improving UE Function?
Muscle spasticity is a negative symptom which can occur following a central nervous system disorder (Kinnear, 2012). The use of Botulinum Toxin Type A (BTX-A), commonly referred to as Botox, is used extensively in the treatment of muscle spasticity following stroke and other neurological conditions. Following BTX-A injections, physical and occupational therapy are typically provided and include stretching, casting, splinting, strengthening, and functional movement retraining (Kinnear, 2012). Having provided the above types of occupational therapy interventions with numerous individuals who have received Botox injections to the UE, I have formulated my own opinions as to the functional benefits of Botox injections in the...
Good News; Healthcare Reform and Changes in Medicare
As clinicians, our ability to provide therapy services to clients is influenced by federal laws and regulations, administrative laws from agencies, and sometimes case law. It becomes challenging to keep track of all the changes that occur in the laws, rules, and regulations that impact our practice. More often, we are aware of changes that negatively impact our ability to provide comprehensive and medically necessary skilled services to achieve optimum client outcomes, such as therapy caps. We are also aware of changes in regulations that impact what we document and the way we document. As discussed in the prior blog, clinicians...
