Occupational therapists assist children and
adults with health conditions that affect their ability to manage their daily lives. Many
individuals can achieve or regain a higher level of independence with this intervention. When
skill and strength cannot be developed or improved, occupational therapy offers creative solutions
and alternatives to carrying out daily activities.
The Continuum's occupational therapists are
highly skilled in helping individuals achieve independence in all facets
of their lives. The goal is to assess the needs of the client and
develop customized programs in coordination with the client and family.
In addition to their general knowledge and skills, they have developed specialty
programs in pre-skills driving assessment, sensory integration, home safety assessments,
craniosacral and myofascial therapy. (see Specific Programs for details).
Our occupational therapists have strong background and
training in human growth and development with specific emphasis on the
social, emotional, and physiological effects of illness and injury. The
programs span all ages and when indicated they work as a team with the
other therapies, physicians, and family/caregivers. In more complex cases
they may co-treat with a speech-language pathologist.
CranioSacral Therapy strengthens the body's ability to take better care of you.
It helps alleviate a range of illness, pain and dysfunction, including:
Migraines and Headaches
Chronic Neck and Back Pain
Motor-Coordination Impairments
Stress and Tension-Related Problems
Infantile Disorders
Traumatic Brain and Spinal cord Injuries
Chronic Fatigue
Scoliosis
Central Nervous System Disorders
Temporomandibular Joint Syndrome TMJ
Post-Traumatic Stress Disorder
Orthopedic Problems
And many other conditions
CranioSacral therapy is performed on a person fully clothed. Using a
light touch, the occupational therapist (who has received advanced training in this specific procedure),
monitors the rhythm of the craniosacral system to detect potential restrictions and imbalances.
The therapist then uses delicate manual techniques to release those problem areas and relieve undue
pressure on the brain and spinal cord. A session can last from about 15 minutes to more than an hour,
and the initial evaluation alone is often enough to correct a problem. The result is a central nervous
system free of restrictions and a body that is able to return to its greatest levels of performance.
Most people prefer to remain in their own homes despite injuries, illnesses,
diseases or general debilities that limit functional abilities and threaten independence.
The Continuum's occupational therapists specialize in:
Assessment of the client's abilities (and limitations) to perform daily activities
Assessment of the physical living environment
Determining special circumstances that are potential hazards to a safe environment
Assessment of the family and/or caregiver's duties
Training and educating the client and or family/caregiver in
proper body mechanics and use of special equipment.
Recommendations for modifications to enhance safety and functional Activities.
Coordinate these recommendations with the Mod Squad (see Home Safety)
Community Referrals (when indicated).
Follow-up contact to determine value and satisfaction.
Driving is the key to independence for individuals in their daily activities,
social networking and access to resources. Losing the ability to drive may upset a person's
balance of life, work, home and leisure, with a possible psychological and emotional decline.
When a person is faced with a decline in function, both physically and cognitively, driving can
become unsafe.
Our goal at The Continuum is to help people maintain independence and
safety as they age or are faced with a disability.
A pre-driving skills evaluation can determine whether a person
should continue to drive and identify possible problem areas that include:
Visual acuity and visual-perceptual skills
Hearing
Strength, range of motion and balance
Sensation and coordination
Cognition and reaction time
Driving knowledge and safety awareness
Warning Signs:
Incorrect signaling
Trouble navigating turns
Moving into a wrong lane or driving the wrong way down streets
Confusion at exits
Hitting curbs
Driving at inappropriate speeds (too fast or too slow)
Delayed responses to unexpected or dangerous situation
Scrapes or dents on car, garage, or mailbox
Increased agitation or irritation when driving/blames others for mistakes
Parking inappropriately
Frequently gets lost, even in familiar places
Car accidents or near misses
Ticketed moving violations or warnings
Confusing brake and gas pedals
Failing to observe signs, signals, or other traffic
Needs help or instructions from passengers
Once the problem areas have been identified the therapist develops a program to remediate
or compensate for these limitations, if possible. If the results suggest driving is not a safe activity,
resources and alternatives for community mobility will be explored as well as access training.
Referrals for further on the road testing or training may be recommended.
Concerned about a loved one's driving abilities? Encourage the person to complete the questionnaire. Check the box if the statement applies to you.
AM I A SAFE DRIVER?
I get lost while driving.
My friends and family members say they are worried about my driving.
Other cars seem to appear out of nowhere.
I have trouble seeing signs in time to respond to them.
Other drivers drive too fast.
Other drivers often honk at me.
Driving stresses me out.
After driving, I feel tired.
I have had more "near misses" lately.
Busy intersections bother me.
Left-hand turns make me nervous.
The glare from oncoming headlights bothers me.
My medication makes me dizzy or drowsy.
I have trouble turning the steering wheel.
I have trouble pushing down on the gas pedal or brakes.
I have trouble looking over my shoulder when I back up.
I have been stopped by the police for my driving recently.
People will no longer accept rides from me.
I don't like to drive at night.
I have more trouble parking lately.
If you have checked any of the boxes, your safety may be at
risk when you drive. Contact your doctor or our occupational therapy department
about ways to improve your safety when you drive.
We are constantly receiving information about the physical status of our
body and the environment around us. We are most familiar with the senses of sight, hearing,
touch, taste, and smell. However there are other sensations as well. Our nervous system detects
changes in movement and gravity and include:
Balance and movement
The knowledge of the position of our bodies
Joint and muscle position (proprioception)
When the process of sensory integration is disordered a number of problems in
learning, motor development and/or behavior may occur. These problems may occur as a result of an
injury, illness, or disease process. Sometimes there is no clear diagnosis. Signs of behaviors related
to sensory integrative disorders:
Overly sensitive to touch, movements, sights or sounds. Distractible, avoids certain textures in clothes or foods. Sensitive to loud noises.
Under-reactive sensory stimulation Seeks out intense sensory experiences.
Usually high/low activity level
Constantly on the move or may be slow to get going.
Coordination problems Difficulty in academic studies or activities of daily living despite normal or above normal intelligence.
Poor organization of behavior
May be impulsive, distractible and can become frustrated resulting in aggressive or withdrawal behaviors.
Our occupational therapists can provide therapeutic activities, strategies and
family education and training to integrate the senses, thus providing a more accurate perception
of the client's inner and outer world. Special equipment and tools are used to help facilitate this process.