Archive | July 2013

New Occupational Therapy

Today I finally had my 1st occupational therapy (OT) appointment at the new place where I’m going. The therapist is a nice lady, who has years of experience, including 5 extra years of schooling to specialize in hands. The main purpose of OT is to help get back the ability to do the things in everyday life that one could do pre-stroke. The list includes things like brushing teeth, getting dressed, cooking, baking, eating, writing, all kinds of fine motor skills, and being self-sufficient. They also help you with the skills needed to work again.
Today, the first thing that she did was go over paperwork that the physical therapist had me fill out in the beginning. The way I answered the questions, she thought I didn’t need to be there. For instance, the question was can you brush your teeth? You had to answer by checking a box from 1-5, with 1 being very little, to 5 meaning yes I can without help. I answered 5. Well, today she asked the question differently than the written directions. She asked if I could brush my teeth the way I did before the stroke. My new answer was a 1. I now use my left hand to brush my teeth. Right-handed doesn’t really work. She said ahh-hah! So, we re-did all of my answers!! No, I can’t do a lot of basic functions with my right hand. I’ve learned to do them with my left hand. Sometimes not very well left-handed, either! Haha!
I guess that’s one of the post-stroke challenges. Looking fine, healthy, and self-sufficient, so everyone thinks all is fine. Until the tests start. No more fooling! She honed right in on my deficiencies! These therapists see everything! My arm dropped when I was concentrating on getting the pegs in the holes, and after I finished she asked me why my arm dropped. I didn’t know it dropped, but it’s one of my challenges doing hair, so I wasn’t surprised. We’re going to work on that, too!
Don’t get me wrong, I like being self-sufficient, and looking like I’m fine. I just want my right side to contribute to the tasks!
She got out a small saucepan and whisk, and had me pretend to whisk something as fast as I could. It was very hard. It reminds me of when I make scrambled eggs, and how hard it is to blend the eggs before pouring them in the pan. Evidently there’s a muscle in the hand and wrist that controls this movement. There lies the problem! A lot of my deficiencies are because of that specific muscle! That muscle is the one that causes carpal tunnel. I don’t have carpal tunnel, it’s just that muscle was affected from the stroke. The brain is not getting the signal there, like it was before the stroke, so it doesn’t move properly. She will have specific exercises for me to hopefully wake up that muscle.
She asked about specific issues doing hair. I told her about those, and she wants me to bring in some of my hair equipment. She’s hoping to help me get improvement. Maybe she can help me to be able to do my own hair too.
My right tricep is almost completely atrophied. She explained that is has to do with the muscles around it that stiffened up from the stroke. I do a whole lot of compensating with other muscles in order to move certain ways. The problem with that, is I can’t stay doing that long term.
So, I came home with a stretchy band to do some specific exercises. She’s no-nonsense and serious, so I know she’ll kick my butt, and I have to be ready! This is going to be an intense 6 weeks! I need it, and I’ll get all I can out of it! I’ve already seen improvement from physical therapy (PT) after a few weeks, so I’m hoping I’ll see that with OT as well! My little side stepping exercises in PT where my right foot crosses behind the left, is now at the point where I can pick up my foot to cross it!¬† I was initially dragging it across. It’s these small improvements that are exciting to me!
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