•Facilitation of Overall
Extremity Function
–Although we are concerned
with the affected extremity
function, integration of the extremity into bilateral activities of daily living is imperative.
–This should start with
facilitation of equilibrium responses
in all planes.
–One can then move to
bilateral midline control followed
by bilateral reaching.
–Only when the child has
integrated the extremity into their
body schema do we isolate out the affected extremity for reaching and use as a assist in
function.
–Specific domains such as grasp and release should be worked on in the context
of function.
–When working on specific
hand skills, one should again
align the body, scapula, and shoulder
as a preparation for
function.
