Greetings from Virginia Beach!
The first clinical of the third year is already half way over! I am currently working in an outpatient neurological rehabilitation center. It is completely different from any setting I have been exposed to thus far. The clinic consists mainly of patients who have had strokes; however, there are currently additional diagnoses including traumatic brain injury, amputee, and spinal cord injury. Every patient comes to “Day Rehab” for 6 hours a day for intensive therapy. Each patient must qualify for at least two out of the three disciplines offered: physical therapy, occupational therapy, and speech therapy. I have been very fortunate to gain experience working in a clinic that focuses on a team approach to therapy. A speech therapy student and I just had the opportunity to plan a Super Bowl party for the patients incorporating therapeutic activities and, of course, football. It was not all work for the patients though. The halftime show of karaoke was a huge hit!
The clinic has recently purchased a Wii system and a Wii balance board to be used during therapy. Therefore, I have logged many hours on the Wii and the WiiFit finding different ways to incorporate all three disciplines into “Wii-habilitation” and choose activities appropriate for each individual patient to present as an inservice to the clinic. Who would have ever thought that a patient with a spinal cord injury could sit on the balance board, and his weight shifting could be tracked the same way an ambulatory patient would? It has been a wonderful experience using a commercially available technology to train my patients and find new, entertaining approaches to therapy.