Monday, April 16, 2012

home based cimt - week three AND four summary

holy smokes. it's already been four weeks. four. that's one week longer than our initial goal. PLUS we're adding in another week for good measure. why not? ozzie is showing so much improvement already! in this last 2 weeks we've been doing some fine tuning of his pincer grasp. his awkward approach to eating has eased and ozzie can even successfully use a spoon for eating granola or yogurt. yes it's a little messy, but he's doing it.

we've added a strip of kinesio tape to the palm side of ozzie's affected index finger throughout the day. with his pincer grasp looking a little odd, we'd hoped that with the addition of the tape it would help things out. the kinesio tape is very elastic and has give and is very non restrictive, unlike something like a bandaid. it gives support and stability to his knuckle joint without affecting circulation, range of motion and at the same time if he needs to, ozzie can still override the tape. the only downside to this is that because of the sticky glue, we don't like him wearing it while he's eating. also, the strip never lasts on his hand for more than an hour at a time. sweaty sticky little hands happen often and once he sees the strip sort of coming off? he tears it off. an example of an activity getting him to use his pincer grasp would be picking up coins and putting them into a piggy bank or container. picking up jacks, picking up goldfish crackers, playing a game of memory and having him pick up a card and turn it over. read also: repetition. repetition. repetition.

sidenote: can we not all agree how much we take the pincer grasp for granted? for real. 
also: another motion we may take for granted? supination: arms out in front of you and turning your palm up. this is a forearm motion, not a wrist motion and on ozzie's affected side, he has some issue with supination which we're also currently working on.

soooo because of the addition of two extra therapeutic weeks, cake party was/is postponed until ozzie's constraint therapy is over. which also sort of coincides with miles' fifth birthday.

can i handle 2 cakes in one week? i think so.

Tuesday, April 3, 2012

home based cimt - week two summary

honestly writing another weekly summary of what's going on with ozzie's cimt would look exactly like last week's summary. in short: he's doing awesome. he's actually using his right hand without much prompting when his mitt is not on; pointing or picking up toys and cars with it. he's not using his mitted hand as a weapon (as much) as he was in the first few days. we've been practicing proper, upright stair walking with him holding on to the railing with his right (affected) hand. serious connections are being made and i want to yell and scream joyously that this therapy is working! yesterday he walked with me to pick up miles at school and he walked holding miles' hand (aww) all the way home without me having to carry him. numerous times he told me, "no soller (stroller), no agon (wagon), me walk on idewalk (sidewalk), me BIG boy!" big boy. BIG deal.

so? woo hoo! today was going to be his last day. tonight i was going to bake a cake in honour of him completing the two weeks of therapy.

but.

his pincer grasp on his right hand isn't quite where we want it to be. he does this weird non bending knuckle thingy with his right index finger...if you really want to get technical. it looks odd to us. and even though he's getting the job done and it doesn't hurt him, there's some fine tuning we will work on with this as well as some more strengthening in his hand/arm.

at this point ozzie has been so laidback with whatever we throw at him that adding one more week will really not be a big deal. and this time next week? of course we'll make it a big deal. celebratory cake party. umbrella toothpicks. gummy worms. high tens. because we're all so very very proud of him.