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Case Report  |   July 2002
Improving Mobility and Community Access in an Adult With Ataxia
Author Affiliations
  • Glen Gillen, MPA, OTR, BCN, is Associate in Clinical Occupational Therapy, College of Physicians & Surgeons, Columbia University, 710 West 168 Street, New York, New York 10032; GG50@Columbia.edu
Article Information
Neurologic Conditions / Departments / Case Report
Case Report   |   July 2002
Improving Mobility and Community Access in an Adult With Ataxia
American Journal of Occupational Therapy, July/August 2002, Vol. 56, 462-466. doi:10.5014/ajot.56.4.462
American Journal of Occupational Therapy, July/August 2002, Vol. 56, 462-466. doi:10.5014/ajot.56.4.462
Abstract

This case report summarizes the evaluation and treatment used to provide occupational therapy services to a man living with multiple sclerosis. Primary impairments included ataxia, paraparesis, and decreased endurance. The focus of this case study was on improving the client’s ability to use powered mobility to access the community despite severe ataxia.

A task-oriented approach was used as a frame of reference to guide the evaluation and intervention process. The primary goals of intervention were to control the degrees of freedom required for task participation and simultaneously increase postural stability, resulting in independent control of a power wheelchair. A combination of occupational therapy interventions is illustrated, including assistive technology, positioning, orthotic prescription, and adaptation of movement patterns.