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Apply the definition of functional movement and the examples of connections to OT to the Threaded Case Study of John : John is a 50-year-old construction worker who has been out of work for a year. He has taken on a new role, keeping the house clean while his wife continues to work full time. He lives with his wife and two children, ages 10 and 15. John sustained a right middle cerebral artery (MCA) cerebrovascular accident (CVA). The resultant client factor deficits from this CVA include mild impairment in his left lower extremity and moderate impairment in his left upper extremity, with greater impairment in distal motor control compared to proximal motor control. His movement patterns in his left upper limb include lifting his shoulder and bending his elbow to position his hand so that it is better able to pick up items, but he is only able to use gross grasp and has limited precision for release of objects with his left hand. He presents with a left visual field deficit and decreased sustained attention to tasks regardless of environment. He requires occasional indirect verbal cues to attend to tasks and activities. He benefits from the use.
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