AIM:
To improve turning in bed using cognitive cues.
Rationale:
Akinesia and hypokinesia while turning in bed is overcome by the use of cognitive cues. The task is broken down into separate steps, each separately cued.
Note: some patients will be unable to turn in bed without the use of aids (e.g., sheets with a satin inlay at hip level or a bar to pull on) and/or the assistance of a carer.
Equipment:
- Bed
- Pillow
Key Points:
- Therapist uses short verbal cues, followed by the patient self-cueing
- Ensure therapist is positioned to prevent the patient falling off the bed. (The narrow bed used in the video-clip is for demonstration purposes only. In clinical practice, the patient would be positioned on a wider bed for safety)
Common Errors:
- Patient wriggles on back rather than concentrating on each step.
Progression and Variety:
- Add bed clothes
- Practice when L-Dopa medication levels are low
- Practice in low light conditions