Sunday, December 2, 2018

Failures at entering the driver side car door

An ADL I still fail at. Every therapist in the world should have protocols to correct every single failure. Not compensation, recovery back to your previous state of ability. There was a car in the therapy department but testing was only done on the passenger side. COMPLETE FUCKING FAILURE TO EVEN THINK THAT SURVIVORS COULD POSSIBLY DRIVE AGAIN!

  1. Step into car with right leg.

  1. Put left hand fingers into door handle slot. Failure due to spasticity. Fingers will not straighten unless the right hand does that. Will not stay straight. 

  1. Swing down and put butt into car seat.

  1. Hand should stay in door handle as the butt gets into the seat. Failure. Fingers immediately clench into fist and pull from the slot. Failure as arm does not extend as butt gets into seat. Due to spasticity from pectoralis major and latissimus dorsi.

  1. Arm is now hanging against the door sill. Compensation is required, using my right hand to pull the left arm inside the car onto my lap.

  1. Car door is still open. Compensation is required to reach across my body with my right arm/hand and pull the door shut.

Every single one of these failure points should have an EXACT PROTOCOL to correct it. This problem has been known since cars were invented. And still ABSOLUTELY NOTHING has been done to correct it. Well over a hundred years of failure and no one in stroke ever mentions any of these little problems needing fixing. Don't you know that stroke is treatable from a meme on World Stroke Day a few years ago? And since there are NO problems in stroke to solve we can fire all those stroke researchers and use that money to hire PAs for 10 million yearly stroke survivors. No more stroke problems. I just defined the problem away.  

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