Retropulsion has been a teensy-weensy thorn in my side.
As in, "I am not exactly sure how to train or what types of treatment ideas" are there for my patients pushing back or losing their balance backwards when I am specifically working on functional transfers.
It is a big factor in falls with my patients that have Parkinson's Disease and limits transfer performance.
So I set out to figure out some new techniques (check out the video of a technique I came up with at the bottom of this article!).
So I did some research... Google searches... Pinterest... AOTA...
How do I make them more safe?
Besides adaptive equipment, can I even work on this effectively?
How can I instruct them to compensate for their limited ability to shift weight forward or maximize their strengths to accomplish this?
Besides verbal cuing of "nose over toes" with perfect body positioning, is there anything else I could try?
The only thing I could come up and have tried is using a large ball to cue forward weight shift for sit to stands. Click here to see an article explaining the technique.
This technique does work great, but I have found that working in long term care, most of my patients are too advanced in their disease to be able to try this technique without the use of armrests or a stable surface to hold on to for safety.
Here is a modified technique that I am using that is really working well for my patients with Parkinson's disease who tend to fall backward when transfering:
What techniques have you used to help treat your patients that have difficulty with functional transfers due to retropulsion?
Are you looking for more information on treating patients with Parkinson's Disease? Here is a really good course from OccupationalTherapy.com called "A Practical Approach to Treating Individuals with Parkinson’s Disease." Definitely worth a look.