A CTRS can be the facilitator of this activity. Regardless of the title, the facilitator should
have some foundational knowledge on the therapeutic use of magic with different populations.
The facilitator should know the population he/she will be working with in order to make
appropriate adaptations to the activity before implementing the activity. The facilitator should
also understand the benefits of utilizing this technique, such as addressing goals associated with
increasing the ability to grasp, manually extend and flex, rotate wrist, sequence and time of steps,
communicate, and to improve self-esteem once the trick is performed successfully. It is
important for the facilitator to express and demonstrate the importance of practicing the
technique a few times before demonstrating it to other individuals to ensure its success and
discuss possible feelings and alternative solutions with the individuals in the event that the trick
does not go as planned. As noted in the text, To assure success, TR specialists must be willing to
invest time and energy to conduct task analyses to match participant goals to selected tricks.
Adaptations:
Participants who have had an amputation or have prosthesis:
An amputation is the complete loss of all limb elements below a certain point. A person
may have an amputation due to a variety of reasons including, limb disease, trauma, or a
congenital malformation. There are different types of lower and upper extremity amputations,
characterized by the location of the amputation. Where a prosthesis is an artificial replacement
of a part of the body. One adaptation to this activity includes pairing the participant with
another participant or a staff member to conduct the trick; one person can be responsible for each
hand. The CTRS can adapt the size of the rubber band to appropriately fit the individual. As well
as provide the individual with a comfortable chair to sit in, instead of standing to perform the
trick. With a lower limb amputation, the residual limb should be straight, not propped up on
pillows, to prevent hip contractures. Allow for periods of breaks, such as intermissions.
Participants who have Fibromyalgia:
Fibromyalgia is a soft-tissue rheumatism in adults that is characterized by widespread
pain for at least three months and pain and tenderness in at least seven of the 19 body areas.
This may cause significant pain and fatigue. Due to this, it is important to allow for flexible
scheduling with individuals, as some days may be better than other. If practice schedules need to
be shorter in time one day, allow for this. Provide the individual with a tennis ball or other firm
object that he/she may utilize to massage painful areas. Provide rubber mats for the individual to
stand on when he/she is standing, and have a chair handy in case he/she needs to sit down.
Remind the participant to wear comfortable shoes with padding and support. Have temperature
treatments available, such as heat and cold treatments. As heat can be utilized for reducing pain
that results from muscle tension. The warmth increases blood flow, producing relaxation and a
reduction of stiffness and pain. While cold treatments decrease inflammation by reducing blood
flow to an area.
Adaptation References:
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