Lenka Holoubkova

I am working as a clinical specialist occupational therapy in rehabilitation department. I am assessing, analyzing and planning treatment programmes for patients with musculoskeletal, neurological dysfunction and also patients with mental disorders that could be associated with the physical disorders. With pediatric patients I am mainly using developmental stimulation, sensory stimulation, NDT techniques, cognitive training, ADL activities and play activities to increase development and achieve maximum independence. The therapy for adult patient include: splinting, wheelchair assessment and special equipment prescriptions, ADL training, cognitive training, restoring gross/fine motor skills. part of my work is also supervise the students and OT assistants.

I work as occupational therapist with adults and primary with children. I treat a wide variety of diagnosis. The most common diagnosis are developmental disorders. I use clinical reasoning to assess, plan, and provide intervention for my patients. I use techniques which are developmentally appropriate and functionally designed for individual patients (Neurodevelopmental activities, strengthening, increasing of range of motion, movement and mobility, motor learning, soft tissue and mobilization techniques, coordination - hand - eye coordination specialy, ADL training - dressing, feeding, grooming, toilet use, transfers, mobility), I focus on increasing fine motor skills, Gross motor skills, manipulation, correct grasp development, releasing objects, handwriting skills, development of play. I also concentrate on improving of abilities like attention, memory, comprehending information, thinking, problem solving and other cognitive perceptual skills. I provide facilitation, sensory stimulation. I promote children with hemiplegia to use neglected arm through techniques such as constraint-induced movement therapy (CIMT), which forces use of the unused arm by placing the other arm in a sling, cast or oversized mitt. I design and develop equipment or techniques for improving existing mode of function. I cooperate with other team members concerning the best benefit of the patient.

I worked as occupational therapist in a rehabilitation department with adult and pediatrical patients. I provided individual therapy sessions and also group sessions. The common diagnosis were orthopedical disorders - joint replacement, rheumatoid arthritis, chronic back pain syndrome, spinal cord operations, neurological diseases and post gynecological operation. I performed an initial assessment of each patient before I started the treatment and document the findings accordingly. I designed the short and long term rehabilitation plan for each patient according the result of the assessment. My therapy interventions were based on kinesiological analysis, patient's medical history, doctor's order and individual needs of a patient. I used many rehabilitation treatment techniques, including therapeutic excercise such as passive, active and resistive range of motion excercise and stretching and muscle endurance excercise. I used soft tissue mobilization. ADL training - dressing, feeding, grooming, toilet use, transfers, mobility. I focused on increasing fine motor skills, Gross motor skills, manipulation, correct grasp development, releasing objects, handwriting skills. I also concentrated on improving of cognitive perceptual abilities.
I recommended assistive devices and adaptation to home environment. I worked with group of patients with same diagnosis in gymnasium and I used a wide variety of equipment such a overballs, wall bar, tera-band, gymballs, sticks and others. I made group sessions in swimming pool.


OTHER REATED EXPERIENCE, PROFESSIONAL COURSES

Republic
2006/2009 Active participant in the Association for Rehabilitation of Persons After Stroke, founder of the club for people after stroke in Ostrava, Czech republic

Rehabilitation Assistant in project REHAS, dedicated towards children with cerebral
palsy.