Balance-oriented occupational therapy in an older adult with L5-S1 nerve compression: A case report based on functional and cognitive outcomes

This case report presents the outcomes of a balance-oriented occupational therapy intervention in an older adult diagnosed with L5-S1 nerve compression. The participant displayed marked limitations in terms of mobility, balance, and cognitive functioning, which had a detrimental effect on daily living activities and overall occupational performance. A comprehensive intervention programme was developed, incorporating task-oriented activities, cognitive stimulation techniques, and balance-focused exercises. These exercises were tailored to the patient's specific needs. The functional outcomes of the participant were assessed using the Canadian Occupational Performance Measurement, the Timed Up and Go Test, the Tinetti Balance and Gait Test, the Tandem Stance Test, and the Fall Efficacy Scale. The cognitive status of the participant was evaluated using the Standardized Mini-Mental Test. The post-intervention results demonstrated clinically meaningful improvements in occupational performance, satisfaction, balance scores, and cognitive functioning. The findings emphasise the efficacy of a holistic and customised balance-oriented occupational therapy approach in promoting functional independence and cognitive capacity in older adults afflicted with nerve compression syndromes.