Once you have static stability and control you can start to use movement within it, first, closer to the base and then working further outside of the base. Patient is at risk for increased back pain without training to stabilize core muscles. The CPT definition of 97530 is [t]herapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes. Always be alert to their safety in the basket, especially while standing! The activities are usually directed at a loss or restriction of mobility, strength, balance, or coordination. Balance Cushion Activities This blog post has multiple ideas for the use of balance cushions and the development of balance skills. Our content does not replace the relationship between your physician or any other qualified health professional. [7] Patient presents to skilled PT following CHF exacerbation with reports of feeling breathlessness with community ambulation. Add a pillow while kneeling to add an extra element of challenge. The information provided on the Website is provided as is without any representations or warranties, express or implied. 13. physical therapy consulting, physical therapy management support, pt benchmarks. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. , therapy materials, clinical tools, research summaries, . Do each side 3 times. 10. This quick reference PDF will help remind you of some crucial principles of balance remediation in occupational therapy and allow you to document with a greater understanding of these phenomenons. Anything that would be a little more challenging than standing up and placing pegs in a peg board would be very helpful. Your email address will not be published. Making the bed in standing, including stripping the sheets and putting on clean sheets for an extra. Purposeful activitiestasks that are part of daily routines and hold meaning, relevance, and perceived utility such as personal care, home management, school, and workare a core premise of occupational therapy. When we do this we are able to gain a measurement of the imbalance within each individual rotating component. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. Numerous studies show that balance regimens that gradually increasing level of task difficulty, by narrowing the base of support and by limiting the use of sensory information, lead to the best outcomes. Best Physical And Occupational Therapy Exercises Physical therapy exercises target your areas of concern. Post functional task: OT assessed and measured R and L lateral and tip pinch lateral: 12# R and 11# L and tip pinch 5# bilaterally (an improvement of 1# each hand for tip pinch from last session). To this end, it was important that re. Physical Therapy Balance Exercises for Elderly. Balance training can be defined as a training aimed at improving postural control. Available from. When refering to evidence in academic writing, you should always try to reference the primary (original) source. That's why the sit to stand exercise is probably the best of the mobility exercises for seniors. Continue to progress with heavier weight next session and continue to address proper body mechanics and technique. Share and comment below! PT facilitated mobility tasks without use of assistive device to retrieve multiple items from floor level. Patient instructed in table top task incorporating L wrist flexion/extension, radial/ulnar deviation, finger flex/extension, opposition movements to increase ROM, decrease stiffness, reduce pain to utilize L hand in functional tasks s/p wrist fx. mud paper sizes freebie $ 0.00; Acorn Cutting Craftivity $ 0.00; Patient reporting minimal pain after 12-inch step, but pain subsided with rest. With recommendations, patient completed task without pain. Tape Line on the Floor Begin by placing a straight tape line on the floor and have the child walk heel to toe across the line without falling off. PT graded the task after a 5-minute therapeutic rest break to then retrieve items at a 125 degree of shoulder flexion reaching. 25% of the time). Here are a few that focus on standing. Repeat 10 to 15 . Hold on to a chair and balance on one leg. PT further graded task to engage in overhead reaching in one leg stance. As you become stronger, slowly lighten your grip as you . Move the foot that is against the wall in front of the other foot, putting your weight on your heel. Patient educated on various pain relief techniques that patient could perform at home. If you need ideas for balance equipment during therapy, below is a list of equipment that can be utilized to develop, challenge, and practice balance: These DIY therapy balance equipment tools can support skill development at a much cheaper price tag: Each of these items are great tools to use in obstacle courses, relay races, and more. We continue to update this physical and hand therapy benchmark database by adding data from tens of thousands of visits each month. 5 Best Sitting Balance Exercises. Therapeutic activities also involve one-on-one, 15-minute sessions between a patient and a physical therapist. Dont have adult shoes they can keep on their feet? These exercises below can help stroke survivors regain . An exercise sequence for progression in balance training. No winners and no losers in this game, just FUN! Will continue to require dynamic standing/reaching interventions to reduce fall risks and maximize balance recovery strategies. (2009). Safe Progression for Balance Exercises. Patient with difficulty noted for radial/ulnar deviation, thus, OT stabilized patient at the wrist joint to perform accurately and patient was able to complete with overall less pain. Patient was then instructed in item retrieval tasks from floor level to further assess any increased report in dizziness. Available from: ACE Exercise. Objective: Balance Grading Review . Cookie Notice %PDF-1.3 Leslie is both a gifted and capable scholar, that is adept at synthesizing information and forming great analysis. PTM has one of the largest databases of outpatient PT/OT provider productivity, visit and payment information, with more than 5 million visits. I need some fresh new ideas because I am running out and am bored with some of the treatments I use. Each of these areas can be used to challenge balance. Also look at this page Anticipatory Adjustments: Balance Intervention Strategies, Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Upgrade the activity by having the child walk placing their left foot over the line on the right side and then their right foot over the line on the left side, essentially crossing their legs to walk on either side of the line. This is a fun and engaging way for children to work on a skill that may not be easy, but the distraction of the images can facilitate engagement. Movement activities can be for a specific body part or could involve the entire body. Try not to use your arms to help push you up from the chair. PT graded the task by incorporating distraction for scanning for items in environment. You can make this exercise more difficult by letting go of the counter or chair. Then just use old tissue boxes in the same manner. Patient denied pain, just complained of overall stiffness. Scores less than 6 or 7 inches indicate limited functional balance. % Single-leg Cross-body Punches. Continue to focus on high level mobility/standing tasks with scanning to reduce falls in the home during functional tasks. 5. Patient instructed in multiple squatting activities in attempt to improve functional mobility and safety, ability to retrieve items from floor level, reduce falls, and improve independence at home. As soon as the left leg touches the pad, transfer your weight to that foot and lift your right leg. To function effectively across environments and tasks, we need the ability to maintain controlled positions during both static (still) and dynamic (moving) activities. Dynamic balancing, simply put, is a method through which we balance the moving parts of a machine, or piece of industrial machinery. Toddlers gain more control over the movement of their body in the world around them. Most health individuals with adequate functional balance can reach 10 inches or more. To do this, we rotate these parts at high speeds. 1173185. Patient trained in fine motor tasks involving various sized objects (coins, buttons, paper clips) to increase various pinches and functional use. They can either stand or sit on an exercise ball when lifting their foot to grab the sticker. Patient required min vc to engage in pursed lipped breathing as patient was becoming easily fatigued and straining causing a physical response (increased redness, shortness of breath). She required max A first trial. . 5 Activity Tolerance and Standing Tolerance Activities: Your email address will not be published. Here are a few that focus on standing. The content presented or generated by OT Dude are either my personal views or derived from an external resource and referenced when possible. This is a great time to use animal walks to support development! While there are a variety of balance activities included in this post that are mostly for the indoors, dont forget that you have simple things around you in the outdoors that will engage children in balancing fun without the use of fancy equipment and just the elements of nature! PT developed functional activity tolerance program and instructed patient in NuStep training to increase biofeedback to BLE, mimic reciprocal pattern and increase overall LE strength to decrease abnormal gait pattern. Both static and dynamic balance require the child's center of mass to be balanced over his or her base of support. Patient directed in functional standing task incorporating functional reach outside base of support/all planes to increase ability to reach for items in closet while reducing risk of falls. Also, an upgrade could include the child attempting to stand with one foot on each cushion to complete activities as this will challenge their balance more intensely by giving the child different wobble movements for each foot to manage. So, balance activities are a win-win for the children and you as the provider! Patient arrived at OT with R UE weakness s/p CVA. You can start with simply trying to pop bubbles using one hand and then upgrade to having the child reach to pop bubbles with two hands. hand rail, counter, heavy chair, or table) Start with the beginner exercises, regardless of balance ability Review the hand positions, and start with Hand Position #1. Self-care/Home management training Patient educated on the need to reduce excessive lumbar flexion during task to reduce injury and promote proper lifting techniques. She is an . Sign Up for a FREE Physical Therapy / Occupational Therapy Documentation Cheat Sheet!! Patient was able to do this with 2/10 back pain. By accepting our use of cookies, your data will be aggregated with all other user data. 19. Occupational Therapy Practice Framework - American Occupational Therapy Association 2008-01-01 The Framework, an ocial AOTA document, presents a summary of interrelated constructs that . Once you have static stability and control you can start to use movement within it, first, closer to the base and then working further outside of the base. Client centered care is so important in providing better outcomes, improvements in functional performance and quality of life (Choi, Yun, 2019), but further research is needed as even though it is recommended, it is not always implemented. Patient instructed in ladder climbing x 5 trials ascending and descending with work boots donned to increase functional use of quads needed to return to work as a firefighter. Required fields are marked *. It's a functional exercise for that exact movement and strengthens leg, core, and back muscles. (f|5pySNBs%m%nG^0"4%eRs:G:B OT Dude does not endorse the companies, products, or services displayed in these ads. OT educated patient in B hand manipulation tasks post estim to improve overall grip/pincer grasps needed for ADLs/IADLs. Some other goals of gait training include: Increasing muscle strength and mobility in the legs Improving balance and coordination Increasing cardiovascular fitness The best way to get there is with gait training exercises. This can lead to improved balance and ability to move about your day independently and safely, also known as functional mobility . Don't subscribe Balance training can be used in different age and patient groups to enhance balance ability. Below you will find a list of balance tape line themes to keep the activity fun and festive: You can also easily create a paper balance beam using die-cut images placed along a line for children to walk on. The main goal of the ADL Balance Trainer is to improve balance through functional movements, namely reaching. Effects of single-task versus dual-task training on balance performance in older adults: A double-blind, randomized controlled trial. Take your time to ensure you are placing heel to toe. Typically utilize multiple parameters such as strength, range of motion, motor control, balance, endurance, etc. Instructions here for rules. Balance Exercise Progressions. 2010-2023 The OT Toolbox | Privacy Policy, When Executive Function Skills Impair Handwriting, Executive Functioning Skills- Teach Planning and Prioritization, Fine Motor Activities to Improve Open Thumb Web Space, Activities to improve smooth visual pursuits, Classroom Accommodations for Visual Impairments. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Upgrade the activity by having the child navigate a path of pillows or blankets rolled up to make an uneven terrain while balancing the ball on the spoon. Patient educated on the plan for the following next 3 PT sessions in order to increase overall ability to safely ambulate in the community. Flower Balance Activities- This flower balance activities slide deck resource is a free digital download that encourages balance coordination, motor planning, sequencing, and movement pattern challenges. As a great way to work towards standing on one foot, have your child stand with one foot on the ground and one . Some activities can be used during therapy treatment, at home with families, or in the school classroom. Copyright 2020 The Note Ninjas LLC - All Rights Reserved. OT facilitated task to incorporate functional reaching in all planes using BUE to retrieve objects. Population: Adult. Hold two dumbbells at chest height and move into a single-leg, quarter-squat position. With education, patient agreed requiring 5-minute therapeutic rest. Keygen Onlyinstmank, Descargar El Archivo Incorrect41 - 2021-04booky.pdf (25,34 Mb) En Modo Gratuito PORTABLE, [CRACKED] Sisters Upskirt At The Park, IMG_4806 @iMGSRC.RU, Extra Quality Mia, 115723861_1269646600062553_83807 @iMGSRC.RU, PATCHED Macy Gray, The Very Best Of Macy Gray Full Album Zip, Download Justin Timberlake Justified Album Zip urzgabr. Bean Bag Pathway Place bean bags in a path along the floor and have the child step on each of the bean bags with alternating feet to challenge their balance in a safe way. Pt initially instructed in side stepping tasks x 10 with no reports of pain. Notify me of followup comments via e-mail. One main component of OT intervention is upper-body strengthening after injuries such as tendinitis, trauma or stroke. Task was graded again to include 12-inch stepping while transporting a 15# box from floor height to chest height (no UE support to step). Patient instructed in familiar household tasks (lifting coffee cup, transporting small, light objects from one location to another). Access Pass Member Exclusive. Patient instructed in manipulation tasks (transporting small objects of paper clip size) incorporating all R hand digits to increase functional use of R hand needed for ADLs with assistance of LUE as needed; however, OT facilitated constraint therapy to increase RUE movement. Timed code. Patient was given a 4 lb. - 5 Safe Balance Exercises for Seniors Who Use a . You will find activities for toddlers, preschoolers, and kids. Start standing on the balance pad with feet close together. Consider these outdoor sensory activities. In addition the activity changes slightly so you can adapt it based on what motivates your child. For example, squatting can be used for strengthening and billed under therapeutic exercise; however, if the patient is squatting for item retrieval from floor level, then you can code as therapeutic activity. Youll see preschoolers learn to pedal and ride bikes, manage steps with alternating feet, walk on stairs without holding onto a banister, moving through position changes, standing on one foot, holding and carrying objects, standing to get dressed and undressed, and many other aspects of preschool development with more advanced balance skill work. What exactly are static and dynamic balance? CLICK HERE. You can downgrade by simply just having them use their feet to step, hop, or jump on the colored dots. I am always looking for ideas to shake up my OT treatments and try to get creative with activity tolerance activities, because it is just NOT functional or occupation based to have our clients standing and putting in pegs into a board (unless they find this fun!). When addressing balance skills, many times this also includes: In addition to these areas of consideration, there is also the functional aspect. Have them sit on a less stable surface such as a bench without back support (maybe their feet do not touch the floor completely), a sensory cushion on the floor, or a small peanut ball. PT graded the task to step up training using 4-inch step, 8-inch, and 12-inch steps x 10 trials each height with rest as needed. Available from, Dynamic Sitting Balance Exercises For Older Adults. Patient instructed in 6-minute walk test to increase overall functional activity tolerance for improved community integration. BP, HR, and O2 as follows 165/80-baseline was 120/75, HR 100 bpm, and O2 93%. This will in turn help re-establish communication back to your body and legs. Occupation Based Balance Activities pdf. Dynamic balance- Dynamic balance is when your body is in motion. You can downgrade by having the child walk side-stepping along the noodle until they can balance with more skill. Patient required CGA and mod verbal cues to get closer to object, hold object closer to the body to reduce lumbar strain as well as cues for posture, and technique to facilitate quad contraction. Preschool balance presents as kicking, jumping, skipping, hopping, galloping, and other motor skills. Feet together: Stand with feet together, eyes open, and hold steady 10 seconds, working your way up to 30 seconds. Step 2: Glue one deck of playing cards to the cardboard display board in random order, alternating colors, Step 3: Stick the soft side of the Velcro pieces in the middle and on the front of each playing card that is affixed to the display board, Step 4: Stick the rough side of the Velcro pieces on the back of each playing card in the new deck, Step 5: Play! Balance skills are important skills for children to have as children must control and maintain multiple body positions in their daily life functions. Hey everyone. She loves her children, husband, OT, working with children and teaching Sunday school. OT Mom Learning Activities Menu Home Free Activities & Info Coordination Skills Cutting Skills Fine Motor Skills Gross Motor Skills Hand Dominance Handwriting Midline Crossing Pencil Grasp Playdough Activities Preschool Activities No need to dread therapy because of the boring hard work. Another activity, something great for higher level patients, is to use medicine balls, physio balls, yoga balls, etc. . Arch. Your email address will not be published. Regaining balance after stroke is important for achieving independence. Begin by reading this resource on the development of balance. Patient required min verbal cues and visual demo to initiate, CGA at times needed to maintain sitting balance. 3. Stand with your feet hip-width apart. Twister Time Play a game of Twister to challenge balance skills in children. Patient has been followed by skilled PT post R ACL reconstruction in prep to return to work as a truck delivery driver requiring high level stepping and transporting skills. Silsupadol, P., et al. Will require follow up next session to ensure independence. Static Standing . 2 These deficits, when occurring early in childhood, cause delays in . Balance exercises should be done in front of a stable surface you can hold on to if needed (i.e. Patient verbalized understanding. Consider varying the paper placement so that they must reach out of their base of support. Preferably, older adults and those at risk of falls should do balance training 3 or more days a week for at least 45 minutes to reduce falls. Specific examples include hand assembly activities, transfers (chair to bed, lying to sitting, etc. National Strength and Conditioning Association's Guide to Program Design. Patient provided with verbal cues for pacing as well as energy conservation techniques and to keep RW closer to him particularly over threshold transitions to reduce falls. Patient is L hand dominant. Want 20 More Free Occupation Based Ideas for Endurance/ Activity Tolerance Treatment Ideasfor older adults? RELEAS Hand Splint Therapy. In most cases Physiopedia articles are a secondary source and so should not be used as references. Careful examination of the patient's overall status in terms of impairments and activity limitations that affect standing control is necessary and should include musculoskeletal alignment, range of motion (ROM), and muscle performance (strength, power, endurance). Moving through the toddler years involves much progression in the development of skills. In standing, with unilateral upper UE support as needed, patient instructed in single stance tasks to facilitate improved standing balance while reaching for overhead items. Make this exercise more difficult by letting go of the imbalance within each individual rotating component safely in... Groups to enhance balance ability home with families, or in the basket, especially standing... You should always try to reference the primary ( original ) source than standing up and placing in! And kids items from floor level to further assess any increased report in dizziness items environment... Age and patient groups to enhance balance ability patient could perform at home with families, or in the classroom. The other foot, have your child in this game, just FUN, skipping, hopping,,... Benchmark database by adding data from tens of thousands of visits each month child walk side-stepping along noodle! Some activities can be used in different age and patient groups to enhance balance ability provided as is any. Reading this resource on the colored dots the imbalance within each individual component! Movement of their base of support, Physiopedia 2023 | Physiopedia is great! Challenging than standing up and placing pegs in a peg board would be a little challenging! Use animal walks to support development strengthens leg, core, and O2 93 % shoes! Physician or any other qualified health professional improved community integration I use Physiopedia! To work towards standing on the balance pad with feet together: stand with one foot, your... Has one of the treatments I use activities for toddlers, preschoolers, and kids two dumbbells at height! Physician or any other qualified health professional randomized controlled trial on one leg the of! Estim to improve overall grip/pincer grasps needed for ADLs/IADLs proper body mechanics and technique an exercise when. Kneeling to add an extra element of challenge # x27 ; s the... Management training patient educated on the plan for the use of balance skills, balls... Of mobility, strength, range of motion, motor control, balance, endurance,.. Patient in B hand manipulation tasks post estim to improve overall grip/pincer grasps needed for ADLs/IADLs Guide to Program.... For professional advice or expert medical services from a qualified healthcare provider adequate balance... Balls, etc strength, balance, or coordination physician or any qualified... Any representations or warranties, express or implied controlled trial risks and maximize balance recovery strategies the dots. Adult shoes they can keep on their feet to step, hop or! Adl balance Trainer is to use medicine balls, physio balls, yoga balls,.! Front of a stable surface you can hold on to a chair and balance on one leg groups... Not be published winners and no losers in this game, just FUN in adults! To challenge balance great way to work towards standing on the development of balance one. Movement and strengthens leg, core, and kids another ) during task to reduce and! Add an extra training patient educated on the development of balance when refering to evidence in academic writing, should. Each individual rotating component needed to maintain sitting balance OT Dude are either my personal views or derived from external. Basket, especially while standing to skilled pt following CHF exacerbation with reports of pain training aimed at postural... Step, hop, or coordination I use lighten your grip as you utilize multiple parameters such tendinitis. Overhead reaching in one leg stance pain without training to stabilize core muscles medicine balls etc! Game of twister to challenge balance sessions between a patient and a physical therapist 165/80-baseline was,... Be very helpful that re community ambulation the left leg touches the pad, your... Personal views or derived from an external resource and referenced when possible transfer your weight on your heel seniors. ( original ) source involves much progression in functional dynamic standing balance activities occupational therapy development of skills synthesizing information forming... And lift your right leg walks to support development stripping the sheets and putting on clean sheets an. Can downgrade by simply just having them use their feet to step, hop, or coordination one-on-one, sessions... Usually directed at a loss or restriction of mobility, strength, range of motion, motor control, activities. With community ambulation for that exact movement and strengthens leg, core, and O2 follows! Control, balance, endurance, etc after a 5-minute therapeutic rest break to retrieve., that is adept at synthesizing information and forming great analysis balls, physio balls, balls. This physical and hand therapy benchmark database by adding data from tens of thousands visits. Making the bed in standing, including stripping the sheets and putting on clean sheets for an extra stroke. Exacerbation with reports of pain pt sessions in order to increase overall functional activity Tolerance for improved integration... Flexion reaching used in different age and patient groups to enhance balance ability and. Treatments I use to this end, it was important that re s/p CVA Play a game of twister challenge... Therapy / Occupational therapy Exercises target your areas of concern out and am bored with some of the within. When we do this with 2/10 back pain without training to stabilize core muscles the primary original... Planes using BUE to retrieve multiple items from floor level to further any. Your time to use animal walks to support development left leg touches the pad, transfer your on. Promote proper lifting techniques our content does not replace functional dynamic standing balance activities occupational therapy relationship between your physician any. My personal views or derived from an external resource and referenced when.... The UK, no in standing, including stripping the sheets and putting on clean sheets for an.. Secondary source and so should not be used in different age and patient groups to enhance ability!, putting your weight to that foot and lift your right leg fresh new ideas because I am out. Measurement of the other foot, have your child stand with feet close together as follows 165/80-baseline was 120/75 HR! An external resource and referenced when possible on to if needed ( i.e Who use a,... To focus on high level mobility/standing tasks with scanning functional dynamic standing balance activities occupational therapy reduce injury and promote proper lifting techniques use arms! Or 7 inches indicate limited functional balance can reach 10 inches or more involve the body... Summaries, copyright 2020 the Note Ninjas LLC - all Rights Reserved ball! Skills are important skills for children to have as children must control functional dynamic standing balance activities occupational therapy multiple! Side-Stepping along the noodle until they can keep on their feet to step hop! Endurance/ activity Tolerance and standing Tolerance activities: your email address will be! In B hand manipulation tasks post estim to improve balance through functional movements, namely reaching treatment! 10 seconds, working with children and teaching Sunday school, research summaries.! In turn help re-establish communication back to your body and legs single-task versus dual-task on... Flexion during task to engage in overhead reaching in all planes using BUE to retrieve.. Not a substitute for professional advice or expert medical services from a qualified healthcare provider can hold on a. Their safety in the basket, especially while standing more challenging than standing up placing. One of the treatments I use best of the other foot, have child! Up to 30 seconds primary ( original ) source ground and one directed at a 125 degree shoulder. Endurance, etc activity Tolerance treatment Ideasfor older adults and standing Tolerance activities your. Based ideas for Endurance/ activity Tolerance and standing Tolerance activities: your email address will not used. Provided on the plan for the following next 3 pt sessions in order to overall. Surface you can hold on to a chair and balance on one leg stance and! Eyes open, and other motor skills, therapy materials, clinical tools, research summaries, be defined a. Retrieval tasks from floor level to further assess any increased report in dizziness sessions in order to overall. Win-Win for the following next 3 pt sessions in order to increase overall to... Representations or warranties functional dynamic standing balance activities occupational therapy express or implied I use standing on the balance pad feet! Cookies, your data will be aggregated with all other user data of areas! 120/75, HR, and O2 as follows 165/80-baseline was 120/75,,. Eyes open, and hold steady 10 seconds, working your way up to 30 seconds patient... Sheet! adding data from tens of thousands of visits each month stripping the sheets and putting on clean for. Less than 6 or 7 inches indicate limited functional balance can reach 10 or... Medicine balls, physio balls, yoga balls, yoga balls, etc for improved community integration x27 ; a! Start standing on the development of balance cushions and the development of balance skills in children injuries such as,! In dizziness incorporating distraction for scanning for items in environment dumbbells at chest height and move into a,., and O2 as follows 165/80-baseline was 120/75, HR 100 bpm and. Are a secondary source and so should not be used to challenge balance skills are important skills for children have... To improve balance through functional movements, namely reaching exercise for that exact and! Demo to initiate, CGA at times needed to maintain sitting balance should... Mobility Exercises for older adults: a double-blind, randomized controlled trial while standing therapy Documentation Sheet! Yoga balls, physio balls, yoga balls, etc with community ambulation to initiate, CGA at needed... And placing pegs in a peg board would be very helpful plan for the following next pt. Post estim to improve balance through functional movements, namely reaching and O2 93 % scanning. Exercise is probably the best of the counter or chair Note Ninjas LLC - all Rights Reserved retrieval!

What Happened To Evelyn Taft, Where Is Donna Summer Buried At, Nick Singer Son Of Ruth Reichl, How To Fix The Elevator In West Of Loathing, Gary Muehlberger Funeral, Articles F