Hi,
I'm still a student but was just wondering if the patient's work station has been assessed. What's his sitting posture like, has he a chin poke, etc...
I had a similar patient on one of my placcements and postural/ work station corrections really helped. Computer at eye level, adjustable desk/chair height, swivel cahir to not have to rotate body, etc.
Mark.
P.S. I realise that my opinion may be wrong due to limited experience but hope it helps.