Neuromaturation Approaches by 6VCM0Lp


									Nelson R. Alconcel, OTRP, MOH (cand.)
Department of Occupational Therapy
College of Rehabilitation Sciences
University of Santo Tomas
   Bertha Bobath
   Sensorimotor approach used by OTs to
    remediate neurologic and developmental
    motor dysfunction
   Goals are to:
     Decrease the influence of abnormal tone &
     Promote functional movement patterns
     Prevent contractures & deformities
   OT’s who use this FOR must know the normal
    development and the components of
    movement, a comprehensive understanding
    of atypical development and a thorough
    understanding of the development of normal
    postural control
   Domains of Concerns:
     Axial Control
     Automatic Reactions
     Limb Control
   Methods are administered in 3 stages:
     Handling techniques to give the sensation of what
      normal tone and movement feels like
     Let the patient initiate movement during
      purposeful activity while the OT maintains
      inhibition or facilitation
     OT to fade control from proximal/distal key points
      of control
   Jean Ayres
   Process of organizing sensory information in
    the brain to produce an adaptive response
   Adaptive responses take place when the child
    is able to successfully meet a challenge within
    an environment
   Treatment Parameters
     Control of sensory input through selected
      activities that emphasize sensory integration
     Movement is an inherent component of therapy
     Each child has an innate drive to mature
     Eliciting responses rather than imposing activities
      or tasks is considered to be more integrative
   OT’s provide a "sensory diet" to a child
   Involves a planned and scheduled activity
    program designed and developed to meet
    the needs of the child's nervous system.
   A sensory diet stimulates the "near" senses
    (tactile, vestibular, and proprioceptive) with a
    combination of alerting, organizing, and
    calming techniques.
   The sensory integrative approach is guided
    by the child's motivation in selection of the
   By allowing them to be actively involved, and
    explore activities that provide sensory
    experiences most beneficial to them, children
    become more mature and efficient at
    organizing sensory information.
   Lela Llorens
   Follows the sequence of normal development
   Major premise: child is viewed from 2
     Horizontal development
     Longitudinal development
   Integration of these 2 aspects is critical to
    normal development
   3 Steps in OT Process:
     Screening/Evaluation
     Intervention
     Outcomes
   3 Categories of Practice Technology:
     Prevention
     Treatment Therapy (habilitative)
     Rehabilitation and Health Maintenance
   Role of OT: to facilitate development and
    assist in the mastery of life tasks and the
    ability to cope with life expectations
   Guide Questions:
     Discuss one of the premises that served as basis for
      the Developmental Theory of Occupational Therapy,
      and give specific examples based on your own
      experiences when you were growing up.
     Describe the growth and dev’t. of a person, using your
      own words.
     What are the different roles of occupational therapists
      under the developmental theory?
     What do occupational therapists do to help
      individuals in this theory?

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