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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 & reactions 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 activities. 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 perspectives: 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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