Presentation on theme: "OCCUPATIONAL THERAPY M.ARUN KUMAR., B.O.T.,"— Presentation transcript:
1OCCUPATIONAL THERAPY M.ARUN KUMAR., B.O.T., OCCUPATIONAL THERAPISTMERF Institute of Speech and Hearing
2Now imagine this... have you had a shower, had lunch with friends, Take a moment to think of some of the things (occupations) you have done today...have you had a shower,had lunch with friends,or gone to work?Before we start talking about Occupational Therapy I want to give you guys something to think about…Now imagine this...
3HOW WOULD YOU… HAVE A SHOWER IF… You had poor balance? You couldn’t reach your arms up to your hair?Maybe an OT would…Recommend a seat for you to sit on.Work on activities to work on your balance.Install grab bars etc. to ensure safety.Standing vs. sittingImagine not being able to wash your hair. Maybe an OT would help you..work on strengthening your armsLook at other ways to wash your hair (resting arms on counter)
4HAVE LUNCH WITH FRIENDS IF… HOW WOULD YOU…HAVE LUNCH WITH FRIENDS IF…You couldn’t hold a fork?You couldn’t remember where to meet them?You just couldn’t cope with getting out of bed?Maybe an OT would…Help you to regain movement and strengthRecommend a special forkOne handed-how will you use a knife?Memory strategies for events.Practice trials in community.Write out directions checklist to follow.One to one or group to focus on coping skills
5HOW WOULD YOU… GO TO WORK IF… You had pain in your back? You heard voices in your head?You had arthritis in your hands?May do a GRTWModify dutiesNew ways to lift thingsErgonomic assessmentCan they return to work?Strategies to overcome _____________Pain managementAdapting to a bigger graspModify the work areaSplint for pain relief
6Is the assessment and treatment of OCCUPATIONAL THERAPYIs the assessment and treatment ofphysical and psychiatric conditions, usingspecific purposeful activity to preventdisability and promote independent functionin all aspect of daily life.
7Who do Occupational Therapists work with? ChildrenSeniorsAdolescentsAdults
8Where do Occupational Therapists work? HospitalsSchoolsMental Health FacilitiesHome CarePersonal Care HomesPrivate ClinicsRehabilitation CentersCommunity Health CentersInsurance CompaniesClient HomesClient Work Places
9Occupational Therapists are concerned with: Person,Environment Occupation Interactions
11HUMANS AS OCCUPATIONAL BEINGS – PEOP MODEL PERSON(Intrinsic Factors)ENVIRONMENT(Extrinsic Factors)OCCUPATIONSocial SupportPhysiologicalSocial & EconomicSystemsCognitivePERFORMANCEOccupationalPerformance &ParticipationSpiritualCulture & ValuesBuilt Environments &TechnologyNeurobehavioralPsychologicalNatural EnvironmentsWELL BEINGQUALITY OF LIFE
12OCCUPATIONAL THERAPY SERVICES FOR INFANTS AND CHILDREN Pediatric occupational therapy isskilled treatment aimed to enable the childto be as physically psychologically andsocially independent as possible.
13HOW DO THEY WORK Occupational therapists works in close partnership with….Medical TeamEducational TeamCommunity TeamFamilyTogether they have a shared responsibility formeeting children’s needs.
14MULTIPLE DISABILITY When child has several different disabilities we say, that He/She has multipledisabilityMultiplication of disability50% cerebral palsy – visual deficit13% cerebral palsy – auditory deficitMental retardation
17GROSS MOTOR SKILLS:Movement of the large muscles in the arms, and legs.Abilities likeRollingCrawlingWalkingRunningJumpingHoppingSkipping
18FINE MOTOR SKILLS: Movement and dexterity of the small muscles in the hand and fingers. Abilities likeIn-hand manipulationReachingCarryingShifting small objects
19SENSORY INTEGRATION Sensory processing Ability like Vestibular ProprioceptiveTactileVisualAuditoryGustatoryOlfactory skills
20CENTRAL NERVOUS SYSTEM AcademicIntellectLearningcognitionDailyLivingBehaviorActivitiesAuditoryVisual-AttentionPerceptualLanguageSpecialCenterDevelopmentSkillsPerceptionFunctionsMotorOcularPosturalEye-handMotorAdjustmentCoordinationControlDevelopmentSensoryBodyReflexAbility toSchemeMotorMaturityScreen InputAcademicPosturalAwareness ofMotorSecurityTwo Sides of BodyPlanningSystemsSensoryOlfactoryVisualAuditoryGustatoryTactileVestibularProprioceptionCENTRAL NERVOUS SYSTEM
21COGNITIVE PERCEPTUAL SKILLS: Abilities likeAttentionConcentrationMemoryThinkingReasoningProblem solvingConcept of shapeSize and color
22VISUAL MOTOR SKILLS:Perception of visual informationAbilities like copyingMOTOR PLANNING SKILLS:Ability toPlanImplementSequence motor tasks.
23ORAL MOTOR SKILLS:Movement of muscles in theMouthLipsTongueJawSuckingBitingChewingBlowingLicking
24PLAY SKILLS:Age appropriate purposeful play skillsSOCIO-EMOTIONAL SKILLS:Ability to interact with peers and others.
25ACTIVITIES OF DAILY LIVING: Self – care skills like dailyDressingFeedingBathingGroomingToilet tasks
26ENVIRONMENT MANIPULATION Like handlingSwitchesDoor knobsPhonesTV remote
27HUMANS AS OCCUPATIONAL BEINGS – PEOP MODEL CHILD(Intrinsic Factors)ENVIRONMENT(Extrinsic Factors)OCCUPATIONSocial SupportPhysiologicalSocial & EconomicSystemsCognitivePERFORMANCEOccupationalPerformance &ParticipationSpiritualCulture & ValuesBuilt Environments &TechnologyNeurobehavioralPsychologicalNatural EnvironmentsWELL BEINGQUALITY OF LIFE
28Case Example Profoundly deaf, identified at 11 months Developmental history of hypotonia, tactile defensiveness, motor overflow, poor eye contact. Slow learning rate, limited social interaction with peersReferred by preschool teacher
29On observation Reduced proprioceptive perception Weak bilateral coordination and motor planningReduce proximal trunk stabilityAvoidance of crossing midline
30Therapy Implementation Successive approximation based on motor complexityIncrease visual and perceptual skillModel matching side by sideFacilitate midline crossingGuidance and support of motor plan
31Influence of sensory integration procedures on language development. Ayres AJ, Mailloux Z. Am J Occup Ther Jun;35(6):383-90The relationship between language development and sensory integration was explored through single case experimental studies of one female and three male aphasic children ranging in age from 4 years, 0 months to 5 years, 3 months. Three of the four children had received either speech therapy, special education specific to aphasia, or both, before starting occupational therapy. Inspection of rate of language growth before and after starting occupational therapy showed a consistent increase in rate of growth in language comprehensive concomitant with occupational therapy compared to previous growth rate.
32Comments and Questions? Thank youComments and Questions?