Occupational Therapy
The treatment of physical and developmental disorders through purposeful activities that improve &
develop skills, needed for everyday independence. Both children with or without disability may receive
therapy.
Occupational therapy is beneficial when there are concerns regarding fine motor, sensory, visual
motor, and/or motor planning. These children have a limited sensory experience and lack normal
motor control.
Areas of Occupational Therapy
Fine motor skills generally refers to actions of the hands, wrists, and arms, including dexterity,
coordination, and strength. Handwriting is a complex process of managing written language by
coordinating the eyes, arms, hands, pencil grip, letter formation, and body posture. The development
of a child’s handwriting can provide clues to developmental problems that may hinder the child’s
learning. Sensory integration (SI) is the process of receiving, organizing, and interpreting input,
becoming the basis for motor planning, learning and behavior. When this process is disorganized, it is
called Sensory Integration Dysfunction.
Tactile Processing
The tactile system interprets touch and the perception. It protects us from stimuli that may be
perceived as harmful. With an over or under sensitive tactile system, the body interprets touch
differently. When this occurs, due to certain types of clothing, food textures or unexpected touch, the
body releases an excessive emotional reaction such as hitting, crying or other behaviors.
Motor coordination
Poor range of motion, deficits in eye and hand coordination, problems with fine motor ability, and
decreased visual perception often result in poor performance in sports, poor handwriting, and will
likely lead to problems with academic performance. In addition, the child's functional abilities, such as
self-care, may be impacted, as the child may not be able to function at a developmentally appropriate
level.
Evaluation
An occupational therapy evaluation assesses a child’s gross motor skills, fine motor skills, visual motor
skills, handwriting skills, daily living skills, oral motor skills, and sensory processing skills. The use of
standardized assessment tools, non-standardized assessment tools, parent interview, and clinical
observations will be used to assess the child’s performance.
Occupational therapy treatment is necessary when several areas of performance are affected.
Fine Motor Skills: movement and dexterity of the small muscles in the hands and fingers.
Gross Motor Skills: movement of the large muscles in the arms, and legs. Visual Motor Skills: a child’s
movement based on the perception of visual information.
Oral Motor Skills: movement of muscles in the mouth, lips, tongue, and jaw, including sucking, biting,
chewing, and licking.
Self-Care Skills: daily dressing, feeding and toilet tasks. Sensory Integration: ability to take in, sort out,
and respond to the input received from the world.
Motor Planning Skills: ability to plan, implement, and sequence motor tasks.
The Role of an Occupational Therapist
Occupational therapist use play to enhance the child's fine motor skills and muscular strength. They
also address feeding and oral motor skills,self-care skills, positioning, adaptive equipment, splint
fabrication and use, sensory integration techniques, and assist individuals in acquiring the knowledge,
needed to preform.
Occupational therapist have used brushing and joint compression as an intervention technique. This
method of therapy is to provide deep tactile input to help organize the sensory system, increase focus
and level of alertness. It is best to provide this technique daily every two hours and prior to activities
that may bring fear, anxiety, or resistance.
Therapists also help those with permanent disabilities, such as spinal cord injuries, cerebral palsy, and
aid in eating and dressing. Assessing and recording a client’s activities and progress is an important
part of an occupational therapist’s job. Accurate records are essential for evaluating clients, and for
reporting to physicians and other healthcare providers.
Occupational therapists work from hospitals, schools and in the community. Therapists will use any
combination of activities to strengthen muscles, increase movement, restore co-ordination and
balance. In schools, they evaluate children’s abilities, recommend and provide therapy, modify
classroom equipment, and help children participate as fully as possible in school programs and
activities.