Occupational Therapy And Physical Dysfunction

Occupational therapy and physical dysfunction By occupational therapist Muhammad Burghal [email protected]

definition 

Is the assessment and treatment of people of all ages with physical and mental health problems, through specifically selected and graded activities in order to help them reach their maximum level of functioning and independence in all aspects of daily life. These aspects will include their personal independence, employment, social, recreational and leisure and their interpersonal relationships.

Target group Patients with TBI  Patients with stroke  Hand injured  Children with CP and other physical disabilities  Others; Gullian barree syndrome, brain lesions, Erb’s palsy..etc 

OT role and goals in physical rehab . •

technical aid and w/c provision Facilitate normal movement patterns and inhibit abnormal reflex activity. • Reeducate sensory function. • Improve cognitive abilities. • Family training. • Home visit & adaptation. . Help client regain max level of independence in occupational performance; ADL, work, leisure.

OT assessment Motor assessment ; 1-Head control and sitting balance. 2-Active and passive ROM 3- gross and fine motor skills. 4-muscle tone. 

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Cognitive and perceptual assessment

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orientation, learning, memory, concentration, unilateral neglect, hemianopsia, praxis

Sensory assessment Superficial sensation: Tactile discrimination Hot and cold . 2 point discrimination Pain 

Deep sensation; Proprioception Stereognosis 

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Occupational performance assessment

ADL; self care, Work leisure

intervention Activities to reeducate cognitive skills; cognitive games  Compensatory techniques and technical aids to enhance independence in ADLs  Sensory integration to reeducate sensory function after injury, or enhance sensory modulation in children with sensory integrative dysfunction. 

Adaptive equipment and achieving accessibility Home;  School and  Work place  W/C training 