Occupational therapy and

physical dysfunction
By occupational therapist
Muhammad Burghal
Glory_soul_mb@hotmail.com
 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.
 Cognitive and perceptual assessment

 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
 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