PEDIATRIC OCCUPATIONAL THERAPY

IN HAND MANIPULATION SKILLS VISUAL PERCEPTUAL SKILLS SENSORY INTEGRATION ORO MOTOR ISSUES PEDIATRIC OCCUPATIONAL THERAPY SELF CARE SPLINT FABRICATION ENVT. MODIFICATION HANDLING OF THE CHILD .

IMPORTANCE OF PLAY • Key area of occupational focus with children • Primary occupation of childhood • Development of motor and cognitive skills • Used as therapeutic medium • Serves as reflection of childs development • Encourages participation in childhood activities .

as they are energized by mind and will.IN HAND MANIPULATION SKILLS “man through the use of his hands. can influence the state of his own health.” Reilly .

COMPONENTS OF HAND FUNCTIONS • • • • Fine motor skills Visual skills Visual perceptual skills Visual motor skills .

PATTERN OF HAND FUNCTIONS • • • • • Reach Grasp Release In hand manipulation Bilateral hand use .

IN HAND MANIPULATION • Adjustment of an object within the hand after grasp • Classification of in hand manipulation skills • • • • • Finger to palm translation Palm to finger translation Shift Simple rotation Complex rotation .

PHYSICAL FACTORS INFLUENCING HAND FUNCTIONS • • • • • Integrity of hand Range of joint motion Tone Postural control Strength .

RELATIONSHIP OF HAND SKILLS TO FUNCTIONAL PERFORMANCE • PLAY • SELF CARE • SCHOOL .

MOTOR PATTERNS AFFECTING HAND SKILLS Inadequate isolation of movements Poorly graded movements Poor timing of movement Disorders in bilateral integration Limited trunk movement and control Compensatory patterns of movements .

EVALUATION OF HAND SKILLS • • • • • • • • • Range of motion Muscle strength Somatosensory function Reach Grasp Release In hand manipulation skills Bilateral skills Tool use .

TESTS INCLUDED • Erhardt Developmental Prehension Assessment • Peabody Developmental Motor Scales • Test of Visual Motor Skills • Development Test of Visual Motor Integration .

GUIDELINES FOR INTERVENTION • • • • • • • • Positioning of child Improve postural control Promoting isolated arm and hand movement Enhancing reach and grasp skills Voluntary release In hand manipulation Bilateral hand use Splinting for children .