Prewriting Activity

 Magnetic Maze

In school children learn to write using pencil and paper, but sometimes they has immature pencil grasp, weak or light grasp, poor coordination and lack of interest towards handwriting activities. 

In order to teach children, Occupational Therapy use Play Therapy as treatment medium. Therefore, any games that gives child skills training indirectly are best choice to tackle above problems. Today I used this magnetic maze to promote my client prewriting skills and improve his attention span and sitting tolerance. At same time, this will train client in positioning (left, right, up and down). Hope it helpful

Communication Skills Training

 Visual Scheduling

During the practical, my friend Rayhel had a problem with her client. Her client had audio issues in which he unable to speak and listen. Every time during therapy session, she needed to prompts her client to initiate and complete the task given. However, some of the task, he able to complete independently. 

Since the client did not learn any sign language, my friend came up with an idea of visual scheduling. This tool will help the client to understand the task that he need to do first and so on. Once he completed the task, the pictures will be remove from the board. In some cases, client was allowed to arrange the activities that he wanted to do.

This tool not only be use for child with audio problem but other children with behavior issues or difficulties in following instruction. This visual schedule also can be use as a structured activity for children with behavioral problem or difficulties in following instruction. Hope it helpful

Fine Motor Skills and Cognitive Training Activities

Colorful Cloths Pin

 It's pretty amazing how our everyday tools can be used as treatment medium and play material for the children. It may look simple but consist of high Therapeutic Values. It trains child to strength and enhance his/her fine motor skills especially in pinching and promote cognitive function in basic concept of colors. Pinch skills are basic skills that we need in everyday life activities including zipping, buttoning, posting coin and opening bottle, while basic concept enhance our child performance in school. This tool are easy to made and adapt to suits child's needs and our creativity. Hope it helpful

Prewriting Skills Activity

Lines Flashcard

An assistive device that I used with one of my client who had poor handwriting skills. Teaching children using a tool that give them experiences to fell the edges during making a lines; straight line, curve and zig-zag

Lines Flashcard

Self care OT assistive device

IngAnother project for peadiatric made by my friends and I.
Self care assistive device for children with physical and cognitive impairment. We choose personal hygiene and grooming compenant, brushing specifically. Quite a experience though. Self care in OT Domain and Framework including bathing, toileting, feeding, eating, personal hygiene and grooming, dressing etc.

Toothbrushing Visual Support wity Multiple Handgripping

PECS Pictures Exchange Communication System

So busy and had no time for blogger...
Just finished our PECS project.. Pictures exchage communication system used for children with communication dysfunction such as expressive aphasia. My friends and made some modification of PECS where it look like a school bag and we using a real pictures with different sizes..

TRAUMATIC BRAIN INJURY AND OCCUPATIONAL THERAPY

RANCHO LOS AMIGOS SCALE

AKA Level of Cognitive Functioning Scale (LOCFS)

LOCFS 1-3

Decreased response levels

Level I - No Response.

Level II - Generalized Response.

Level III - Localized Response.

OT Aims:
- Maintain ROM; Prevent contracture development
- Maintain skin integrity; Prevent decubitus ulcers
- Maintain respiratory status; Prevent complications

- Provide sensory stimulation; For arousal and to elicit movement

- Promote early return to functional mobility skills

OT Intervention
- Splinting; resting hand splint, antispasticity splint, AFO
- PROM
- Positioning; profer body alignment
- Sensory stimulation; auditory, visual, olfactory, gustatory and tactile

LOCFS 4-6

Mid-level recovery "Confused levels"

Level IV - Confused, Agitated Response.

Level V - Confused, Inappropriate, Non-agitated Response.

Level VI - Confused, Appropriate Response.

OT Aims:
- Prevent over-stimulation; confused and agitated pt
- Promote structured environment
- Increase memory ability and tolerance 

OT Intervention
- Behavioural modification 

- Education to pt and career; memory log, relaxation techniques, daily schedule

- Task simplication; break into small component, familiar activities, provide verbal and physical cues
- Reality orientation; time, place, person
- Safety education and management

LOCFS 7-10

High-level recovery "Appropriate levels"

Level VII - Automatic, Appropriate Response.

Level VIII - Purposeful, Appropriate Response (Alert and Orientated).

Level IX - Purposeful, Appropriate Response (Stand-by Assistance on Request).
Level X - Purposeful, Appropriate Response (Modified Independent).

OT Aims

- Promote independence in functional tasks
- Behavioural modification

- Improve postural control, symmetry and balance

- Provide emotional support

- Encourage socialization

OT Intervention

- Problem solving activities
- Functional skills retraining; mobility, ADL

- Behavioural, cognitive and emotional reintegration OT Aims

- Pt and family education