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Cognition PPT
Cognition, Sensory Motor Processing & Gross Motor Skills
Question | Answer |
---|---|
Evaluation- Symptomatic hx | What impairs child's ability to fxn? What does parent see as a problem? |
Eval- Subjective info | Health hx: birth, procedures, environment, etc. |
Child's Reactions | To: environment, therapist, parents, siblings, activity |
Any physical impairments, such as? | Mm tone; ROM; Strength; Stability; Structure; Symmetry; Posture; Speech; Mobility; Gait; Tics/Abnormal mvmt; Vision; Hearing; Feeding; Continence |
Cognitive Impairments? | Following directions- how many commands?; Communication- what do they understand? Where does child fxn cognitively relative to motor skills? |
Step 2: Forming a PLan | What are we looking for & treating? What is realistic? What are the goals for us, & parents/pt? We must understand what we see |
Understanding | Does child understanding what's being asked? Need more time to process? Commands more simple? Rxns to commands? What is seen with independent play? What is child "seeking"/"not seeking"? |
What is step 3? | Implementing a Plan |
Sensory Seekers | Smashers, hitters, heavy workers |
Averters | Poor eye contact; Difficult to motivate |
Low Engine | flat affect; low energy |
High Engine | runs at full speed; constant movers |
Behavioral Issues | ADHD; ODD |
Complete incoordination | Masking tape kids |
Excellent coordination | Idiopathic players; Increased ideology |
Poor spatial awareness | In others' space; Don't notice things in their own space |
Guided activity | Tailor activity to where child is & understand how child changes |
Ex of heavy work | Climb, Push, Pull, Lift, Carry |
Ex of Calm | Slow, Rhythmic, Quiet |
Ex of Compression | Wrap, Weight, Vests, Cocoon |
Ex of Vibration | Manual; Toys; Tapping; Facilitation |
Ex of Swing | Linear, Stop & Go, Spinning, Bumping |
Ex of Vestibular | Scooter boards, Slides, Rolling |
Ex of Inversion | Hanging, Therapy ball, Bear walk, Yoga |
Ex of Bouncing | Trampolines, Therapy ball, Jumping |
Ex of Elevation | Balance beams, Boards, Rope ladder, Stairs |
What is step 4? | When to discharge |
When to D/C? | Goals met? Family/school continue with progress? Child transition to/from other settings with carryover from PT? Any other problems need addressed? |