Posts

Know Stroke & Occupational Therapy Intervention With Rosalin Child Development

Image
  Stroke is one of the most common causes of death & residual disability. Stroke is the second leading cause of death worldwide. It can occur at any stage of life. A stroke occurs mainly due to a lack of blood supply to the brain tissues due to ischemia or haemorrhage. Few people are more prone to stroke or cerebrovascular accidents. People with a history of stress, hypertension (High BP), diabetes, heart issues, a sedentary lifestyle, hyperlipidemia, and a family history of stroke are more prone to stroke. Diagnosis of stroke starts with clinical findings and a CT scan. In the initial phase medical professionals need to assess, whether the stroke is due to ischemia or haemorrhage. The initial three to four and half hours are the golden period for stroke survivors. In the initial phase, neurologists mainly suggest for tPA which can resolve brain clots. In such, condition patients can recover fully without any residual paralysis. If patients miss this window period, then they ma...

Pediatric Rehabilitation & Occupational Therapy

Image
    Cerebral palsy is the most common cause of disability in infants & children. It is found that 10 percent of the total population has some form of disability from different causes. Nearly 15 to 20 percent of this disability is due to cerebral palsy . In India, it is estimated that incidence of 3 infants with CP in every 1000 live births. Diagnosis of cerebral palsy is mainly done based on clinical presentation. There is no need for any medical test like a blood test or radio imaging. But in some cases, medical professionals suggested to do an MRI if they have to rule out some other conditions or if the history of childbirth is not available. The gross motor functional classification system (GMFCS) is used to classify the severity of cerebral palsy. Peabody Developmental Measurement Scale (PDMS) is used to assess the gross motor & fine motor ability of children with cerebral palsy. Cerebral palsy can be classified into 4 categories based on muscle tone. 1. Sp...

Cerebral Palsy & Occupational Therapy Treatment

Image
Cerebral palsy is a neuro-diverse condition in which the brain gets damaged in early childhood. Cerebral palsy  is a non-progressive brain lesion in an immature brain. i.e. before two years of age. It could be due to prenatal, perinatal or post-natal issues in infants or mothers. A child with cerebral palsy varies in their mental capacity from profound mental retardation to mild learning disability. Early diagnosis of CP is key to successful rehabilitation. Diagnosis of CP is done mainly based on clinical presentation. Some medical investigations like CT scans, MRI & EEG are also useful in confirming the diagnosis. If children come with developmental issues, which start within two years of life & there is no specific disease associated with it then we can diagnose them as cerebral palsy. Gross motor & fine motor skills are major areas in assessing cerebral palsy. Other than that muscle tone, balance, deformity, sensory issues, cognitive issues, behavioural issues, Oro-...

Mental Imagery As An Occupational Therapy Approach in Neurological Recovery

Image
  Mental imagery is a process of mental manipulation without external stimuli. Mental imagery is a mental process technique in which a person can develop the physiological effect of movement in the body. The concept of mental imagery came to light in the early 1960s. In the early stage, it was used by athletes & sports persons but nowadays mental imagery is widely used in the rehabilitation process, especially in neuro-rehabilitation. For the mental imagery process, the formation of a mental image of a particular activity is important.  Many assessment tools are available to test the vividness of movement imagery questionnaires (VMIQ-2, Roberts et.al 2008). The process of mental imagery includes retrieving information from long-term memory to working memory by encoding & transformation.  The formation of the mental image may be internal or external.  An internal image can be formed by retrieving information from long-term memory to working memory.  Exte...

Distinctive Role of Occupational Therapy in Treatment of Autism Spectrum Disorder

Image
  How does the occupational therapist know what to do when any paediatric case refers to the Occupational therapist? Firstly, occupational therapists have knowledge about the medical condition of the child, which hampers the occupational performance of the child.  Occupational performance refers to the role of kids in family and society as an individual.  Each and every diagnosis has specific signs & symptoms which are assessed by an occupational therapy Performa. Special findings & test reports are also mentioned in occupational therapy assessment which is helpful in communication with other professionals in the rehabilitation team.  Furthermore, occupational therapy also have knowledge of the effectiveness of specific treatment protocols by evidence based practice. Secondly, to get optimal outcomes of occupational therapy intervention, we have to ensure therapy type, doses, repetitions & session duration. Guidance & supervision of parents or care...

Role of Occupational Therapy in Neurological Recovery

Image
Occupational therapy plays an important role in neurological recovery after any neurological deficits arise due to congenital anomalies in brain functioning, or acquired injury to the brain at any stage of life. There are lot many theories & postulates regarding neurological recovery after neurological insult.  The brain has a great capacity to modify or rewire itself desirably. Many scholars have advocated the potential of neuroplasticity in the brain.  The Hibbian theory of learning also known as Hebb’s rule or Cell assembling theory gives the  neurological & psychological basis for new learning. According to the theory, neurons fire together and wire together. It means the firing of neuron A evokes action potential in neuron B leading to a stronger learning pattern.  However neurons A & neuron B fire simultaneously and then build stronger connections of older learning which ultimately changes in habituation or habitual pattern. Motor recovery after ne...

How to Identify Red Flag Signs in School-Going Children

Image
The red flag signs are an early indicator of any neurodevelopmental issues present in children. The teacher, parents and/or the Occupational Therapist can identify these red flag signs. We can identify red flag signs as early as possible by observing children’s behaviour in school or any study environment. Early identification of red flag signs helps in early diagnosis & early intervention of particular symptoms. It creates conscious awareness among teachers & parents & motivates them for prevention. A multidisciplinary treatment approach (MDT) is important to deal with such type of issues present in children.  Following are the red flag signs present in school-going kids: 1. The child does not sit in the classroom 2. Poor interaction with other kids 3. Poor communication with teachers, kids & other helping staff 4. Self-engaged behavior 5. Poor joint attention i.e. unable to give attention in group activities 6. Narrow area of interest i.e. child ...