Literative Review

Topics: Occupational therapy, Therapy, Sense Pages: 17 (2226 words) Published: May 22, 2001

The purpose of my literature review is to examine the various

therapeutic intervention strategies being administered to adult and

children who have perceptual, spacial, gross and fine motor proficient

disabilities. Furthermore what approaches appear to be working in their

rehabilitation process. adults with perceptual dysfunction secondary to

brain injury often includes Occupational therapy has been one of the

main therapeutic strategies used for perceptual retraining according to
(Holzer, Strassny, Senner-Hurley & Lefkowitz, 1982; Hopkins & Smith,

1983; Prigitano, 1986; Siev Freishtat, & Zoltan, 1986; Trombly, 1983, Van

Deusen, 1988; Wahlstrom. 1983). A variety of approaches for this

retraining has been offered by various occupational therapists. Several

authors have categorized these approaches differently (Abreu & Toglis,

1987; Neistadt, 1988; Siev et al., 1986; Trombly, 1983) It appears that

amongst all of these authors only Trombly's and Neistadt go on the

common assumptions underlying different treatment approaches, and

neither of the two authors have fully explicated the assumptions

underlying the classifications. Occupational therapy treatment

techniques for perceptual deficits fall into two categories.

Adaptive and Remedial. Adaptive, functional occupational therapy

approaches, such as the developmental. Adaptive skills, occupational

behavior, and rehabilitation treatment paradigms (Hopkins & Smith,

1983), promote adaptation of and to the environment to capitalize on

the clients' inherent strengths and situational advantages. These

approaches provide training not in the perceptual skills of functional

behavior but in the activity of daily living behaviors themselves.

On the other hand remedial approaches, such as perceptual

motor training (Abreu, 1985), sensory integration (Ayres, 1972) and

neurodevelopmental treatment (Bobath, 1978) seek to promote the

recovery or reorganization of impaired central nervous system

functions, specifically. Whereas sensory integration techniques address
the sensory processing upon which perceptual discriminations are

based. Sensory integration was not developed for clients with frank

brain lesions and so they are not applicable, in its entirety, to this

population. But some sensory integration techniques. However can be
used cautiously with Some adults with brain injury (Fisher, 1989).

Neurodevelopmental treatment deals with proprioceptive and Kinesthetic

perceptious as they relate to functional movement patterns. These

approaches provide training in the perceptual processing components of

functional behavior with perceptual drills or specific sequences of

sensorimotor exercises.

These are the common assumptions underlying the adaptive and

remedial treatments used currently. Occupational therapy's perceptual

retraining literature includes description of both adaptive and remedial

approaches. (Siev et al. 1986), for

example four perceptual treatment Approaches for adults:

A) Sensory integration

B) Transfer of training

C) Functional training and

D) Neurodevelopmental.

Three of these approaches – sensory integration, transfer of training,

and neurodevelopmental can be classified as remedial because their

underlying assumptions match the remedial assumption outlined

previously such as the retraining sequences.

In the sensory integration and neurodevelopmental...
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