Child Development Occupational Therapy Observation

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This page was last modified on 28 September 2024.

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Occupational Therapy

Home Practice

Tracking Skills

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Tracking Skills

Tracking Skills

Definition and Importance

  • Tracking skills refer to a child's ability to proficiently observe and follow moving objects with their eyes, without moving their heads.
  • These skills are crucial for a host of everyday tasks and activities such as reading, playing sports, and even walking and running.
  • Therapists observe these skills in order to assess a child's visual motor integration, muscular strength and coordination, and overall focus and attention span.

Incremental Stages in Development

  • In newborns (up to 1 month), the primary focus is on viewing faces and high-contrast patterns, with little ability to track motion.
  • At 3 months, babies typically begin to follow moving objects with their eyes.
  • By 6 months, babies can easily track objects moving in any direction without moving their heads.
  • At 9-12 months, babies can usually follow quick and complex motion, indicating sophisticated eye muscle control and visual perception.

Occupational Therapy Assessment

  • In an assessment situation, the therapist may move a toy or other objects in various directions to see how the child's eyes follow the motion.
  • The speed, smoothness, and accuracy of the child's eye movements are evaluated by the therapist.
  • Difficulties in tracking can indicate developmental delays, visual impairment, or neurological conditions.

Therapeutic Interventions and Home Practice

  • Activities to promote tracking skills include playing catch, tracking a torch light on the wall, or visually pursuing bubbles as they float around.
  • Moving toys in different directions and encouraging the child to follow with their eyes can also enhance these skills.
  • Parents and caregivers can support development through daily activities such as pointing to and discussing objects in the child's environment, participating in back-and-forth play, and reading books together.

Possible Challenges & Signs of Struggle

  • Children with underdeveloped tracking skills often exhibit signs like losing their place while reading, difficulty in playing catch, rubbing eyes excessively, and appearing easily distracted.
  • They may have difficulty in school, struggle with attention, and exhibit clumsy or uncoordinated movement.
  • In such cases, the intervention of an occupational therapist may be required to run an in-depth assessment and design a treatment plan.

Role of Occupational Therapy

  • An occupational therapist can identify the underlying problems causing the difficulty rather than just alleviating the symptoms.
  • Through a series of exercises and activities tailored for the child, therapy can significantly improve tracking skills and enhance overall development.
  • The ultimate goal is to help the child develop the ability to function independently, aiding their performance in daily life and school activities.

Remember, tracking skills are only a small fraction of a child's overall development. They are, however, essential for many day-to-day tasks. Thus, it is crucial to provide effective support for their development.

Course material for Occupational Therapy, module Home Practice, topic Tracking Skills

Occupational Therapy

Home Practice

Vestibular Skills

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Vestibular Skills

Vestibular Skills

Definition and Importance

  • The vestibular system, located in the inner ear, is responsible for maintaining balance and body posture.
  • It also helps to coordinate eye and head movements and provides a sense of spatial orientation.
  • Vestibular skills are critical for many daily activities, including riding a bicycle, walking on uneven ground, or even sitting upright in a chair.

Developmental Stages

  • The vestibular system is one of the earliest sensory systems to develop in the womb, around the 20th week of gestation.
  • After birth, the body continues to refine these skills through movement and activity. Playing on swings, climbing, and other physical activities help children to develop strong vestibular skills.
  • The maturation of this sensory system continues till about the age of 15 years when it is fully developed.

Occupational Therapy Assessment

  • Occupational therapists assess vestibular skills by observing a child's balance, posture, and coordination during various activities.
  • Tests might include asking the child to walk along a straight line, standing on one foot, or noting reactions to changes in the body position.
  • Observing the child's ability to keep focused on a stationary object while the head is moving is also an essential part of the assessment.

Therapeutic Interventions and Home Practice

  • Occupational therapists use a variety of exercises to improve a child's vestibular skills. This includes therapy on swing sets, balance boards, and trampolines.
  • At home, children can practice these skills by playing on swings or roundabouts, somersaulting, cycling, or just simply rolling down a hill.
  • Activities like sitting on an exercise ball while watching TV or completing homework can also help to strengthen vestibular skills.

Recognising Struggles

  • Children who struggle with vestibular processing may appear clumsy or have poor balance. They might frequently stumble or fall.
  • They might also have difficulty coordinating body movements, struggle with maintaining an upright posture, or have problems following moving objects with their eyes.
  • Children with vestibular issues could be either hypersensitive to movement, leading to motion sickness, or they might be hyposensitive, seeking out intense movement experiences.

Role of Occupational Therapy

  • Occupational therapists work to improve vestibular processing skills, which in turn improves balance, coordination, spatial awareness, and even visual skills.
  • The focus of therapy is not just to improve vestibular skills but also to integrate them with other sensory information, to better understand and react to the environment.
  • By helping children to develop and refine their vestibular skills, occupational therapists play a vital role in a child's ability to interact with their environment and perform daily activities.

Course material for Occupational Therapy, module Home Practice, topic Vestibular Skills

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