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PEDIATRIC OCCUPATIONAL
THERAPY
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PEDIATRICOCCUPATIONAL
THERAPY
IN HAND MANIPULATION SKILLS
VISUAL
PERCEPTUAL
SKILLS
SENSORY
INTEGRATION
ORO MOTOR
ISSUES
SPLINT
FABRICATION
SELF
CARE
ENVT.
MODIFICATION
HANDLING OF THECHILD
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IMPORTANCE OF PLAY
Key area of occupational focus withchildren
Primary occupation of childhood
Development of motor and cognitiveskills
Used as therapeutic medium
Serves as reflection of childs
development Encourages participation in childhood
activities
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IN HAND MANIPULATION SKILLS
man through the use of his hands, as they
are energized by mind and will, can
influence the state of his own health.
Reilly
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COMPONENTS OF HAND
FUNCTIONS
Fine motor skills
Visual skills
Visual perceptual skills
Visual motor skills
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PATTERN OF HAND FUNCTIONS
Reach
Grasp
Release
In hand manipulation
Bilateral hand use
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IN HAND MANIPULATION
Adjustment of an object within the hand
after grasp
Classification of in hand manipulation skills Finger to palm
translation
Palm to finger translation
Shift
Simple rotation Complex rotation
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PHYSICAL FACTORS INFLUENCING
HAND FUNCTIONS
Integrity of hand
Range of joint motion
Tone
Postural control
Strength
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RELATIONSHIP OF HAND SKILLS
TO FUNCTIONAL PERFORMANCE
PLAY
SELF CARE
SCHOOL
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MOTOR PATTERNS AFFECTING
HAND SKILLS
Inadequate isolation of movements
Poorly graded movements
Poor timing of movement
Disorders in bilateral integration
Limited trunk movement and control
Compensatory patterns of movements
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EVALUATION OF HAND SKILLS
Range of motion
Muscle strength
Somatosensory function
Reach Grasp
Release
In hand manipulation skills Bilateral skills
Tool use
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TESTS INCLUDED
Erhardt Developmental Prehension
Assessment
Peabody Developmental Motor Scales
Test of Visual Motor Skills
Development Test of Visual Motor
Integration
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GUIDELINES FOR
INTERVENTION
Positioning of child
Improve postural control
Promoting isolated arm and hand movement
Enhancing reach and grasp skills
Voluntary release
In hand manipulation
Bilateral hand use
Splinting for children
