Hypotonia
The child (BC) that participated in the video was diagnosed initially with hypotonia to upper extremities and currently to lower extremities. According to Boyt Schell, Cohn & Crepeau (2009, p.691), hypotonia “is a decrease in the sensation of a muscle’s resistance to stretch as the joint is moved through the range of motion and the client’s inability to recruit adequate force to move against gravity”. Hypotonia can result from a variety of central or peripheral causes. It is important to have the proper diagnosis for proper evaluation and treatment.
In the course of this study I recognized there are two types of hypotonia Jan (2007) reports that accurate diagnoses of hypotonia are critical to predict the clinical course, associated manifestations and prognosis of the condition. Jan (2007), talks about two types of hypotonia: central hypotonia and peripheral hypotonia. Peripheral hypotonia is associated with weakness distally in neuropathies or proximal with myopathies. Central hypotonia is more common with worst neuromuscular pathology. The long-term effects of hypotonia on a child’s development depend on the severity of the muscle weakness and the nature of the cause. Clues to diagnosis mentioned in the article include; decreased fetal movements, alertness and responsiveness, weakness with little spontaneous movements, absent or decreased reflexes, sensory loss and other symptoms (Jan, 2007). While interviewing the mother during the video process, she mentioned several of these symptoms that appear to point to peripheral hypotonia. The most important step in the initial neurological examinations is to differentiate between upper and lower motor neuron lesions. The motor examination should also identify th...
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...f personal factors affecting performance. In E.B. Crepeau, E.S. Cohn & B.A.B. Schell (Eds.), Willard and Spackman's occupational therapy (11 ed., pp. 650-714). Philadelphia: Lippincott Williams & Wilkins.
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Jan, M. S. (2007). The hypotonic infant: Clinical approach. Journal of Pediatric Neurology, 5, 181-187.
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The Occupational Therapy Practice Framework defines an occupational profile as “the initial step in the evaluation process that provides an understanding of the client’s occupational history and experience, patterns of daily living, interests, values, and needs (2014).” During this process the client’s problems and concerns about daily occupations are identified then the client’s main concerns are determined (American Occupational Therapy Association, 2014). Occupational Therapists strive to be holistic and client-centered, and the occupational profile is one method to ensure treatment takes on these characteristics. During the occupational profile the clients share their priorities based on what is important to them, and the therapist
Oatis C. (2009) Kinesiology: The Mechanics & Pathomechanics of Human Movement (Second ed.). Glenside, Pennsylvania: Lippincott Williams & Wilkins.
Occupational therapist and occupational therapy assistances work with a wide variety of populations throughout their career. Some of these different populations can include different types of backgrounds, genders, ages, economic statuses, ethnicities, and more. While working with these populations, occupational therapists and occupational therapy assistances have to be aware of different types of influences that can not only affect the client, but the client’s occupations as well. In this article, “Psychosocial Aspects of Occupational Therapy,” it discusses the different types of psychosocial aspects that are in the field of occupational therapy.
Kinesiology is a complimentary therapy used to identify and correct internal issues to relieve stress, allergies, and pain. Being described as a complimentary therapy, kinesiology is not meant to be a cure-all for the patient, but a secondary method of increasing positive results of the original therapy; this method however can be used as a primary or secondary form of therapy depending on the results for the patient and satisfaction with said results. During treatment the doctor tests 14 different areas of muscles balance, these major muscles and how they react are believed to uncover problems that need correction which cannot be found with any other testing (Rude Health).
Reilly M (1962) Occupational therapy can be one of the great ideas of the twentieth century. American Journal of Occupational Therapy, 16, pp. 300-308
"Occupational Therapy." KidsHealth. Ed. Wendy Harron. The Nemours Foundation, 01 July 2010. Web. 01 Mar. 2014 .
Gross motor development is the review of the child’s capability to move in a consistent man...
Occupational therapy (OT) theory offers valuable contribution to support professionalization since possessing a unique body of knowledge is essential to define a profession (Cooper, 2012). To utilize theory effectively, it is essential to differentiate between generic and specific theory as knowledge of the core theory helps to form OT identity and action as a practicing practitioner. In this essay, OT theory refers only to philosophy and OT specific models. Frame of references (FOR) will not be included since it can be shared with the other professions (Boniface & Seymour, 2012).
This paper will explore my findings of my observation of a young boy, age 28 months, named Jax. Jax is fun little man and happens to be my nephew. I will discuss the attributes and characteristics of Jax that I witnessed in the few hours that I had observed him. Starting with motor development skills, I observed that Jax is a very favorable walker. He is well coordinated, and loves to run. Still, just like any two-year-old, he still stumbles frequently. He loves to play with his toys and can pick up and grasp his toys well. He is great at maneuvering his toys and putting them where he wants them. I did notice that he did favor his right hand regularly. Jax did love to throw things, and catch them as well. However, he seemed to be a bit better at catching things, more so than he was at throwing
Change is something that human have to face often, yet it is still very hard for us to adapt to it. We can, in turn, agree that change is not easy (Jacobs 2002). Occupational therapy has been thought a lot of changes which give rise to new treatment methods, new approaches and a better to communicate with the patients. Below is an analysis of the changes that have been made in the occupational therapy field and their outcomes.
Vasconcelos, O., Rodrigues, P., Barreiros, J. & Jacobsohn, L. (2009). Laterality, developmental coordination disorders and posture. In L. P. Rodrigues, L. Saraiva, J. Barreiros & O. Vasconcelos (Eds.) Estudos em desenvolvimento motor da criança II (pp.19-26). Escola Superior de Educação, Instituto Politécnico de Viana do Castelo.
Musculoskeletal system: He doesn’t have any stiffness and swelling at any joints. He can walk normally and never had history of falls.
Cole, M. B., & Tufano, R. (2008). Applied theories in occupational therapy: A practical approach. Thorofare, New Jersey, United States of America: Slack Inc.
The affects of cerebral palsy can be easily assessed through the loss of muscle control, spasticity, poor myelination, and in some cases structural brain changes can be see through the us of MRI. Furthermore, the affects of dealing with and treating a cerebral palsy child is a not marked by a single episode or treatment but rather a long process that for most families will consume their whole life. As with any illness preventative measures and treatment are essential in yielding the most optimal outcome. Additionally, for the child suffering from cerebral palsy their best chance at appropriate development hinders on how early the parents are willing to start treatment. For some families this can be a very hard decision since these kids are delicate and many of them are premature, decisions regarding their care can take a toll on the whole family. In order to provide appropriate care we must employ empathy and acknowledge the many factors contributing to the stress of this new diagnosis. Families may experience grief with the thought of having an “imperfect child”, become stressed with all the doctors coming in to talk to the family about treatment options, overwhelmed with nurses taking care of the child, as well as develop a constant fear of the unknown. All these thing play a major role in assessing the appropriate way to work with the family (Kaakinen, J. R., Coehlo, D. P.,
Oswalt, A., (2008). Early childhood physical development: gross and fine motor development. Retrieved from http://www.bhcmhmr.org/poc/view_doc.php?type=doc&id=12755&cn=462