LITERATIVE REVIEW

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LITERATIVE REVIEW

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 thi...

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It appears that more research needs to be done in both areas of

remedial and adaptive retraining in general; although more has been

published on the remedial approach. Kunstaetter (1988) and I (Nei-

stat, 1986), seem to believe that remedial techniques has been more

predominant in the treatment of subjects minimal brain dysfunctions.

Kunstaetter (1988) and I (Neistadt, 1986) have reviewed and charted

numerous occupational therapy treatment modalities, and found that

remedial techniques are predominantly practiced. Most researchers

feel that it is hard to know “whether theory is informing practice” or

practice is informing theory. Either way most researchers

acknowledge that theoretical assumption’s that underlie certain

practices should be further researched to make critical assumptions

toward theory and practice to provide the bests possible services for

their clients.

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