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Pediatric Occupational
Therapy
COGNITIVE AND
PERCEPTUAL THERAPY
- Visual
discrimination -
finding the
similarities &
differences
- Visual spatial
relationships -
being able to
identify reversals
of objects & symbols
- Visual
sequential memory -
to recall a shape
from 4 choices after
4-5 seconds
- Visual memory -
identifying a shape
that has been
memorized from the
previous page
- Visual form
constancy - finding
the same shape when
it is resized or
rotated
- Visual figure
ground - finding an
object within a busy
background
What to look out for
in your child
- Inattention and
distractibility to
written and or
reading tasks
- Difficulty in
letter recognition
and letter
reproduction
- Reversal of
letters such as b
for d or p for q
- Difficulty
copying from a
blackboard or a
whiteboard
- Poor orientation
of puzzle pieces -
"gives up"
- Poor at
following
instructions
Congnitive and
Perceptual
SELF CARE
- Orientate
clothing, shoes &
socks
- Right & left
discrimination while
dressing
- Back & front
discrimination while
dressing
- Strategies,
techniques & ideas
for cues when
dressing (visual,
physical or verbal)
- Feeding: grasp,
bilateral
co-ordination (knife
& fork), strength,
control
- Bathing:
includes back care
techniques for
parents. Sequencing
body parts to wash
(rhyme)
- Hygiene:
toileting, grooming
(hair & teeth
brushing), nail care
What to look out for
in your child
- Dressing:
clothes or shoes on
backwards
- Dressing: shoes
on wrong feet
- Food is pushed
off plate
- Messy eaters
SOCIAL SKILLS
- Co-operative
play / sharing
skills
- Develop self
concept / self
esteem
- Attention
- Listening skills
- Following
directions
What to look out for
in your child
- Withdrawal from
social situations
- Lack of group
interaction
(avoidance)
- Lack of
confidence in
oneself
- Poor eye contact
- Poor body
language
FINE MOTOR
- Finger, hand
strength, position &
stability
- Pencil grip &
control
- Wrist &/or
forearm control
- Copying shapes
- Fluency / finger
movements
- Spatial
organization (space
& letter formation)
- Quality of work
- Visual
perception skills
- Speed &
dexterity
- Tweezers,
scissors, finger
isolated movements
What to look out for
in your child
- No interest in
fine motor skills
- Gross pencil
grasp
- Poor scissor
skills
- Clumsy grasp &
release skills
- Difficulty
holding small
objects,
manipulating tools,
pencils or scissors
- Unable to
complete mazes,
dot-to-dots, etc
- Difficulty
copying text from
whiteboard or
blackboard
GROSS MOTOR
- Ball skills -
throwing & catching,
hitting ball
- Balance:
Hopping, balancing
on one leg, walking
on a balance beam,
walking heel-toe
- Clumsiness
- Awkward running
or jumping
- Co-ordination of
body sides:
difficulty skipping,
doing star jumps
- Difficulty with
dancing, Simon Says
What to look out for
in your child
- Flinching or
other responses when
catching a ball
- Fear response to
gross motor
activities
- Level of
avoidance or
motivation to gross
motor activities
- Unable to hop,
skip, jump, run, etc
- Difficulty
coordinating body
sides
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