Occupational therapy in the complex treatment of clients with cerebral palsy

Abstract

The current concept regarding occupational therapy treatment has characteristics that go beyond the simple play of the child. In occupational therapy at this age, the child is required for his/her later training, for the role of adult through activities appropriate to his functional development, aimed at correcting any type of disability.The main means by which the young child can intervene is the game, which allows its psycho-social development. The game offers the child the opportunity to expand his knowledge, helps him develop his skill, intelligence, affectivity, sensitivity, to assert he. It can also help him get to know his body and become aware of the environment.Under the name of occupational therapy, when it comes to the child, is understood any attractive game or activity that can contribute to its physical improvement and psychological recovery.In this context, the game can be a job, the work not necessarily being a boring and unpleasant activity but on the contrary, it can be interesting. The purpose of the study:This paper aims to show the impact that occupational therapy has on the complex treatment of clients with cerebral motor disability, by using a specific intervention plan. Materialand methods: In the study we used the observation method to observe how the client carries out his activities, both in the physical and social environment, as well as to observe the possible barriers to the performance and occupational participation created by the environment.With the help of the Canadian practice model in occupational therapy, wewere able to describe the main steps used by me in practice with the client, using the 8 steps that this model promotes.Barthel disability scale-this is a test used to measure the client's performance in 10 activities of daily life according to the external help he needs. It was used for a more complex evaluation of the client I worked with and to indicate its degree of independence.The Canadian Occupational Performance Measurement Questionnaire (COPM)-is an assessment tool, created for use by occupational therapists, in evaluating clients in areas such as self-care, leisure and productivity. Results: The evaluated subject made progress following the intervention that was focused on the first two problems, which results from the modification of the scores scored by him on the first two problems of occupational performance initially, as opposed to the end, in the Canadian occupational performance measurement questionnaire.Regarding the score obtained on the Barthel incapacity scale, it can be observed that it does not change, remaining at the value of 60, which places the client within those with "assisted independence". Conclusions:Following the specific intervention of occupational therapy, performed on a single subject with cerebral motor infirmity, the form of spastic diplegia, considerable progress has been made in terms of the most important occupations of his life and in which he is experiencing performance difficulties.