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Frames of Reference 

Occupational Therapy

Video Explaining Frames of Reference

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Frame of Reference for Motor Skill Acquisition (Motor Learning) – 

Info: Used when the central nervous system has been affected, such as by a CVA or brain injury. There may be impairment in the senses, such as vision, sense of touch, or sense of movement (proprioception). Tasks are taught through repetition of movement patterns as a way of retraining the brain to gain voluntary control of movement.It combines natural ability for performance, analyse and identify task requirements, identify and react to environmental demands, and then, finally,  integrate all of these elements into occupational performance. 

 

Sensorimotor 

 

Info: Used when the central nervous system has been affected, such as by a CVA or brain injury. There may be impairment in the senses, such as vision, sense of touch, or sense of movement (proprioception). Tasks are taught through repetition of movement patterns as a way of retraining the brain to gain voluntary control of movement.

 

Occupational Adaptation Model (OAM) = Theory of Occupational Adaptation

Info: Integrates two domains : occupation and adaptation and looks at occupational performance in terms of “relative mastery” which requires the OTP to evaluate from the client’s viewpoint

Problems: social interaction and engagement deficits, decreased self-regulation, decreased executive functioning or disrupted emotional regulation due to neurological event, deficits resulting from mental illness

Interventions: identify baseline performance in client-specified activities being negative impacted by a maladaptive relationship between three systems (sensorimotor, cognitive, and psychosocial) and their environment (physical, social, cultural). Identify barriers using approach like Kawa river model, client-driven sessions to address barriers until relative mastery exists 

 

Behavioral Frame of Referencechanging patterns of behavior.

 

Info:Increase adaptive behaviors and decrease tendency for maladaptive behaviors using techniques like backward chaining, reinforcement, behavior modification, identification of stimulus 

Problems: social interaction and engagement deficits, decreased self-regulation, decreased executive functioning or disrupted emotional regulation due to neurological event, deficits resulting from mental illness

Interventions: identify baseline performance, create a plan to track and reinforce good behavior, and provide self-reflection and guided introspection to shape adaptive behaviors

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