Curamus Occupational Therapy (DCAPS level 2)

Date: 1 November 2024 Activity: Initial assessment session for a 7-year-old male presenting with difficulties in motor coordination and sensory processing, referred by his paediatrician. The session focused on observing functional tasks and play-based activities. - Engaged in structured play involving puzzles and building blocks to assess fine motor skills. - Participated in gross motor activities including obstacle course navigation and ball games. - Utilised sensory integration equipment (swing, crash mat) to observe sensory responses. General Participation and Behaviour: - Maintained eye contact during interactions and responded appropriately to questions. - Followed multi-step instructions consistently after initial clarification. - Demonstrated good turn-taking during play activities with the therapist. - Exhibited moderate concentration levels, occasionally requiring redirection. - Showed some sensory seeking behaviours, particularly for vestibular input, but was easily regulated. Overall score rating: Green Postural Ocular: - Displayed fair postural control with some noticeable sway during single-leg stance. - Core strength appeared adequate for most tasks, but trunk rotation was somewhat limited. - Vestibular processing observations indicated a need for further assessment, as he actively sought out rotary movements. - Balance was age-appropriate for static tasks but showed minor instability during dynamic movements. - Eye movements were generally smooth, but some difficulty with visual tracking across midline was noted. Overall score rating: Amber Bilateral Integration and Sequencing: - Successfully imitated simple bilateral movements, but more complex alternating movements were challenging. - Ball skills (catching, throwing) were below age expectations, often using a global rather than refined approach. - Body awareness appeared developing, with occasional difficulty identifying left/right body parts quickly. - Scissor skills were emerging, but precision and endurance for cutting shapes were limited. Overall score rating: Amber Visual Perception and Visual Motor: - Demonstrated good spatial relations in puzzle completion but struggled with more abstract visual-spatial tasks. - Visual closure skills were adequate for common objects. - Visual motor integration, as assessed through drawing tasks, indicated some difficulty with letter formation and geometric shapes. Overall score rating: Amber Plan: - Develop a personalised therapeutic programme focusing on improving bilateral coordination, visual motor integration, and refining sensory regulation strategies. - Recommend a frequency of one 45-minute session per week for 10 weeks. - Suggest a home programme including activities such as daily 'animal walks', simple catching games, and cutting practice with age-appropriate materials.