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Therapeutic programming for students with severe handicaps.

P H Campbell, W F McInerney, M A Cooper

    The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
    |September 1, 1984
    PubMed
    Summary
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    Increased practice of desired movements in children with multiple handicaps leads to faster acquisition of normal movement patterns. Consistent implementation of therapeutic methods by all caregivers is crucial for successful contextual programming.

    Area of Science:

    • Pediatric Physical Therapy
    • Developmental Disabilities
    • Occupational Therapy in Education

    Background:

    • Children with multiple handicaps often exhibit dysfunctional movement patterns.
    • Educational settings present opportunities for therapeutic intervention.
    • Facilitation and inhibition techniques aim to correct aberrant motor skills.

    Purpose of the Study:

    • To evaluate the effectiveness of therapeutic methods for altering dysfunctional movement patterns in children with multiple handicaps.
    • To explore the role of frequent practice in developing desired movement skills within educational contexts.
    • To assess the impact of consistent implementation of therapeutic strategies by multiple individuals.

    Main Methods:

    • Therapeutic methods utilizing facilitation and inhibition were applied in educational settings.

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  • Students practiced desired movement patterns (e.g., reach, manipulation) throughout the school day.
  • Data were collected to track the attainment of normal movement patterns.

    • Main Results:

    • Students achieved more normal movement patterns at accelerated rates with increased practice opportunities.
    • Frequent practice across various contexts facilitated skill development.
    • Successful contextual programming required accurate and consistent application of therapeutic techniques by all involved personnel.

    Conclusions:

    • Frequent practice of targeted movements significantly enhances the development of functional motor patterns in severely handicapped children.
    • Contextual programming, involving consistent therapeutic method implementation by all caregivers, shows promise.
    • While practice boosts effectiveness, it does not entirely replace the need for individual therapist intervention.