Tutorials in task analysis to guide clinical reasoning

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Format for tutorials 

Each week I will introduce a new topic - see below - with links to relevant information 
Each week's topic will include suggestions for practical activities to promote active engagement and stimulate discussion on the TOMT&T Facebook group

Before you start 

Introduction to task oriented movement therapy and training 

1 Sitting for working at a table 

The child who has difficulty sitting erect and relatively still  with ease and comfort when engaged in table top activities 

To get you thinking
The pictures below illustrate sitting postures often seen in children with movement difficulties and problems with sitting and working at a table. Based on your current understanding of postural and motor control, what assumptions would you make about the reason for the slumped posture? 

T sitting slumped_2.jpg       sitting side shift_1.jpg

Analysis 
A  T-I-E analysis identifies the different factors that influence a child's ability to sit erect and work at a table

Difficulties children have with shoulder control for handwriting 

Assessment 
Identifying the task and environmental factors that enhance and constrain a child's ability to and work at a table 

Assessment of lumbar and LE flexibility - with normative values

Intervention
Active mobilization 

Intervention and training program - with PDF handout for parents and teachers 


2  Drawing abilities in reception class - Available 5 May 2019

A child's reception class teacher  is concerned that her drawings are immature and lack detail. The child herself does not like drawing, says that it is boring. 

A T-I-E analysis of drawing to identify the movement and graphomotor abilities needed for drawing and role of motivation and experience.

A collaborative drawing session to identify abilities and engagement 

Assessment of shoulder control for drawing - flexibility, strength and endurance

Assessment of pencil grip and finger movements for drawing 

Activities for improving shoulder/elbow control for drawing long lines in different directions