Occupational Therapy

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1.6. SCOPE AND DELIMITATIONS OF STUDY The study is applicable to occupational therapists, especially those working in the paediatric field of occupational therapy. The results will be most relevant to occupational therapists working with children with CP. The study involves the assessment of sensory modulation under the umbrella of SPD. It does not include other types of SPD, such as praxis or discrimination. Moreover, it does not include intervention; however, the assessment findings may impact on the intervention of the child with CP indirectly. The study is grounded in the following theories, models and frameworks: • Sensory integration theory: Ayres’ SI is a holistic framework to examine behaviour and learning and is based on an amalgamation …show more content…

The SP2 was developed using this theory, whereby each individual is seen to have a unique sensory profile depending on their genetics, experiences, environment, culture, personality factors etc.8,81 Each child with CP presents differently depending on various factors. The subtype of CP, the onset of the insult, and the severity of the insult will influence the clinical presentation. External factors: such as access to medical and therapeutic interventions, the availability of assistive devices, the accessibility of the environment, as well as social and cultural stigma may further impact on the child’s functioning. Considering all contextual factors was not the purpose of the study; however, the researcher did consider the impact of certain factors when interpreting the …show more content…

In children with CP, the observed behaviours are attributed to the damage within the cortical regions of the CNS; whereas in typically developing children, the behaviours are associated with the subcortical regions.4 This has led to controversy about whether SI theory can be applied to children with CP, which has impeded further research into SMD in CP. The theory of SI is considered to be dynamic and it has subsequently evolved over the years. The researcher has assumed that although the cause of SMD may be different, the observed behaviours can still be examined using the