What may treatment include?
OT would start with an assessment of age-appropriate ADLs to understand the priorities and underlying challenges contributing to poor ADL follow through. Working with the child, family and community members we then work towards finding an approach that fits the family and child’s needs.
Some treatment strategies may include;
- Graded tasks (Just Right Challenges) to teach the skill (for example using large buttons before moving onto smaller buttons)
- Adapting the activity ( for instance elastic shoe laces or velcro)
- Sensory Treatment or strategies to reduce discomfort of some of the ADLs (such as a child who has difficulty with dressing and tolerating the feeling of clothing)
- CO-OP treatment (cognitive orientation to occupational performance) and problem-solving collaboratively with the child and family to help solve practical issues with ADL follow-through (for example trouble getting through their morning routine to leave for school on time)
Often many approaches are used in collaboration and dependent on priorities. Often ADL tasks will be practiced in the context of games and play to increase a child’s participation and motivation.