Occupational Therapy Case Study

According to Le Postolloc (2000), “Benefits of co-treatment aren't limited to the patients, by working together, PTs and OTs can gain a broader perspective on treatment and a better understanding of each other's role on the rehab team.” Client treatment time can also be reduced with co-treatment, which is beneficial for a child with a short attention span. It is also helpful to have an additional set of hands to ensure safety. During the co-treatment the OT will focus on assessing upper extremity function and fine motor coordination, while the PT will focus on positioning, balance and trunk control.
A one-hour occupational therapy and physical therapy co-treatment with James will include:

● Acting out animals: Both the OT and PT facilitate vestibular and proprioceptive sensory integration by acting out animals and their behaviors with parents/siblings, which encourages weight shifting, balance, and social skills (Shlaes, 2011).
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● Log-rolling: James can be given proprioceptive input from both PT and OT (Wilbarger, 1984). NDT segmental log rolling incorporating part task training (Tsorlakis et al., 2004).
● Weighted vest: James can wear a weighted vest during activities that will provide him with proprioceptive input (Mullen et al., 2008).
○ NDT while in weighted vest to improve postural control while receiving proprioceptive feedback from vest.
○ NDT pelvic tilt to improve sitting tolerance in midline
○ NDT sit to