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Biomedical subjects

L D Parham

Publications and source records attributed to L D Parham.

7 recordsLinked to original sources

Statement: occupational therapy provision for children with learning disabilities and/or mild to moderate perceptual and motor deficits.

This paper discusses three major issues in the provision of occupational therapy services to persons with learning disabilities and/or mild to moderate perceptual and motor deficits. The issues are (a) the historical influence of federal legislation on the scope and content of occupational therapy services to persons with these disabilities; (b) the provision of occupational therapy services for this population from infancy to adulthood; and (c) the context of service provision and efficacy of occupational therapy models.

Adolescent↗

A synthesis of occupational behavior and sensory integration concepts in theory and practice, Part 1. Theoretical foundations.

This series of two articles presents a model of play development for use in pediatric occupational therapy. Proposing to unify the theoretical approaches of sensory integration and occupational behavior, the model uses play as the unifying link between these two apparently different approaches. This first article reviews the major concepts of sensory integration and occupational behavior, in addition to discussing the differences and similarities between the two. General systems concepts are used as a framework upon which a model of play development is constructed. Three hierarchical levels of play are described--sensorimotor, constructive, and social--with each broken down into several developmental steps.

Biofeedback, Psychology↗

A synthesis of occupational behavior and sensory integration concepts in theory and practice, part 2: clinical applications.

This is the second of two papers addressing the occupational behavior and sensory integration approaches to occupational therapy for children. In the previous paper, basic concepts from these two approaches were discussed as presenting different, yet complementary, perspectives. The use of play was identified as central to occupational therapy practice from either perspective. Concepts from both approaches were integrated into a general systems model of play development in infancy and early childhood. This paper discusses play and sensory integration as interdependent developmental phenomena that are a function of interactions between the environment (input) and the child's internal processing (throughput). When input-throughput interactions do not permit the growth of competence, dysfunction occurs. Consideration of possible input and throughput deficits are suggested for assessment of individual children, and treatment guidelines are drawn from both the sensory integration and occupational behavior literature.

Child↗

The evaluation of sensory processing: a validity study using contrasting groups.

The purpose of this study was to examine the validity of a sensory history questionnaire using contrasting groups. Specifically, the goal was to identify items on the Evaluation of Sensory Processing that differentiate between parent ratings of children with sensory integrative dysfunction and parent ratings of typically developing children. Data were collected from 30 parents of children with sensory integrative dysfunction and 59 parents of typically developing children. Items were analyzed using a Wilcoxon signed rank test to detect the difference between the parent ratings for the 30 children with sensory integrative dysfunction and 30 of the typically developing children who were matched to the dysfunctional children on age, ethnicity, gender, geographic location, and socioeconomic status. Eighty-four of the 200 items significantly (p < .05) distinguished between parents' ratings of children with and without sensory integrative dysfunction.

Case-Control Studies↗