Occupational
Therapy
Cognitive Perceptual Motor Retraining
Occupational
Therapy-Cognitive Perceptual Motor Treatment (OT-CPM) is a brain
injury treatment approach developed by Madhav R. Kulkarni, Ph.D.,
O.T.R., C.R.C., L.P.C. The premise of CPM treatment is that persons
with brain injury can be guided through the process of reacquiring
basic foundational skills gained during normal childhood development.
Treatment is directed at restoring brain function in sensory perception
and integration; attention/concentration; memory; motor control;
gross and fine motor coordination; visual, tactile, and auditory
discrimination; language functions; logical thinking; problem solving;
decision making and judgment, with the ultimate goal being functional
adaptation for the individual.
The evaluation
procedure is a multifaceted process that uses many specific standardized
tests, as well as a therapeutic approach designed to increase self-awareness.
The CPM testing and treatment process requires an occupational therapist
trained in the CPM method.
Specific
skills evaluated:
- Visual-Spatial
Perception-The ability to take in information through the eyes,
process it, organize it, and respond to it appropriately. For
example, visual attention, shape and size discrimination, depth
perception, and visual processing speed are skills required for
an individual to safely drive a motor vehicle.
- Tactile-Kinesthetic
Perception-The ability to take in information through the senses
of touch and movement, process it, organize it, and respond to
it appropriately. These skills are required for tasks where vision
cannot be used to monitor the limbs, such as adjusting vehicle
controls, handwriting, sports, typing, playing a musical instrument,
and moving through the environment in the dark.
- Motor Skills-Required
to efficiently execute movement, relying upon such things as gross
and fine motor coordination, strength, range of motion, physical
endurance, speed, motor sequencing, and motor planning.
- Executive
Functions-The skills of initiation, problem solving, decision
making, planning, organizing, and reasoning. These skills are
required for safe, functional, independent living.
The
individualized treatment occurs in a very systematic, basic to complex
fashion, and may consist of any or all of the following:
- Retraining
of pre-driving skills using computer, paper/pencil activities,
golf cart, and active passenger activities
- Computer-based
exercises tailored to the client’s cognitive and perceptual
needs
- Teaching
of compensatory strategies to use while remediating skills
- Independent
programs to supplement direct therapy provision
- Client and
family education
When an individual
presents with difficulties in function that impede independence,
it is often found that these difficulties stem from a disruption
in their basic foundational skills. The OT-CPM approach focuses
on remediation of the deficient underlying skills required to perform
the function, and rebuilds those skills from basic to complex. A
CPM client is guided through the process of stimulating the brain
to change and develop new pathways, reacquiring the foundational
skills needed to become more functionally independent, then taught
to compensate for any remaining deficient skill areas. Often times,
in cases of some brain trauma, the deficits in foundational skills
interfering with functional abilities are subtle and can be overlooked
when not applying the CPM approach. It is common for a person with
a traumatic brain injury to be discharged from traditional rehabilitation
services and continue to struggle, but upon completion of OT-CPM
treatment, achieve greater success and independence.
Origami is a CARF Accredited, AFC Licensed Facility
For additional information or referrals, please contact: (517)336-6060
Fax(517)336-6050
Business Hours: 8:00 am – 5:00 pm, Monday - Friday
Hours of Support for this Program: 8:00 am – 5:00 pm, Monday
– Friday, and as needed
|
