2. OCCUPATIONAL
PERFORMANCE COMPONENT
(MOTOR)
Shamima Akter
B. Sc (Honours) in Occupational Therapy
& M. Sc in Rehabilitation Science
Assistant Professor,
Department of Occupational Therapy
Bangladesh Health Professions Institute (BHPI)
Centre for the Rehabilitation of the Paralysed (CRP)
Chapain, Savar
3. MOTOR COMPONENT
A motor skill is a learned ability to cause a predetermined
movement outcome with maximum certainty.
Motor control is the systematic regulation of movement in
organisms that possess a nervous system.
1. Crossing the Midline 6. Oral Motor Control
2. Laterality 7. Bilateral Integration
3. Activity Tolerance 8. Fine Coordination
4. Praxis 9. Visual Motor Integration
5. Gross Motor
Coordination
TS1_Shamima_2018
4. ACTIVITY TOLERANCE
Sustain a purposeful activity over the time.
Completing assignment
Reading story books
Performing yoga with peer group
Baking a cake
Riding bicycle
TS1_Shamima_2018
6. Functional Problems
Unable to finish reading story books
Unable to perform yoga with peers
Unable to bake a cake
Difficulty in riding bicycle
Difficulty in completing assignment of
OT theory
TS1_Shamima_2018
7. GROSS MOTOR COORDINATION
Using large muscle groups for controlled,
goal-directed movements.
Riding on bicycle
Sewing cloth using sewing machine
Playing cricket
Swimming
Playing badminton
TS1_Shamima_2018
9. Functional Problem
Facing difficulty in riding on bicycle
Facing difficulty in sewing cloth using
sewing machine
Unable to play cricket
Unable to swim
Unable to play badminton
TS1_Shamima_2018
10. CROSSING THE MIDLINE
Moving limbs and eyes across the mid-
sagittal plane (midline) of the body.
Playing badminton
Playing table tennis
Writing
Turning page of a book
Combing hair
TS1_Shamima_2018
12. Functional Problem
Difficulty in playing badminton
Difficulty in playing table tennis
Unable to writing
Unable to turn page of a book
Difficulty in combing hair
TS1_Shamima_2018
13. LATERALITY
Using a preferred unilateral (one) body part
for activities requiring a high level of skill.
Writing
Unscrewing socket
Making handicraft
Playing football
Bowling in cricket
TS1_Shamima_2018
15. Functional problem
Difficulty in writing
Difficulty in making handicraft
Unable to lay football
Unable to bowling in cricket
Unable to unscrew socket
TS1_Shamima_2018
16. BILATERAL INTEGRATION
Coordinating both body sides during activity.
Throwing a ball
Sweeping floor
Cleaning cloths
Cutting vegetables
Dressing a t-shirt
TS1_Shamima_2018
17. More glimpse...
• Bilateral Coordination is the ability to use both
sides of the body at the same time.
• This includes using both sides at the same time
for the same action, such as using a rolling pin.
It also includes using the same action at
alternate times, such as walking.
• Finally, it includes the ability to use different
sides of the body for dissimilar movements
such as holding the paper down when writing.
TS1_Shamima_2018
19. Functional Problem
Coordinating both body sides during activity.
Difficulty in throwing a ball
Difficulty in sweeping floor
Difficulty in cleaning cloths
Difficulty in cutting vegetables
Difficulty in dressing a t-shirt
TS1_Shamima_2018
20. PRAXIS
Conceiving and planning a new motor act in
response to an environmental demand.
Learn how to swim at first time
Engage in zumba dance club
Parking a car
Hanging cloths on rope
Cutting vegetables
TS1_Shamima_2018
22. Functional Problem
Limb apraxia- Inability to carry out purposeful
movement in the presence of intact
sensation, movement, and coordination
Constructional apraxia- Deficit in
constructional activities; graphic and
assembly
Dressing apraxia- Inability to dress oneself
TS1_Shamima_2018
23. FINE COORDINATION/DEXTERITY
Using small muscle groups for controlled
movements, particularly in object manipulation.
dressing (using buttons/zippers),
feeding (using mealtime utensils),
Personal hygiene (putting makeup)
being a student (using a pencil, keyboard,
or scissors), and
leisure/play activities (drawing, playing
many musical instruments).
TS1_Shamima_2018
24. More glimpse...
• Fine Motor Skills involve the use of precise and
coordinated movements of the fingers to
perform hand use tasks.
• Fine motor skills are necessary for completing
daily tasks such as dressing (using
buttons/zippers), feeding (using mealtime
utensils), being a student (using a pencil,
keyboard, or scissors), and leisure/play
activities (drawing, playing many musical
instruments).
TS1_Shamima_2018
25. VISUAL MOTOR INTEGRATION
Coordinating the interaction of information
from the eyes with body movement during
activity.
dressing (using buttons/zippers),
feeding (using mealtime utensils),
Personal hygiene (putting makeup)
being a student (using a pencil, keyboard,
or scissors), and
leisure/play activities (drawing, playing
many musical instruments).
TS1_Shamima_2018
27. ORAL MOTOR CONTROL
Coordinating oropharyngeal (mouth/swallow)
musculature for controlled movements.
Eating rice
Drinking a glass of milk
Telling story
Delivering lecture
Gossiping
TS1_Shamima_2018
29. Functional Problem
Difficulty in eating rice
Difficulty in drinking a glass of milk
Unable to say anything
Unable to delivering lecture
Face difficulty in gossiping
TS1_Shamima_2018
30. Does it make sense?
TS1_Shamima_2018
More you ask, more you learn!
Have a great preparation for
examination