In this episode of New PossibilOTs, Mahek Bansal and Larissa Ferrari explore the top-down and bottom-up approaches in occupational therapy and explain the fundamental concepts of both approaches. The top-down approach involves focusing on the performance of specific tasks or occupations, aiming to enhance their execution through adaptations or skill training. On the other hand, the bottom-up approach concentrates on developing foundational skills required for successful task completion, such as fine motor, gross motor, or cognitive skills. They share their perspectives on when and how they apply these approaches, often finding value in combining both for comprehensive intervention, highlighting the importance of linking these approaches to the overarching goal of improving participation and function in clients' daily lives. They also touch on the challenge of measuring outcomes and advocating for occupation-centred interventions, particularly in the context of healthcare funding systems. Join Mahek and Larissa as they share their enthusiasm for sharing their experiences and insights.

Resources

• Top-down and bottom-up approaches to motor skill assessment of children: Are child-report and parent-report perceptions predictive of children's performance-based assessment results? https://www.researchgate.net/profile/Karen-Stagnitti/publication/225080019_Top-down_and_bottom-up_approaches_to_motor_skill_assessment_of_children_Are_child-report_and_parent-report_perceptions_predictive_of_children%27s_performance-based_assessment_results/links/0deec51b11574ad836000000/Top-down-and-bottom-up-approaches-to-motor-skill-assessment-of-children-Are-child-report-and-parent-report-perceptions-predictive-of-childrens-performance-based-assessment-results.pdf
• Does training in a top-down approach influence recorded goals and treatment plans? https://journals.sagepub.com/doi/pdf/10.1177/0008417419848291
• Bottom-Up or Top-Down Evaluation: Is One Better Than the Other? https://research.aota.org/ajot/article-abstract/58/5/594/4825/Bottom-Up-or-Top-Down-Evaluation-Is-One-Better?redirectedFrom=PDF
• Top-down or Bottom-up Occupational Therapy Assessment: Which Way Do We Go? https://www.researchgate.net/publication/50434233_Top-down_or_Bottom-up_Occupational_Therapy_Assessment_Which_Way_Do_We_Go
• PRPP System of Task Analysis https://www.occupationaltherapy.com.au/perceive-recall-plan-perform-prpp-system-of-task-analysis-assessment-and-intervention/
• The CO-OP Approach https://cdn.shopify.com/s/files/1/0268/0999/1247/files/CO-OPbookletEnglish.pdf?232
• Sensory Integration and Praxis Test (SIPT) https://paa.com.au/product/sipt/
• Evaluation in Ayres Sensory Integration (EASI) https://www.cl-asi.org/easi
• For the transcript go to: https://www.occupationaltherapy.com.au/podcasts/top-down-vs-bottom-up-approaches/

For Transcript go to: https://www.occupationaltherapy.com.au/podcasts/top-down-vs-bottom-up-approaches/

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