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OT Approaches for Cognitive Rehabilitation

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Attention

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Activities like mindfulness meditation, tracking tasks, or computer-based attention exercises.

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Memory

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Use of mnemonic devices, spaced retrieval practice, or creating memory aids such as to-do lists or calendars.

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Social Skills

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Role-playing exercises, social stories, or group therapy sessions.

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Executive Function

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Practicing problem-solving tasks, using checklists for task sequence, or playing strategy-based games.

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Sensory Processing

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Sensory integration techniques, exposure to various textures/materials, or practicing tasks under different sensory conditions.

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Motor Planning

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Tasks that require sequencing movement such as obstacle courses, action songs, or Simon Says.

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Visual Perception

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Activities like hidden object games, matching tasks, or jigsaw puzzles.

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Time Management

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Teach the use of alarms/reminders, electronic scheduling, or time estimation exercises.

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Orientation

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Engage in orientation training using environmental cues, practice use of maps, or regular review of personal information.

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Gross Motor Skills

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Incorporate balance exercises, sports, or dance into therapy sessions.

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Fine Motor Skills

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Activities that involve hand-eye coordination such as bead threading, writing tasks, or using tools.

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Sequencing

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Practice daily routines in proper order, use of sequencing cards, or cooking tasks.

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Body Scheme

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Mirroring exercises, drawing activities involving body parts, or the game 'Twister'.

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Problem Solving

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Incorporate 'What would you do if...' scenarios, logic puzzles, or practical problem-solving tasks like scheduling.

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Decision Making

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Use pros and cons lists for decision practice, role-play different outcomes, or use decision-making games.

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Praxis

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Demonstrate and practice new actions, create obstacle courses, or use action-based video games.

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Abstract Thinking

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Interpret metaphors or proverbs, solve abstract puzzles, or dissect complex concepts into manageable parts.

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Spatial Relations

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Activities that involve understanding object positions such as block designs, map reading, or navigating mazes.

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Cognitive Flexibility

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Switch between different tasks, play games requiring quick shifts in strategy, or participate in brainstorming activities.

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Concentration

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Tasks that involve sustained attention such as reading comprehension, intricate craft projects, or focused exercises like Tai Chi.

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Auditory Processing

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Listening exercises with follow-up questions, use of rhythmic activities to enhance auditory sequencing, or sound discrimination tasks.

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Tactile Processing

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Texture discrimination activities, desensitization to various materials, or sorting objects with eyes closed.

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Proprioception

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Engage in activities that include resistance exercises, encourage joint compression, or practice tasks with eyes closed.

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Categorization

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Sorting tasks by attributes, grouping items based on themes, or classifying objects during shopping activities.

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Insight and Awareness

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Reflect on personal abilities, engage in self-monitoring activities, or discuss feedback received from others.

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Emotional Regulation

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Teach and practice coping strategies, create emotion diaries, or identify triggers through personal reflection.

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Working Memory

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Memory training exercises like digit span tasks, card sorting, or using rehearsal strategies.

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Safety Awareness

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Use environmental evaluations to identify hazards, practice 'Stop, Look, Listen' activities, or create safety plans for different situations.

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Judgement

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Assessing risk in hypothetical scenarios, discussing potential outcomes of different actions, or considering ethical dilemmas.

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Self-Control

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Practice relaxation techniques, use thought-stopping strategies, or engage in activities that require waiting turns.

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Perseveration

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Practice redirecting activities, learn stopping cues, or use compensatory strategies to shift focus.

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Arousal Regulation

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Relaxation exercises, sensory modulation techniques, or engagement in physical activities to modulate arousal levels.

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Initiation and Persistence

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Establish and use visual schedules, set goals with clear first steps, or implement reward systems for task initiation/completion.

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Visual Attention

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Eye tracking exercises, search and find activities, or highlight important text while reading.

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Processing Speed

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Timed tasks, rapid naming exercises, or computer-based cognitive training programs.

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