Feder K, Majnemer A, Synnes A
School of Physical & Occupational Therapy, McGill University, Montreal, Quebec.
Can J Occup Ther. 2000 Jun;67(3):197-204. doi: 10.1177/000841740006700313.
The objective of this survey was to describe assessment and treatment approaches commonly used by occupational therapists for children exhibiting handwriting and related fine motor difficulties. Secondarily, the application of weights as a treatment modality was also explored. Fifty experienced paediatric occupational therapists from Ontario (46%), Quebec (22%) and six other Canadian provinces, were surveyed by telephone. The majority of therapists indicated that they evaluated gross/fine motor and perceptual skills, motor planning, quality of movement and sensory functioning for this population, while psychosocial and environmental factors were often not formally evaluated. Evaluations most commonly utilized included the Beery, Bruininks-Oseretsky and Gardner Tests. Standardized handwriting assessments were rarely employed. All used an eclectic treatment approach with sensorimotor most frequently selected (90%). Work setting and years of experience did not influence the treatment approach favoured.
本次调查的目的是描述职业治疗师针对表现出手写及相关精细运动困难的儿童常用的评估和治疗方法。其次，还探讨了使用重量作为一种治疗方式的应用情况。通过电话对来自安大略省（46%）、魁北克省（22%）以及加拿大其他六个省份的50名经验丰富的儿科职业治疗师进行了调查。大多数治疗师表示，他们会评估该群体的大肌肉/精细运动和感知技能、运动计划、运动质量和感觉功能，而社会心理和环境因素通常不会进行正式评估。最常用的评估包括贝利、布鲁因inks -奥塞雷茨基和加德纳测试。很少采用标准化的手写评估。所有治疗师都采用折衷的治疗方法，其中感觉运动疗法最常被选用（90%）。工作环境和工作年限并未影响所青睐的治疗方法。
