Department of Occupational Therapy, Bangladesh Health Professions Institute

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
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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
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Woman
Does
6:00 AM-
12:00 PM

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
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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
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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
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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
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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
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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
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15. Functional problem
Difficulty in writing
Difficulty in making handicraft
Unable to lay football
Unable to bowling in cricket
Unable to unscrew socket
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16. BILATERAL INTEGRATION
Coordinating both body sides during activity.
Throwing a ball
Sweeping floor
Cleaning cloths
Cutting vegetables
Dressing a t-shirt
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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.
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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
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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
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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
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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).
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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).
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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).
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27. ORAL MOTOR CONTROL
Coordinating oropharyngeal (mouth/swallow)
musculature for controlled movements.
Eating rice
Drinking a glass of milk
Telling story
Delivering lecture
Gossiping
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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
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30. Does it make sense?
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More you ask, more you learn!
Have a great preparation for
examination

31. Possible Examination Question