ABSTRACT

Since World War II, an internationally scattered group of occupational therapists (OTs) and physical therapists (PTs) have developed and advocated theories and treatment procedures to address sensorimotor de cits in the neurologically impaired patient.1-7 However, until the early 1980s, training and practice of these techniques were usually found only in specialty clinics and in advanced professional workshops. The majority of general practice therapists were neither trained in nor practiced a therapeutic approach based on neurophysiologic or developmental principles. Among those with training, some therapists were strong advocates of only one approach, whereas others were applying bits and pieces of all the then-known treatment approaches. Their patients were usually those with cerebral palsy, stroke, multiple sclerosis, and other neurologic etiologies.