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Understanding Sibling Issues

Raising a child with a disability or chronic illness poses many challenges. Some of these challenges focus on the relationship between the siblings in the family. These crucial relationships are examined in this article.

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LOTCA Battery

The LOTCA Battery is a cognitive battery of tests for both primary assessment and ongoing evaluation in the treatment of brain-injured individuals.

The LOTCA (Loewenstein Occupational Therapy Cognitive Assessment) Battery is a cognitive battery of tests for both primary assessment and ongoing evaluation in the treatment of brain-injured individuals. The LOTCA Battery has proven to be reliable and valid in providing therapists with a profile of the patient's cognitive abilities. It consists of 20 sub-tests divided into four areas: orientation, visual and spatial perception, visuomotor organization and thinking operations. Manual authors: Malka Itzkovich, OTR; Sara Averbuch, MA, OTR; Betty Elazar, OTR. Principal researcher: Noomi Katz, Ph.D., OTR. Advisor: Levy Rahmani, Ph.D. Under auspices of Loewenstein Rehabilitation Hospital, Israel. Tests used are: 1. Orientation for place 11. Pegboard construction 2. Orientation for time 12. Colored block design 3. Visual identification of objects 13. Plain block design 4. Visual identification of shapes 14. Reproduction of a puzzle 5. Overlapping figures 15. Drawing a clock 6. Object constancy 16. Categorization 7. Spatial perception 17. Riska object classification A 8. Praxis 18. Riska object classification B 9. Copy geometric forms 19. Pictorial sequence 10. Reproduction of a 20. Geometric sequence two-dimensional object The battery's validity is further supported by the developmental age standards determined from a sample of children, ages 6 to 12 years which show age progression according to the hierarchical order of the abilities assessed by the battery. Findings from psychiatric populations suggest that the LOTCA battery is also useful in pointing out possible underlying organic dysfunction. The kit includes card decks, colored blocks, pegboard set, 56-page manual and other materials, all packed in a carrying case with handle, 13 1/2"x10"x3 1/4" (34x25x8 cm). Shipping weight is 4.5 lb. (2.1 kg.).

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LOTCA  Battery

Typical Access Profile

Auditory

Normal
Low
Extremely Low
Not Using Hearing
Hyper-Acute

Vision

Normal
Low
Extremely Low
Not Using Vision

Gross Motor

All
Some
Few
Not Using Gross Motor

Fine Motor

All
Some
Few
Not Using Fine Motor

Developmental Age Range

0 - 2
3 - 5
6 - 8
9 - 12
13 and Over

Language

Typical
Some Spoken
Receptive Only
Sign
Assistive/Augmentitive
Not Using Language
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Assentive Communication Introduction

Clock Communicators are "Low-Tech" augmentative communication devices, meaning you don't need a computer or software to make them work. They are an excellent way to introduce communication and making choices to new switch-users. When starting to work with your child, try taking pictures of the real choices that you want your child to indicate. It also helps to start with pictures and real objects presented. i.e.. Glass of milk on one side, OR banana on the other. Work up from two choices to as many as twelve. Try: pictures of bed, bath, outside, toys, video, food, drink, family members etc.

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