Occupational therapy for children with epilepsy

The effect of epilepsy on development

Epilepsy is the name of a group of conditions in which there are electrical disturbances in the brain. Children with epilepsy have the same range of intelligence and abilities as other children. However, learning disabilities, emotional problems, and motor deficits often accompany seizures and can be exacerbated by medications used to help control seizures. These complications in the child with epilepsy frequently lead to poor school performance, depression, low self-esteem and withdrawal, drowsiness or hyperactivity) and behavioral disturbances.

Occupational therapy intervention:

• Referral to doctor
• Evaluation and diagnostic process when seizures are suspected
• Work with relevant health care personnel (speech pathologists, physical therapists, psychologists), family, and teachers to control seizures and modify lifestyle and activity.
• Look specifically at any problem areas, such as using a knife and fork, dressing, writing, etc. This may involve recommending specialized equipment such as adapted cutlery, kitchen equipment, special seating, bath and shower equipment.
• Coping skills to deal with the social and psychological stress of seizures and unanticipated vocational change
• Compensatory techniques for long-term difficulties and to reduce the risk of injury.
• Modify the work or home environment that will support the child and the seizures.
• Establish a supportive environment that facilitates and promotes autonomy and independence.
• Encourage and help with the organization and preparation for participation in sports and social activities.
• Consider providing protective helmets or environmentally friendly pads, if necessary.

For more information:
• Epilepsy Helpline Tel. 1300 852 853
• Childhood Epilepsy Program, Royal Children’s Hospital Tel. (03) 9345 5661