A Case Review of Perceptual Deficit in PRES: Detailed Perceptual Evaluation is a Key to Definite Goal Achieving Techniques

In an average adult, visual, perceptual and cognitive skills are highly developed. Following a cerebro vascular accident, because of the damage to the brain at its integrative level, certain perceptuocognitive deficits may result depending on whether the affectation is in only the right or left hemisphere or in both of them. These integrative affectations may be present in absence of any gross physical impairment in the form of Apraxias, Body scheme and Image deficits, Spatial relation syndrome, Agnosias or a combination. The resultant of these deficits is seen as difficulties in performing the ADL (Activities of Daily Living) to variable intensities. This affects not only the lifestyle of the individual but severely affects his confidence to be a productive member of the society. There are a variable battery of tests used for evaluation of these deficits that may or may not be standardized but are adequate for the clinician to understand the impact and specify the deficit so that the rehabilitative management is goal oriented and specific. Depending on the nature of the deficit is the treatment approach decided. The specific the rehabilitation technique used earlier is the independence gained. The present article discusses the use of OSOT (Ontario Society of Occupational Therapy) battery of test to evaluate the deficits and how the exact evaluation and understanding of the problem area would make the therapeutic intervention more definitive in terms of using appropriate technique for rehabilitation.