Autism ADHD Doctor Mumbai india Dr SV Kondekar

20 Occupational Therapy Activities Reimagined Using the "Brain Before Body" Concept Principle : The activity should not end with movement. Every movement should become an opportunity for attention, listening, language comprehension, executive function, social interaction, and problem-solving. The therapist's role is to continuously engage the child's brain during the activity. 1. Climbing a Ladder Traditional OT: Climb up and down repeatedly. Brain Before Body: - "Climb to the red teddy." - "Stop at the second step." - "Now come down after I clap." - Ask the child to remember two instructions. Brain skills: Listening, sequencing, inhibition, working memory. 2. Swing Therapy Traditional OT: Passive swinging. Brain Before Body: - Swing only after eye contact. - Count swings together. - Stop when therapist says "freeze." - Identify pictures placed around the room. Brain skills: Joint attention, auditory processing, response inhibit...

Brain Before Body: A Neurodevelopmental Rationale for Prioritizing Cognitive and Social Brain Functions Over Motor Interventions in Autism Spectrum Disorder Dr. Santosh V. Kondekar MBBS, MD (Pediatrics), DNB, DCH, FCPS Developmental Neuro-Pediatrician Abstract Autism Spectrum Disorder (ASD) is traditionally described as a disorder of social communication accompanied by restricted and repetitive behaviours. Over the past three decades, intervention strategies have increasingly incorporated sensory integration, occupational therapy, gross motor exercises, balance training, and physical activity. Although these approaches may improve motor competence, sensory regulation, and participation, accumulating evidence suggests that they rarely produce substantial improvements in the defining features of autism—social reciprocity, language, communication, symbolic thinking, and adaptive cognition—when implemented in isolation. The "Brain Before Body" concept proposes that intervention p...