Scope of Field

The field of Occupational Therapy has grown exponentially in all areas, but particularly in the area of developmental disabilities. This is true world -wide but far greater in Pakistan where, due to poverty, many women do not have access to proper pre-natal and post-natal care. In addition, there are many consanguineous marriages which may lead to a higher incidence of developmental problems. Moreover, there are not enough qualified centers of excellence to meet the ever growing demands of a city as large as Karachi. This significantly multiplies if you consider all the many rural communities in Sindh alone.

Introduction to clinical services

We are proud to be the first Centre for Child Development: Learning Disorders Services that offer quality sensory integration therapy to a variety of populations including atypical children with:

  • Autism Spectrum Disorders (ASD)
  • Attention Deficit Disorders (ADD)
  • Attention Deficit Hyperactive Disorders (ADHD)
  • Down syndrome (DS)
  • Severe Language Disorders
  • Global Developmental Delay (GDD)
  • Developmental Coordination Disorder (DCD)
  • Intellectual Deficit Disorder (IDD)
  • Dyslexia
  • Dysgraphia
  • Visual Perceptual and/ or Visual Perceptual Motor Disorders
  • Children with Oral Motor issues
  • Typical children with Sensory Integration Disorders
  • Children with rare developmental conditions

All these children fall under the umbrella of learning disorders, although they may not all suffer from the same problems.

Objectives of Sensory Integration Clinic are

  • To normalize the sense of touch so children can actively participate in home, school and community activities.
  • To increase body awareness and the ability to motor plan an activity effectively.
  • To improve balance and coordination for the child with an over-reactive vestibular system, which will lessen/ eliminate fear of movement and will encourage participation in age-appropriate activities?
  • To calm the child with an under-reactive vestibular system, so that hyperactivity reduces or eliminates allowing the child to engage in normal family and school activities.
  • To improve visual-perception and visual-perceptual motor skills for reading, writing and other skills necessary for success in school.
  • To improve independence in age-appropriate activities of daily living.
  • To improve muscle tone, flexibility and strength.
  • To increase the ability to sustain attention.
  • To improve self-esteem.
  • To develop social skills.
  • To improve auditory perception.
  • To support speech and language skills and provide a means of non-verbal communication for those that require it.
  • To improve academic skills.
  • To provide parents with support and knowledge about sensory integration, so that they can use every day items and activities at home to promote greater neurological organization for their child.

Services provided by the Center for Child Development

  • A thorough history is taken from the parents or other primary caregivers,
  • Screening and standardized tests are administered to determine areas of deficit in order to plan an individualized treatment program.
  • The child is first observed for two or three sessions before documentation begins.
  • Documentation includes an initial report, progress notes, periodic re-evaluation reports, and a discharge summary.
  • A rotational home sensory diet is given to the parents according to the needs of their child.
  • We provide 40 minute therapy sessions per child.

Facilities & therapy rooms:

The learning disorders service, sensory integration clinic, provides outpatient services. Presently we have four therapy rooms and one ADL room (activity of daily living room). The three main therapy rooms are for normalizing the tactile sense (touch), the vestibular sense (movement and balance), and the proprioceptive sense (body position and motor planning). The fourth room is for visual perceptual training, handwriting, and other fine motor skills. The fifth room is the ADL training room. In this room, therapists train the child for independence in toileting, bathing, dressing, teeth brushing, hand/face washing, and hair combing.


Deep pressure
Body Awareness
Motor Planning
Visual Perceptual Motor
Grasp and Release
Bilateral coordination
Core strengthening