1. Bangladesh Health Professions Institute
Department of Occupational Therapy
Masters of Science in Occupational Therapy
Occupational Therapy in Adult Neurology
The Rood Approach, also known as Rood's Approach, is a therapeutic technique developed by Margaret
Rood, an influential figure in occupational therapy and physical therapy. The approach focuses on using
sensory stimulation to influence and improve motor control and motor learning in individuals with
neurological or developmental conditions.
Development of Rood's Approach:
Margaret Rood developed her approach in the mid-20th century, during a time when rehabilitation
practices were still in their early stages of development. She observed that certain sensory inputs could
elicit specific motor responses in individuals with neurological impairments. This insight led her to design
a systematic approach to facilitate or inhibit muscle activity and promote functional movement patterns.
Key Elements of Rood's Approach:
1. Sensory Stimulation: Rood's Approach heavily relies on the application of various sensory stimuli, such
as touch, pressure, vibration, and temperature changes. These stimuli are used to influence muscle tone
and initiate or inhibit desired motor responses.
2. Motor Patterns: The approach is rooted in the concept of developmental motor patterns. Rood believed
that individuals naturally progress through specific motor patterns during their early stages of life.
Therapists use these patterns as a foundation to guide the rehabilitation process.
3. Facilitation and Inhibition: Through carefully applied sensory inputs, therapists can facilitate certain
muscle responses and inhibit undesirable reflexes or movements. This helps improve motor control and
coordination.
4. Sequencing: Rood's Approach emphasizes the importance of following the natural sequence of motor
development. Therapists consider the developmental progression of motor skills while planning
interventions.
5. Specificity: The approach emphasizes the need for precise and specific sensory stimulation to achieve
desired motor responses.
History of Rood's Approach:
Margaret Rood's work and research on the Rood Approach gained prominence in the 1950s and 1960s.
Her seminal work, "The Elements of Therapeutic Exercise," published in 1954, became a cornerstone text
in the field of occupational therapy and physical therapy.
Over the years, Rood's Approach has been further refined and integrated into various therapeutic
practices. It has been widely applied in the treatment of neurological conditions such as cerebral palsy,
2. stroke, traumatic brain injuries, and other motor disorders. The principles of Rood's Approach have also
been adapted for use with children and adults across different settings, including hospitals, rehabilitation
centers, schools, and private clinics.
Although therapeutic approaches have continued to evolve, Rood's contributions to the understanding of
sensory-motor integration and neurodevelopmental treatment remain highly relevant and influential in
the field of occupational and physical therapy. Her work has significantly impacted the lives of countless
individuals with motor challenges, allowing them to achieve greater functional independence and
improved quality of life.