Top Down VS Bottom Up Approach in Occupational Therapy | OT MIRI

[@sarahhamlin312]

Another easy way I like to remember is using the first letter of each word to remember the focus of each. B for Bottom-up, BODY functions and BIOMECHANICAL approach to approach the goal, (or BUILDING blocks of what the task is made up of), T for top-down using the TASK to approach the goal. (:

[@MiriLee]

Thank you so much for sharing, Sarah! I love the collective wisdom and knowledge that’s shared by all the creative students and clinicians here! I appreciate you being here and studying with me ❤️

[@MariyaLoveyah]

You can never lose my attention. I can listen to you for hours. lol

[@MiriLee]

aww, thank you Mariya. I'm so happy you're here studying with me. :D

[@ambrooks5]

You really have been a game changer for me with my studying. I began feeling so overwhelmed like I was never going to remember all this stuff and then I found your channel! Thank the heavens above. 🙏 You break stuff down in a way that’s way easier to remember. Thanks so much! You rock!

[@Tom-dk3id]

Your content is on point, delivery super clear and passion for the profession tangible! You're doing something amazing - it really is appreciated globally! Thank you from New Zealand / Australia :)

[@MiriLee]

Thank you so much for your very kind words and feedback, Tom! I appreciate you being here and studying with me.

[@CF-lj2ix]

Great video! I like that it is 4 minutes and not 2 minutes because you give more information that will be memorable. 2 minute videos feel more like a flashcard that I'd have to watch a few times, whereas 4 minutes gets closer to a memorable lesson. Thanks!

[@KittyCurioso]

I agree. I don’t learn too much from short videos. I appreciate this video so much

[@christinacuellar6613]

Miri. I passed my boards to practice as a COTA in Texas. Your videos helped me tremendously! I have shared a couple of them with classmates who are prepping to take their boards!!!! Thank you !!!

[@MiriLee]

CHRISTINA!!!!! Congratulations! How wonderful to start my Monday morning with this exciting news! This is the start of a whole new chapter for you and I hope this journey takes you to new heights and horizons beyond what you imagined! Thank you for sharing this journey with me and for thinking of me to come back to share this news! I will be celebrating with you today in spirit and toasting to your success. If you have a moment, would you please share your tips and insights on how you passed the board for our future community of students and test takers on our forums? There is no rush and no pressure, but if your heart is compelled to share, please share your story at: www.otmiri.com/Forum/nbcot-candidates/share-your-best-strategies/. Congratulations again Christina. My heart soars with yours today.

[@LLCoolBeans86]

Congratulations! I'm just beginning my COTA degree

[@CarmineCroons]

I finally understand top-down and bottom-up approaches; your explanation was very helpful thank you Miri. I still have 1 years left in OTA school and love this field.

[@MiriLee]

I'm happy to know my explanation was helpful in helping you understand the top-down and bottom-up approaches. Thanks for studying with me!

[@sarahpriest100]

Thank you for this video, it was really helpful! For some reason I always think about top-down and bottom up using the example of a child learning how to tie their shoes. Top down = You get better at tying your shoes by tying your shoes (continuing to practice, using different strategies, etc.) - the occupation is the means and the end goal. Bottom up = You get better at tying your shoes by increasing hand strength, finger dexterity, etc. but not in the context of tying the shoes. Biomechanical interventions are used as the means to achieve the occupational end goal. Research shows that top down and occupation-based is more effective!

[@MiriLee]

Great insights, Sarah! Creative, thinking outside the box, relatable, ready to teach... You see, you're so ready and already primed to be an excellent occupational therapy practitioner!

[@sarahhamlin312]

Wow thank you, this example just made it click for me!

[@haromamatthews5061]

I literally never make online comments but I just had to say this video was fantastic Miri, really solidified my understanding of the concept and as you say - coming at it from the angle of how it impacts your reasoning and selecting interventions etc was a much better approach than any other way it has been taught/explained to me. - your newest fan from NZ

[@MiriLee]

aww my new friend from NZ! Thank you for taking a moment to connect with me and leave me your kind words and feedback! It's 1:25AM here in California and I was just going through some of my videos, reflecting on the wonderful journey this channel has taken me through over the course of these last 2 years. And I can say without a doubt that the best part of this journey has been forging meaningful connections with people like you! I've never been a big fan of social media nor would I have ever imagined that I'd ever make public videos like this, but when I receive messages like yours, I'm reminded that my passion, love and efforts toward this community are not in vain. So thank you for sharing your journey with me!

[@terryrussell4637]

Your passion for occupational therapy comes through in every video and post you make. I respect you and look up to you a lot.

[@MiriLee]

Thank you, Terry! You've been so supportive ever since I started this channel and I can't tell you how much your support means to me!! Love you!

[@lamcherrylam]

Your students are lucky to have you as their lecturer! You explained the approaches in a simple but direct and detailed way. Easy to understand. Thank you!

[@MiriLee]

Thank you for your sweet and kind feedback, Cherry! I'm happy to have you here and am grateful for our shared journey.

[@sonjalottie2196]

thank you so.... much! You did a great job explaining the difference between the two.

[@MiriLee]

You're welcome! Happy you found this information helpful!

[@jasonrhodes4864]

Perfect perfect perfect ... Much better and clearer understanding while listening to you. You have guided me through several of my lessons and I commend you for your time and effort. Thank you

[@MiriLee]

Wonderful! I'm so happy to hear these videos have been helpful. Thank you for studying with me.

[@k1onescouple960]

thank you so much for this tremendous information from Beirut, Lebanon.

[@MiriLee]

Hello! Thank you for studying with me all the way from Beirut, Lebanon!

[@suesommerfield5643]

You have never lost my attention!

[@MiriLee]

YES!!! I'm glad these videos are easy to watch, Sue! hehe, I love hearing from you : )

[@brittanyciara1187]

This helped so much, thank you !!

[@MiriLee]

You're welcome, Brittany!

[@randiharms3471]

I felt like you were preaching!! 👏🏾👏🏾👌🏾👌🏾🤣🤣preach sister!

[@MiriLee]

I have the tendency to get fired up when I'm talking about anything occupational therapy : ) Thank you for being here to share this passion with me.

[@rejoiceresmond6935]

Im a SLP student, perfectly understood the concept.. Thank you❤

[@MiriLee]

Glad it was helpful! Thank you for studying with me!

[@SaraH-ip8uq]

Thank you so much Miri for all these educational videos. Your videos are helping me to improve and become a better future COTA!! 😊

[@MiriLee]

You're very welcome, Sara! Thank you for being here and studying with me.

[@mckenzieambrose9425]

You have so much passion! I love it!

[@MiriLee]

aww, thank you! I'm glad you're here and sharing your OT journey with me!

[@goofyahhhh4089]

You’re amazing Miri!

[@MiriLee]

aww thank you, Clara.

[@jonharris30]

I am taking the COTA exam and your videos are helping tremendously. I love your passion. Thanks!

[@MiriLee]

Hi Jon, thank you for leaving a comment and being a part of this community. It's so wonderful to hear back directly from the community and connect through a shared passion and occupation. I wish you an NBCOT journey filled with great insights, support, inspiration and strength!

[@amthebestist]

super helpful making me proud to be an OT student

[@MiriLee]

That is the best compliment anyone can give me. i hope you'll continue to feel proud of the profession you chose because it is one of most wonderful, meaningful and enriching careers!

[@amthebestist]

Thanks for making these videos, honestly anytime I don't understand anything i try to look at your videos to break it down for me. It super super super helpful. Thank once again

[@drmorcilla]

You're amazing!!! Thank you so much for making this kind of topics easier to understand.

[@MiriLee]

Hi Diana! I appreciate you taking a moment to send me a note and connect with me! Thank you for being here ❤️❤️

[@구오-z6z]

Thank you SO much! I fully understood what top down approach is finalllly 감사합니다ㅠㅠ! 시험 공부중에 자료를 찾다가 이 영상을 발견했어용.. 구독하고 갈게요! (댓글보니 한국 분 이신가 싶어서 한국어로도 댓글 남깁니다 ㅎㅎ)

[@MiriLee]

You’re very welcome! I’m glad you enjoyed the video. 한글쓴지 진짜 오래되서 다 까먹었어요 😂 그래도 한글로 메세지 받으니 반갑내요. ❤️

[@LLCoolBeans86]

@@MiriLee Hmm... now I want to learn Korean Hangul

[@candy-ix8yz]

You are the best! Thank you.

[@MiriLee]

Awww, thank you Cammy. I'm happy you're here to study with me. ❤

Good video

[@MiriLee]

Thank you for watching

[@lisaproctor9287]

I'm so glad I found your videos!!!!

[@MiriLee]

So glad you joined us!

[@christiansgrandma6812]

I'm 60 and studying for the exam. I don't have the abilities of my youth,yet I am still able to perform. So I guess that makes me a top down girl.

[@SH-vd3tw]

Hi, good luck, I’m an older student too!

[@logankennedy7270]

Thanks so much, Miri!

[@MiriLee]

You're very welcome, Logan! Thank you for being here and being a part of our community! ❤️

[@alinadupree6508]

Thank you so much!!

[@MiriLee]

You're welcome, Alina!

[@mikeayala773]

I’m I the only one that checked their phone,thinking they got a text but it was the video?😂

[@MiriLee]

Hehe thank you for making me a part of your day! :D

[@alexlemond4296]

So would bottom up be like preparatory tasks then ?

[@ellorisashouse6543]

This is so helpful...thank you so much.

[@MiriLee]

My pleasure! I'm happy to know this was helpful to you.

[@fromme93]

bless you ot miri - how did you know I needed this?

[@MiriLee]

fromme93 Because we are walking along together in a shared journey ❤️

[@MariyaLoveyah]

I always come back to those approaches and i want to know more. lol

[@e.s.l.6634]

👏👏👏👏 so helpful

[@MiriLee]

So happy to hear! Thank you for studying with me!

[@MichelleKMedeiros]

You have the best videos. I'm currently studying for my NBCOT and will be taking my test soon. Thank you for taking the time to do this Miri.

[@MiriLee]

Thank you, Michelle! I'm happy you're supplementing your studies with my videos and finding them helpful. I appreciate you taking a moment to leave a comment and express your appreciation. It means a lot to me. I hope the days leading up to your exam are ones of great productivity, peace and confidence. Good luck on your exam, and please share the exciting news with me!

[@financialwisdom432]

So good

[@joshuapratt6565]

Miri, would you always choose an assessment that is top-down if the client's setting is not medical? (I.e. School, home health, community, mental health, etc)? Assuming the answer choices not cancelled out are all appropriate of course.

[@MiriLee]

Hi Joshua, bottom-up standardized assessments are frequently administered in school settings to determine eligibility for school-based services. But even when utilizing a bottom-up assessment, it is possible to incorporate a top-down approach by maintaining emphasis on the client's participation in specific meaningful activities identified as goals by the client, rather than merely on the client factors themselves.

[@johnjeong6569]

오! 감사합니다!

[@MiriLee]

반가워요! 이 채널 어떻게 찾았어요?

[@johnjeong6569]

학교 시험 공부하다가 bottom up/top down 어프로치가 궁금해서 찾아봤습니다~ 알라바마 스테이트 2학년입니다! 반갑습니다~ 미리씨 좋은 영상들많네요! 잘보고 갑니다! :)

[@herminialopez1396]

Thanks OT Miri. Such a simple yet effective explanation. I now fully understand the concept.

[@MiriLee]

Glad it was helpful! Thank you for being here and studying with me!