Ilene Sperling MA, CCC

Perception-Action Approach

(previously known as TAMO)

Movement Potential
Before treatment.
  • What is the Perception-Action Approach
  • Benefits of a Perception-Action treatment
  • What to expect from a Perception-Action treatment session

The Perception-Action Approach to treatment was developed from the Clinical Concepts taught by Ingrid Tscharnuter, PT, DPT and the TAMO approach to movement. It is an approach to help children with motor and movement disorders learn strategies for improving coordination, balance and efficiency of movement.

P-A treatment assesses environmental forces (gravity, body weight and forces into and from a surface) that play a role in organizing our movements.

Perception-Action treatment principles are based on theories of Dynamic Systems and Perception-Action that address the ability of the body to spontaneously adapt movement skills within a variety of changing environmental situations.

For the Speech-Language Pathologist who works with children with feeding, oral motor, sound production and/or respiratory/phonatory disorders, body movement and coordination is important to provide the foundation to allow development of adequate motor skills for feeding, phonation and speech development.

Movement Potential
After treatment.

Benefits of a Perception-Action Treatment

  • Better body organization to the support surface
  • Improved body stability and balance
  • Improved coordination and organization of gross motor movements
  • Improved trunk organization allowing for improved breathing
  • Improved breath support and coordination for sound production and sound play
  • Improved head and neck control which can positively affect jaw grading and oral/facial muscle movements
  • Improved jaw stability and jaw grading
  • Improved oral/facial/tongue movements and coordination which is necessary for proper and efficient feeding and speech
  • Use of P-A Approach as “pre-tuning” for PROMPT treatment

What to expect from a Perception-Action treatment session:

Perception-Action treatment involves the use of gentle handling that is applied to the child in a slow and respectful way. Observation of movement skills, posture, alignment and ability to move from position to position are first assessed to determine the child’s movement strategies and efficiency. Observations are made to determine where the child is taking their body weight and how their body relates to the support surface they are moving on.

Movement Potential

Gentle handling is applied to areas and locations of the body where the child contacts a support surface. The goal is to help the child improve their ability to move in and out of positions within their environment and to improve the ability to utilize different parts of their body in relation to a surface to shift their body weight.

Handling is applied in many different positions but is usually related to the positions the child enjoys or positions in which the child plays. Handling can be applied while the child is engaged in an enjoyable activity.

Perception-Action handling can be applied to the jaw, face, lips and tongue to help improve efficiency of movements allowing for improved sucking, biting, chewing as well movements needed to produce precise and clear sounds.