About

Occupational Therapy (OT) Foundations is a community-oriented, brain-based outpatient clinic in the Roanoke, Bedford and the New River Valley serving all ages and abilities. We provide holistic Occupational Therapy services addressing cognitive and neurological deficits by tackling foundational issues first. We use evidence-based practices to assess and build on an individual’s functional and developmental abilities.

Our model of care closely reflects the Taylor-Trott Pyramid of Learning. At the foundation are your senses (taste, smell, vision, hearing, touch), vestibular system (awareness of movement, balance, gravity) and proprioceptive system (awareness of muscle and joint position). These systems feed your central nervous system the information it needs to interact with the world. The next level is the motor (movement) level leading to higher level cognition/intellect at the top. When a problem is identified at the lower levels, higher-level functions are affected. Our goal is to restore foundational skills and compensate where there is a permanent deficit in order to maximize a person’s ability to do what is important to them be that work, school, daily task or any leisure activity.

Common diagnoses seen include: ADD/ADHD, Obsessive Compulsive Disorder, Obsessive Defiant Disorder, learning disabilities, Failure to thrive, Functional Neurological Disorder, Lyme’s disease, Stroke, Cerebellar ataxia, Anxiety, Dizziness, Lack of coordination, Gait or movement abnormality, Concussion (with or without loss of consciousness), Traumatic brain injury, Down syndrome, Cerebral palsy. Our particular areas of focus include behavioral challenges, vestibular and vision issues.