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11 Cards in this Set

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What part of the evaluation process can the Occupational therapy assistant be involved in?
The OTA may assist if the evaluation procedure is structured and instructions and limitations are well understood.
What procedures are appropriate for and entry level practitioner?
A small number of procedures for sensory, perceptual, and cognitive evaluation that are simple and straightforward.
According to AOTA, this task should only be performed by the occupational therapist. The OTA with experience should only do so under the supervision of the OTR with appropriate text references.
How are client factors generally viewed?
They are viewed as complex and require additional advanced study for comprehension.
What are some sensory terms used to describe the somatosensory systems? (pg.157/Box 9-1)
1) Tactile- Referring to sensation received through the skin or hair receptors



2)Deep Pressure- Tactile sensation of force applied to the skin, as in the feeling of the ischial tuberosities pressing into a chair seat.




3) Pain- Unpleasant or noxious tactile sensation




4) Thermal sensation- Tactile sensation of heat and cold




5) Proprioception- Information about joint position and motion conveyed at an unconscious level from receptors in the muscles, joints, ligaments and bones.

What is sensation?
A primary means of learning about the external world.
Can play many roles in the control of movement. It also activates reflexive movement.


What is the importance of have sensory information?
It is vital in modulating or regulating movements and controlling movements. It provides feedback to the brain.
Sensations derived from ongoing movement are sent back to the central nervous system.
What is feed-forward control?
Feed-forward control operated more quickly than feedback and is used to plan rapid movements before performing them.

It uses sensory information (1) to predict what might happen to disturb movement and (2) to develop the motor plan.

What are proprioception and tactile sensation appropriate for?
Feedback and Feed-forward control systems.
Clients with impaired sensations have deficits in both feedback and feed-forward control.
What do you see in those with proprioceptive and tactile dysfunction?
Proprioceptive dysfunction- cannot sense position and motion of joints.



Tactile dysfunction- cannot sense contact with objects.

What can compensate for the loss of proprioceptive and tactile dysfunction?
Vision
Defects in feedback and feed-forward systems control can limit persons ability to use vision effectively.
Who often evaluates sensation in clients with CNS and peripheral nervous system dysfunction?
Occupational therapists
Of utmost concern is whether sensation is adequate for performance of ADL.