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95 Cards in this Set

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What are the 7 components of hand evaluations?
1. history 2. skin condition 3. Muscle Tone 4. Edema 5. Prehension patterns (pinch, grasp) 6. Muscle testing 7. Sensory Testing
What is the only GRASP that does not utilize thumb support in opposition?
Hook Grasp
Which extremities do you test first when doing sensory testing?
Uninvolved extremities
When you are doing _______ testing of the hand, you should occlude vision.
Sensory
What type of treatment settings assess cognition by giving a pt. a structured tasks?
Physical Disability AND Psychosocial
What are the 6 cognitive levels according to Claudia Allen?
0. Coma 1. Awareness 2. Gross Body Movement 3.Manual Actions 4. Familiar Activity 5. Learnign New Activity 6. Planning New Activity
At what Cognitive Level may a person live alone with daily assistance to monitor personal safety and provide a daily allowance?
4.6
At what cognitive level would you need 24 hour nursing care to prevent wandering?
2.4
Cognitive Level 2 presents with _____ actions while Cognitive Level 3 presents with ________ actions
postural, manual
Cognitive Level 4 presents with ______ actions while Cognitive Level 5 presents with_______ actions?
Goal Directed, Exploratory
Cognitive Level 6 focuses on what?
Planning New Activity
Self Directed Learnign occurs at what Cog. Level?
5.4
Bobath/Handling developed what type of treatment to inhibit abnormal tone, movement or reflexes and facilitate active normal patterns?
NDT
Diagonal planes of movement are the focus of what kind of treatment?
PNF
A burshing technique that facilitates tactile receptors and movement responses is known as?
Repetitive Brushing
To inhibit muscle use _____ icing; to facilitate muscles use _____ icing
prolonged; quick
To promote relaxation and inhibit postural tone use ______ warmth
Neutral
To facilitate agonist mm, what type of stimulation technique is used?
Quick stretch, tapping of mm. belly or tendon
To inhibit mm. response of decrease tone, what type of stimulation technique is used?
Prolonged stretch
To facilitate agonist and inhibit antagonist, what stim. technique is used?
High Frequency Vibration
To inhibi agonist what type of stim. technique is used?
Low Frequency Vibration
To inhibit postural tone, what vestibular stim. technique is used?
Slow rocking, rolling on a ball--has a calming effect
To faciliate postural tone and promote head righting what vestibular stim technique is used?
Fast spinning
What can activate postural extensors of the neck, trunk and proximal jts.?
Have pt. in head down position in prone over a large ball--this has a soothing effect especially in sympathetic responses
If you want a separation of jt. surfaces to facilitate agonists, especially flexor mvmt. patterns, what technique is used?
Traction
If you want jt. compression to faciliate postural extensors and to promote stability what technique is used?
Approximation
A pt. with a spinal cord lesion at level _____ can use the wrist extensors to create prehension (grip) in the finger flexors suing a tenodesis splint.
C6
What is the primary purpose of an assistive device?
To compensate for loss of function
The purpose of a ________ splint is to stabilize the wrist to increase functional position and strenght of grasp to prevent use of wrist flexion during grasp and to allow mobility of the metacarpals for pinch and grasp.
Volar Cock Up Splint
A _____ splint is used to stabilize the wrist to incrase functional position and strength of grasp, to prevent use of wrist flex. during grasp, and to allow mobility of the metacarpals for pinch and grasp.
Dorsal splint
What 6 measurements do you need for ordering the best wheelchair for your pt.?
seat width, seat depth, leg lenght/foot rest length, seat height, arm rest height, back rest height
How many inches do you want to add to the actual measuremtn of the persons hip width for a good fit chait?
2 inches
A head or mouth stick on a w/c is typically used by a person with what spinal cord injuries?
C3, C4, sometimes C5
A static wrist hand orthosis is used by pt. with spinal cord lesions ___-___ who have no wrist extension.
C1-C5
A wrist driven wrist/hand orthosis tenodesis splint is appropriate for a person with what spinal cord level injury?
C6-C7
What type of exercise may be useful if it is desirable to limit jt. motion following injury, surgery, or if there is pain and should be AVOIDED by pts. with vascular or cardiac disease?
Isometric
Exercise throughout a ragnge of motion with the same resistance or weight is known as?
Isotonic exercise
Exercise at a constant , preset speed in which the resistance accomodates as teh force of contraction varies throughout the range of motion is known as...
Isokinetic
What are the basic rules for energy conservation?
HINT: OPRAH
Organize, pace yourself, rest, adapt, help
Positioning in sidelying and prone with chin tucked in , trunk flexed adn shoulders protracted, with posterior pelvic tilt and flexion of the legs is appropriate for what infant diganosis?
Prematurity
A total score of ____ or more on the APGAR is normal and a score of ____ or less requires immediate care.
7, 4
A non-progressive, congenital disorder characterized by rigid jts. of the extremities (usually symmetrical), "sausage-like" shapeless limbs and weak or nonfunctioning mm. is known as...
Arthrogryposis
A brachial plexus injury involving the nerve roots of C5-C6 with paralysis/atrophy in deltoid, brachialis, biceps, brachioradialis mm. is the most common, with best chance for recovery is known as...
Erb's Palsy
A brachial plexus injury that involves the nerve roots of C8-T1, with paralysis and atrophy of the mm. of the wrist and intrinsic hand muscles is known as..
Klumpke's Palsy or Paralysis
The general focus of OT in this setting is on the use of occupations.
Mental Health
A person that feels that specific gestures, actions, comments, songs, or environmental factors are focused on him or her is known as
Referential Delusions
When one feels that an outside force is putting thoughts into his or her head is known as..
Thought insertion
What 5 components does the Mini Mental Status exam assess?
Orientation, Registration, Attention & Calculation, Recall, Language
The ___ and Superego often conflict while to _____ mediates and uses a variety of defense mechanisms.
Id, Ego
The Acquisitional Theory assumes that all behaviors are...
Learned
When someone overstimates another person and values them more than their real personalities and persons seem to merit is known as...
Idealization
Adopting the habits or characteristics of another person is known as...
Identification
Unacceptable wishes are channeled into socially accepteable activities is knwon as...
sublimation
How long must the inattention lasts to be diagnosed with ADHD?
More than 6 months
At what age must signs of a conduct disorder begin by?
Before 13 years of age
A person that feels that specific gestures, actions, comments, songs, or environmental factors are focused on him or her is known as
Referential Delusions
When one feels that an outside force is putting thoughts into his or her head is known as..
Thought insertion
What 5 components does the Mini Mental Status exam assess?
Orientation, Registration, Attention & Calculation, Recall, Language
The ___ and Superego often conflict while to _____ mediates and uses a variety of defense mechanisms.
Id, Ego
The Acquisitional Theory assumes that all behaviors are...
Learned
What type of drugs cause sensitivity to light and are used to modify mood, decrease psychotic thinking and promote improved behavior?
Neuroleptic Drugs
What type of drugs cause dry mouth and sensitivity to light and are used to decrease depression in extremely depressed psychotic persons and helps to elevate mood?
Psychoanaleptic drugs
What type of drugs have food and alchol restrictions, like beer, wine, cheese and fish adn are antidepressants used with unusual depression that also have anxiety, phobias, etc.?
Pscyhoanaleptic drugs
This type of medicine can cause suicidial depression if combined with alcohol and is used to reduce anxiety, mm. tension and convulsion?
Anxiolytic medications
This medicine can cause restlessness, irritability and confusion, and is used to temporarily increase psychomotor activity in adults; sedates hyperactive children?
Psychostimulants
Nausea, cramps, diarrhea, and thirst are side effects of this medicine that treats bipolar disorder to reduce the severity of mood swings.
Antimanic medications
Addiction to this drug is common, as well as suicidal ideation; often used for sleeping/sedative medication and anticonvulsant.
Somnifaciets
When an individual loses OT certification permanently, this is known as...
Revocation
A formal expression of disapproval that is publicly announced is known as...
Censure
The ability to govern and discipline oneself is known as..
Prudence
Acting or making a decision for another in the best interest of the person and doing so without the persons consent is known as..
Paternalism
The idea of holding information about a persoin in confidence is known as...
Fidelity
The duty to do what is best for another person is known as..
beneficence
What determines whether an activity has restorative potential or value adn how to grade therapeutic activities?
Activity Analysis
What determines occupational goals and targeted health outcomes and identifies meaningful and purposeful occupations?
Task Analysis
What is considered the "hallmark" of NDT?
handling
Who developed a neurological approach that focused on motor response that is achieved is dependent on the type of sensory stimulation that the therapist applies?
Margaret Rood--Sensory
Weight bearing/shifting through the limbs, handling, inhibition of primitive reflexes, and avoidance of movements and activities that increase tone are all the focus of what type of neurological approach?
NDT--The Bobath Approach
What is considered the basis for control of movement with NDT?
Postural rxns.
What neurological approach looks as the response of the nueromuscular mechanism being hastened through stimulation of the PROPRIOCEPTORS?
PNF
What neurological approach focuses on diagonal patterns?
PNF
What is the body's initial response to injury?
Edema
How is sensation of spinal cord injured pts. tested?
proximal to distal
How is sensation of a person with peripheral nerve injury tested?
distal to proximal
What is the test used to asses fingertip dexterity and assembly job simulation?
Purdue Pegboard
What test gross hand and arm movements?
Minnesoatoa Manual Dexterity Test
Why is the Purdue Pegboard preferred over the Nine Hole Peg test?
Because the Purdue Pegboard is unilateral and bilateral--it's more reliable!
To increase strenght you want to use high ______ and low ______.
resistance, repetition
To increase endurance you want to increase _____, not _____.
repetition, resistance
What is used to assist the return of blood and lymphatic fluid to the venous system?
Retrograde Message
To improve coordination, begin with ____ motor activities and grade up to ____ motor activities.
Gross, fine
When would a flail arm splint be used?
Brachial Plexus injury
When would a dynamic wrist, finger, and thumb extension splint be used?
Radial nerve palsy
what type of splint would be used for flaccidity?
resting splint
A wrist splint positioned at 0-15 degrees extension is appropriate for what diagnosis?
CTS