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57 Cards in this Set
- Front
- Back
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Clinical Reasoning Process |
Identify problem areas Prioritize key problem areS Determine underlying factors |
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Asymmetry clues (7) |
Bony prominences Skin creases U/e L/e Pelvis position Head position Shoulder height |
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In observation look for: (7) |
Edema Deformity Pain Skin breakdown Atrophy Tremor Behavior |
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Two prognostic indicators |
Cognition and sensation |
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Neurodevelopmental FOR assumptions (3) |
CNS is hierarchally organized Mvts controlled by higher centers Disorganization results in abnormal muscle tone, patterns, reflexes |
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4 Neurodevelopmental approaches |
Rood Bobath Brunnstrom Propreoceptive neuromuscular facilitation |
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Cognitive perceptual FOR assumptions (1) |
These functions are essential to performance |
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Cognitive perceptual interventions |
Focus on compensation and or remedial training |
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Community based FOR assumption (1) |
People learn through doing in real-life context |
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Community based intervention (2) |
Health promotion and community centers |
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Biopsychosocial FOR intervention (4 points) |
Holistic Mental and physical Interests, motivation, spirituality, values Common mental health issues |
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7 stages of motor recovery |
-flaccid paralysis -associated reaction -voluntary stereotyped synergy -simple movements -full range synergy and complex combinations -normal except under stress -normal |
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OT inpatient goals |
Improve u/e motor control Improve grooming/hygiene, dressing Improve transfers Increase w/c skills Educated on return to driving Educate money management Discharge planning |
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OT inpatient goals (7) |
Improve u/e motor control Improve grooming/hygiene, dressing Improve transfers Increase w/c skills Educated on return to driving Educate money management Discharge planning |
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GRASP |
Graded Repetitive Arm supplementary program |
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Spasticity treatment (5) |
Maintain ROM Stretching Referral to specialized clinic Botox CIMT- shaping and repetition |
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Shaping |
10 30seconds Graded activity Goal= cortical stimulation and overcoming learned non-use |
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Shaping |
10 30seconds Graded activity Goal= cortical stimulation and overcoming learned non-use |
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Task paractive |
Functional activity 15-30 min |
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PAST BC |
Posture balance strength tone balance coordination |
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NDT goal |
To relearn normal movement patterns |
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Flexor Synergy |
Scapular retraction and elevation Shoulder abduction and external rotation Elbow Flexion Forearm supination |
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Flexor Synergy |
Scapular retraction and elevation Shoulder abduction and external rotation Elbow Flexion Forearm supination |
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Extensor synergy |
Scapular protraction Shoulder adductor and internal rotation Elbow extension Forearm pronation |
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Spasticity pathology and symptomology |
CST Clasp-knife |
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Spasticity pathology and symptomology |
CST Clasp-knife |
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Rigidity pathology and symptomology |
Basal ganglion Plastic and consistent |
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3 Principles for Treatment during functional activity |
Weight bearing Guiding Bilateral |
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Benefits of weight bearing (4) |
Increase awareness of side Decrease fear Improve symmetry Regulate muscle tone |
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Benefits of guiding (4) |
Promote normal sensory info Facilitate normal mvt patterns Encourage compensation of visual fields Reduce need for verbal cues |
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Benefits of bilateral (3) |
Use weak side Promote symmetry Dynamic trunk control |
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Principles for treatments in preparing for function (3) |
Weight bearing Putting muscles on length Facilitate components of movement |
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Benefits of putting muscles on length (3) |
Break spastic patterns Improve rom Decrease pain |
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How to facilitate components of movement (3 steps) |
Passive ROM Active assist active movement |
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Benefits of passive movment (4) |
Provides sensory into Muscle memory Learn to initiate Learn proper speed |
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3 differences between stroke and TBI |
TBI more generalized- stoke more localized TBI affects 4 limbs - stroke 2 TBI may have other physical injury |
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3 types of stroke |
Ischemic Hemorrhagic Transient ischemic attack |
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MCA CVA deficits |
Contra lateral hemisensory loss Hemiplegia Visual deficits Apraxia Perseveration Poor judgement Emotional problems Apathy (Left: broca and wernicke deficits) |
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Stroke of the inner penetrating arteries - 100% motor deficit |
Lacunar Stroke |
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The distal ends of all arteries join up and prevent total loss by blockage |
Anastomoses |
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Zone in the brain that is at the ends of the range of both MCA and ACA and therefore quite vulnerable to stroke damage |
Maximal Ischemia |
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PCA CVA deficits |
Visual agnosia Memory impairments Homonymous hemianopsia |
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Stroke that is in the brainstem and has pain, temp loss, dry cold face, ataxia, facial sensory loss |
Wallenberg's syndrome |
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A stroke in the posterior brain that leads to visual disturbances, ataxia, depth perception issues, loss of me melty, paralysis, impaired temperature sensation, dizziness, dysphasia |
Vertebra basilar stroke |
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Dilated blood vessels that rupture |
Arteriovenous malformations |
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Post-stroke medical management (6) |
Surgery to relieve pressure Medication Angioplasty Clipping/tying off Prevent DVTs Prevent Resp. Infection |
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How to increase awareness of other side |
Have them touch it Put items on that side Grade activities Meaningful tasks and items Weigh bearing Eye contact Turn head towards Provide tactile information |
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How to increase awareness of other side (8) |
Have them touch it Put items on that side Grade activities Meaningful tasks and items Weigh bearing Eye contact Turn head towards Provide tactile information |
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PASS |
performance assessment of self-care skills |
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OT management of stroke - assessment categories ( and 1-2 examples each) |
Psychosocial - COPM ADL - FIM, Barth Physical - ROM And MMT Cognition- MOCA and MMSE Visual perception- rivermead |
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Two components of the chedoke |
Impairment inventory Disability inventory |
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The PASS assessment |
26 ADL tasks Measures independence, safety, outcome On a scale of 0-3 |
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The PASS assessment |
26 ADL tasks Measures independence, safety, outcome On a scale of 0-3 |
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AMPS |
Assessment of motor and process skills |
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AMPS assessment |
85 items Score on 4 point scale Measures quality of performance |
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AMPS assessment |
85 items Score on 4 point scale Measures quality of performance |
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Factors affecting outcome (9... Get 5) |
Pain Contracture Deformity Joint subluxation Loss of selective motor control Weakness Learned non-use Loss of alignment Ineffective mvt patterns |
