| Term | Definition |
| Levels I, II & III problems with acute rehab | Decreased arousal, development of secondary complications |
| Levels I, II & III problems with acute rehab | Decreased function, poor understanding of injury and rehab |
| Levels I, II & III problems with inpt rehab | Decreased ROM, increased tone |
| Levels I, II & III problems with inpt rehab | Unresponsive or unaware of environment, primative reflexes influence movement |
| Levels I, II & III problems with inpt rehab | Decreased cardio endurance, poor awareness of sensory stim |
| Levels I, II & III observe/assess for what | Posturing (decorticate & decerebrate), response to olfactory/auditory/visual/cutaneous stim, active movement, spasticity |
| Levels I, II & III goals/ideas for treatment | Increase arousal and orientation through sensory stimulation |
| Levels I, II & III goals/ideas for treatment | Prevent complications using PROM, proper positioning, getting pt to seated position |
| Levels I, II & III goals/ideas for treatment | Develop postural control, sitting activities, transfers, standing activities, educate family |
| Level IV problems | Pt very difficult to work with, doesn't have attention or memory needed for motor learning |
| Level IV goals/ideas for treatment | Establish a daily routine, help pt control behavior (ignore neg behavior, reinforce positive behavior, tell pt when inappropriate, consider group therapy) |
| Level IV goals/ideas for treatment | Do multiple act and let pt choose, keep sensory stim low |
| Level IV goals/ideas for treatment | Safety of patient, educate family regarding pt bizarre behavior |
| Levels V & VI problems | Pt able to follow simple commands |
| Level V | Motor learning is possible here |
| Levels V & VI goals/ideas for treatment | Use daily journal/memory book, teach family to asssist transfers |
| Levels V & VI goals/ideas for treatment | Topographic disorientation strategies, emphasize safety |
| Levels VII & VIII | Pt in day therapy or outpt therapy |
| Levels VII & VIII goals/ideas for treatment | Emphasize skills for independence, incorporate high-level balance act |
| Levels VII & VIII goals/ideas for treatment | Cardio conditioning, community outings, use compensatory strategies (how to get around) |