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Adult Eval lecture - Intro to Theory
Terms in this set (77)
What builds our knowledge base to lead to intervention?
Often begin with general descriptions. Helps us describe, explain, and predict behavior and/or the relationship between concepts or events.
Descriptive research often defines a concept, or general idea, of something we wish to better understand
The OT Practice Framework, AOTA code of ethics are examples of
Fundamental body of knowledge
Fundamental body of knowledge, Applied body of knowledge, Practice. According to Mosey, these are the
Levels of theory
"a theoretical foundation of theories and empirical data..." partly describes
Fundamental body of knowledge
"Philosophical assumptions, an ethical code, a theoretical foundation of theories and empirical data, a domain of concern, and legitimate tools." Describe what?
Fundamental body of knowledge
"Sets of guidelines for practice" describes what?
Applied body of knowledge
The PEO Model is an example of what level of theory?
Applied body of knowledge
"Action sequences, use of applied knowledge, the clinical reasoning process..." describes which level of theory?
Biomechanical FOR is an example of what level of theory?
The Fundamental body of knowledge leads to ____ ___ _ _______ which leads to ____
applied body of knowledge (models), practice
Philosophy, Values & Ethics, Knowledge describe a
OT Theory Organization orders: ____ is the broadest, then _____-____ _______, and finally ____ __ _____.
PARADIGM, OCCUPATION-BASED MODELS, FRAMES of REFERENCE
_______-______ _______ are Overarching Theories
OT Practice Framework is an example of which order of organized theory in OT?
Paradigm. (It is Philosophy, Values & Ethics, Knowledge)
_______ __ ________ are Practice guidelines in specific domains
Frames of Reference
_____ is defined as specific tools which determine the extent of function/dysfunction, found in each frame of reference.
Which frame of reference would want to find ways to assess range of motion, muscle strength, and endurance?
________ were formerly called "treatments"
Specific strategies for intervention which have been developed and researched to varying degrees, found in each frame of reference. What does this statement define?
What are some interventions for biomechanical disabilities?
ROM, strength, endurance, pain management
What proves/disproves a theory?
What makes a theory "evidence-based"?
This model has 5 stages of change which people cycle through when modifying health behavior.
has no intention of taking action within the next 6 months
intends to take action within the next 6 months
intends to take action within the next 30 days and has taken some behavioral steps in this direction
has changed behavior for less than 6 months
has changed behavior for more than 6 months
"increase awareness of need for change; personalize information about risks and benefits" this is a change strategy for which stage?
"motivate; encourage making specific plans" this is a change strategy for which stage?
"assist with developing and implementing concrete action plans; help set gradual goals" this is a change strategy for which stage?
"assist with feedback, problem solving, social support, and reinforcement" this is a change strategy for which stage?
"assist with coping , reminders, finding alternative, avoiding slips/relapses (as applicable)" this is a change strategy for which stage?
Therapeutic use-of-self is important while conducting a motivational interview with a client in the Transtheoretical Model?
Yes! Empathize and encourage them to consider change.
Identified as the most commonly used FOR
Applies principles of physics and human movement/posture with respect to gravity.
Typically identified by remediation of skill or task.
Getting clients to the point where they can do the occupation that is the priority is the ____ __ ______.
context of occupation
________ _______ is related to the inability to perform specific tasks.
Orthopedic Injury (Fractures, OA)
Post Surgical Intervention (Carpal Tunnel, Rotator Cuff)
Edema (RA, OA, lymphedema)
Pain (Post surgical, low back, chronic, fibromyalgia)
Skin Tightness (burns, scars)
Spasticity/Hypertonicity or Flaccidity/Hypotonocity (CP, CVA, Parkinsons, GBS)
Disuse over time (chronic conditions, age)
These are all Common Conditions for which FOR?
The Theoretical Base for the Biomechanical FOR is made up of
ROM and angles, kinematics, torque, lever systems, strength, endurance
____ can be limited in fine motor movement due to bad posture
speed and quality of movements refers to
Manual Muscle Testing
Goniometer (ROM testing)
Baltimore Therapeutic Exercise (BTE)
Pain Scales (Borg)
Modified Ashworth Scale (Muscle tone)
Are examples of evaluations for which FOR?
Which FOR? "Approach to Treatment: Maintaining or Preventing Limitation in Range of Motion"
what prevents functional ROM ?
traumatic injury/disease/neurological/inactivity (aging, depression)
In the ______ FOR, the focus in intervention is on the functional ROM.
In the Biomechanical FOR, intervention Methods for Decreasing Edema include:
Elevation, Cryotherapy, Compression , Massage, Electrical current `
In the Biomechanical FOR, intervention Methods for Minimizing Contractures may include _____ _____and _____.
therapeutic positioning and splinting (orthoses).
______ is used to hold joints in a position with optimum tissue length
AROM is important to reduce ____
T/F. Patient education is an important part of the intervention process of moving the body through full ROM.
These are described as "wanting to build bridges over joints and tighten down"
burn wound (scarring)
Contractures of soft tissue, Skin, Muscles, Tendons, Ligaments. ROM problems to these ____ be changed.
Ankylosis or arthrodesis, Long-standing contractures, Severe joint destruction.
These ROM problems (can/can't) be changed.
The use of ________ for stretching is empirically based on the idea that a person involved in an interesting and purposeful activity will gain greater range.
Which is thought to be more effective:
Gentle, controlled stretching that achieves small increments of gain over time.
Or vigorous stretching aimed at large, rapid gains.
Gentle controlled stretching. Change only happens when stretching is repeated or sustained over time.
T or F. While stretching to increase ROM, it is important to stretch more tissue than that which is directly affected.
False. Only stretch the tissue that needs it.
While using occupations as a means to increase ROM must provide a gentle active stretch by use of slow, repetitive ___1___ contractions of the muscle ___2___ the contracture or by use of a prolonged ___3___ stretched position of the contracted tissue.
isotonic, opposite, passive
T or F. Proprioceptive neuromuscular facilitation (PNF) techniques called "contract, relax, and agonist contraction" are useful to increase ROM in shortened tissue.
True. (slide 30 of ppt., Donna noted that it could be used in neurological patients)
_____ stretching is useful as a preparatory method for increasing ROM so patients are able to engage in purposeful activity
Manual stretch, Use of orthotic devices (eg.Splints/Casts), Home program on specific joint stretches, Pilates and yoga, or the ROM dance.
These are examples of ______ stretching techniques.
Passive stretching can be integrated into a patient's daily occupations by the use of:
orthotic devices, stretches, pilates and yoga
Occupation or exercise parameters that may be changed to increase pt. _____ include the following:
Type of contraction and speed
Intensity of task
While doing stretching and strengthening movements, the pt. should focus on ______ of the movement.
Incorporating the use of _____ into the intervention plan is shown to improve the patient's outcome.
When prescribing a strengthening program, therapists can manipulate the exercise or occupational parameters. This can be done by changing the V_____, R___ ____, F_____
Volume (reps and sets, # of occupational activities;
Rest Period (between sets or occupational tasks);
Frequency (start at 2-3 days per week and increase)
Occupations that sustain the interest of the client can be used to increase musculature ____.
The _____ approach geared toward adaptation and compensation.
Traditionally begins when remediation of skills has leveled off OR when remediation is not possible.
Which FOR/approach is used in Work settings for ergonomic evaluations and with chronic disabilities.
Using adaptive equipment, ergonomic analysis, or changing the environment is indicative of the _____ approach
Repositioning the task
Adding or removing weights
Changing method or sequence
These are all part of the intervention plan to adapt the activity in the _____ approach.
Planning activities around client's energy patterns
Modifying positions to compensate
Planning ahead and organizing
Clustering similar tasks
Alternating active and passive tasks
Accepting Assistance from others
Prioritizing and conserving energy for most important and meaningful tasks.
These describe _____ _______. And are part of the ____ approach.
Energy Conservation. Rehab.
T or F. The Rehabilitation approach advocates the use of All types of adaptive equipment (DME), power tools, built up utensils, of apps and computer programs, and electric equipment (motors)
True. (It is very adaptive equipment focused)
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