quiz 1-adults and older adults (ADL retraining and muscles, tone & sensation)

general objectives for OT interventions for individuals recovering from a spinal cord injury

OT focuses on: self care (ADLs), functional mobility, prevention of secondary complications, adaptive equipment training, community reintegration, and psychosocial adjustment

C4 injury goals

ADL: pt will direct caregiver through upper-body dressing with minimal verbal cues in 2 weeks.

Mobility: pt will independently operate power wheelchair using sip and puff device in 4 weeks.

C5 injury goals

ADL: pt will complete self feeding using universal cuff with set up assistance in 2 weeks.

Mobility: pt will independently operate power wheelchair with min verbal cues in 2 weeks.

C6 injury goals

ADL: pt will perform upper-body dressing with min A using tenodeis grasp in 4 weeks.

Mobility: pt will complete sliding board transfer with Mod A to get from w/c to bed in 4 weeks.

C7 injury goals

ADL: pt will independently complete grooming tasks while seated in 2 weeks.

Mobility: pt will independently perform w/c to bed transfer in 4 weeks.

T1-T6 injury goals

ADL: pt will complete lower-body dressing independently in 4 weeks.

Mobility: pt will participate in independent w/c propulsion in 4 weeks to increase functional mobility

T7-L1 injury goals

ADL: pt will complete independent toileting with a schedule to increase independence

Mobility: pt will amb with AD short distances with CGA to increase independence for functional mobility.

considerations specific to bariatric clients affecting performance skills

performance challenges: mobility, transfers, BADLs, cardiopulmonary limitations, skin integrity

progressive illnesses for bariatric clients

ALS, multiple sclerosis, muscular dystrophy, parkinson’s disease

pre-prosthetic phase

occurs immediately after amputation before prosthesis fitting. goals: wound healing, limb shaping, edema control, contracture prevention and desensitization

stages of prosthetic training

pre-prosthetic phase: healing and edema control

initial prosthetic training: donning/doffing and wearing schedule

functional training: ADLs and IADLs

community/reintegration: work, leisure and driving

passive prosthesis

not functional for grasping; can be used for cosmetic appearance, balance, body symmetry, emotional adjustment and stabilization of objects

motor control

ability to regulate and initiate movement; requires: sensation, cognition, motor planning and muscle activation

fixed deformity

cannot be corrected manually (ex. contracture and structural scoliosis)

glenohumeral subluxation

partial separation of humeral head from the glenoid fossa; types: inferior (most common), anterior and lateral, causes: flaccidity, weak rotator cuff, improper healing and poor scapular alignment

rood approach

use sensory stimulation to facilitate/inhibit movement; facilitation: quick stretch , brushing and tapping; inhibition: slow stroking and prolonged stretch

brunnstrom recovery stages

stage 1: flaccidity

stage 2: beginning spasticity

stage 3: peak spasticity

stage 4: movment outside synergy

stage 5: complex movement

stage 6: near-normal movement

modified ashworth scale

measures spasticity; scoring: 0=no increase in tone & 4= rigid limb; known categories: mild, moderate and severe

functional motion assessment

examines reach, grasp, release, manipulation and bilateral coordination