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Cognitive Behavioral Therapy (CBT)
Helps clients improve participation by addressing negative thought patterns that impact behavior and engagement in daily activities
CBT mechanism
Promotes neuroplasticity by changing thought patterns, which influences emotional and behavioral responses
CBT intervention strategy
Use cognitive reframing to help clients challenge beliefs about their abilities after neurological injury
CBT in OT practice
Can be embedded into functional tasks to improve emotional regulation and task participation
CBT adaptation
Needs to be simplified and structured for clients with cognitive deficits (e.g., use concrete examples, repetition)
CBT functional application
Helps clients engage in ADLs by reducing fear, frustration, or low self-efficacy
Rehabilitation robotics intervention
Increases intensity and repetition of movement to promote motor recovery
Robotics clinical benefit
Allows clients to complete more repetitions than they could independently, enhancing motor learning
Robotics intervention use
Supports UE/LE rehabilitation, gait training, and coordination in neurological populations
Robotics and motor learning
Reinforces repetition, feedback, and task-specific practice to improve function
Robotics in OT
Used as an adjunct to improve functional outcomes like feeding, mobility, and ADL performance
Robotics limitation
Accessibility, cost, and training requirements may impact use in clinical settings
Virtual reality (VR) intervention
Provides a simulated environment to practice functional tasks safely
VR clinical benefit
Increases motivation and engagement during therapy
VR intervention use
Can be used for UE rehab, balance training, and ADL simulation
VR grading
Difficulty can be adjusted based on client needs and tolerance
VR early intervention use
Allows practice of complex or high-risk tasks before real-world performance
VR limitation
Cost, accessibility, and potential for dizziness or overstimulation
VR functional carryover
Must ensure transfer of skills from virtual to real-world tasks
Hippotherapy intervention
Uses horse movement to improve trunk control, posture, and sensory processing
Hippotherapy mechanism
Repetitive pelvic movement mimics human gait and promotes motor learning
Hippotherapy clinical benefit
Improves balance, coordination, and postural control
Hippotherapy in OT
Supports ADL performance through improved core stability and motor control
Hippotherapy alternative in clinic
Use therapy balls or dynamic seating to replicate movement-based input
Hippotherapy populations
Effective for CP, stroke, ASD, and neurological conditions
Hippotherapy limitation
Accessibility, cost, and availability
LSVT BIG intervention
Uses large amplitude, repetitive movements to improve motor function in Parkinson's disease
LSVT BIG mechanism
Trains patients to recalibrate movement amplitude to more normal levels
LSVT BIG clinical benefit
Improves movement size, coordination, and functional mobility
LSVT BIG carryover
Patients can develop the ability to self-cue bigger movements over time
LSVT BIG in OT
Can be applied to functional tasks like dressing, walking, and reaching
LSVT BIG principles
High intensity, repetition, and task-specific training
LSVT BIG adaptation
Principles can be used even without certification to encourage larger movements
LSVT BIG limitation
Access to certified programs and training may be limited
Whole Body Vibration (WBV)
Uses vibration platform to stimulate muscle activation and neuromuscular responses
WBV mechanism
Activates muscle spindles → reflexive muscle contractions → increased strength and stability
WBV key benefit
Improves balance, strength, and postural control
WBV in neuro rehab
Enhances motor activation for clients with neurological impairments
WBV in OT
Supports ADLs and mobility by improving lower extremity strength and stability
WBV limitation
Not appropriate for all clients and requires monitoring for tolerance
WBV carryover
Gains in strength and balance can improve functional mobility and participation