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OTA131 test 1 info
OTA131 Greenville Tech Fall 2013
128
Other
Undergraduate 1
09/17/2013

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Term
what is the stimulus to activate rooting reflex?
Definition
light touch on side of face near mouth
Term
what is the stimulus to activate moro reflex?
Definition
dropping head, more than 30* extended
Term
what is the stimulus to activate landau reflex?
Definition
suspension (usually) also active or passive dorsiflexion of head
Term
what is the stimulus to activate galant reflex?
Definition
gently stimulate along the paravertebral area from the C7 to the buttocks
Term
what is the stimulus to activate stepping reflex?
Definition
support the infant upright with the feet touching a hard surface; incline the infant fwd and gently move the infant fwd to accompany any stepping (tilt head fwd)
Term
what is the stimulus to activate palmar grasp reflex?
Definition
pressure on ulnar surface of palm
Term
what is the stimulus to activate asymmetrical tonic neck reflex? (ATNR)
Definition
head turned to one side
Term
what is the stimulus to activate symmetric tonic neck reflex? (STNR)
Definition
flex/extend head
Term
what is the stimulus to activate sucking reflex?
Definition
light touch on oral cavity
Term
what is the stimulus to activate neck righting on body reflex?
Definition
turn the infant's head to one side
Term
what is the stimulus to activate body righting reflex?
Definition
flex one limb over the chest and rotate the limb across the body
Term
what is the stimulus to activate tonic labryinthrine reflex? (TLR)
Definition
(prone) lift the infant up to evaluate for the presence of flexor tone (supine) lift the child to sitting to observe for extensor tone
Term
what is the stimulus to activate labryinthrine head righting reflex?
Definition
tilt the child anterior, posterior, and lateral from vertical
Term
what is the stimulus to activate body on body reflex?
Definition
flex one leg and rotate it across the pelvis to the opposite side
Term
what is the stimulus to activate tilt reaction in prone reflex?
Definition
slowly tilt the board and wait for response
Term
what is the stimulus to activate tilt reaction in supine reflex?
Definition
slowly tilt the board laterally, wait for response, and tilt to opposite side
Term
what is the stimulus to activate protective staggering reflex?
Definition
push the child in all directions
Term
what is the stimulus to activate postural fixation in standing reflex?
Definition
exert minimal force to the pelvis in all four directions
Term
what is the stimulus to activate tilt reaction in standing reflex?
Definition
tilt and wait for response; repeat the opposite direction
Term
what is the stimulus to activate protective extension reflex?
Definition
lateral - apply a force to the shoulder to displace the center of gravity
backward - push the child backward with enough force to displace the center of gravity
Term
what is the stimulus to activate parachute reaction reflex?
Definition
hold the child upright and then rotate body quickly face fwd (as if falling )
Term
what is the moro reflex AKA?
Definition
the startle reflex
Term
when should rooting reflex be integrated? if not integrated, what does it interfere with?
Definition
onset 28 wks gestation - 3 mth
interferes with exploration of objects and head control
Term
when should moro reflex be integrated? if not integrated, what does it interfere with?
Definition
birth - 4-6 mths
interferes with head control, sitting equilibrium, and protective reactions
Term
when should landau reflex be integrated? if not integrated, what does it interfere with?
Definition
3-4 mths - 12-24 mths
slows development of prone extension, sitting, and standing; early onset (1mth) may indicate excessive tone or spasticity
Term
when should galant reflex be integrated? if not integrated, what does it interfere with?
Definition
32 wks gestation - 2 mths
often seen with children with athethoid CP
looking for nerves to be intact and symmetry
Term
when should stepping reflex be integrated? if not integrated, what does it interfere with?
Definition
37 wks gestation - 2 mths
premature infants will tend to walk in a toe-heel fashion while more mature infants will walk in a heel-toe pattern
Term
when should palmar grasp reflex be integrated? if not integrated, what does it interfere with?
Definition
birth - 4-6 mths
interferes with releasing objects
Term
when should ATNR be integrated? if not integrated, what does it interfere with?
Definition
birth - 4-6 mths
interferes with reaching and grasping, bilateral hand use and rolling
Term
when should STNR be integrated? if not integrated, what does it interfere with?
Definition
birth - 4-6 mths
interferes with reciprocal crawling and walking
Term
when should sucking reflex be integrated? if not integrated, what does it interfere with?
Definition
birth - 2-5 mths
interferes with development of coordination of sucking, swallowing and breathing
Term
when should neck righting on body reflex be integrated? if not integrated, what does it interfere with?
Definition
32 wks gestation - 4-6 mths
early in development the infant uses NOB in order to transition between supine, side-lying, and eventually prone
Term
when should body righting reflex be integrated? if not integrated, what does it interfere with?
Definition
34 wks gestation - 4-5 mths
assists the child in rolling between supine and prone
Term
when should TLR be integrated? if not integrated, what does it interfere with?
Definition
birth - 6 mths
persistence of TLR will impede activities which require graded co-activation of flexor and extensor mus
Term
when should labryinthrine head righting reflex be integrated? if not integrated, what does it interfere with?
Definition
birth - 2 mths
in order to move around in space, this reflex is necessary to allow the body to turn freely around the head
Term
when should body righting on head reflex be integrated? if not integrated, what does it interfere with?
Definition
birth - 2 mths
important in controlling the head in relation to the body in all positions
Term
when should body on body reflex be integrated? if not integrated, what does it interfere with?
Definition
4-6 mths - 5 yrs
working with NOB promotes segemental rolling and is important for sitting, quadraped and standing positions
Term
when should tilt reaction in prone/supine reflex be integrated? if not integrated, what does it interfere with?
Definition
prone - 6 mth - life
part of the balance mechanism to tolerate perturbations
supine - 7-8 mths - life
allows for maintenance of the body while fine motor tasks are being undertaken; indicates the presence of previous righting reactions
Term
when should protective staggering reflex be integrated? if not integrated, what does it interfere with?
Definition
15-18 mths - life
protects the upright position
Term
when should postural fixation in standing reflex be integrated? if not integrated, what does it interfere with?
Definition
12-21 mths - life
allows for the preservation of the center of gravity and balance in standing and walking
Term
when should tilt reaction in standing reflex be integrated? if not integrated, what does it interfere with?
Definition
12-21 mths - life
the inner ear labryinths need to be intact in order for the reaction to occur
Term
when should protective extension reflex be integrated? if not integrated, what does it interfere with?
Definition
lateral
7 mths - life
needed for independent sitting
backward
9-10 mths - life
necessary for independent sitting
Term
when should parachute reaction reflex be integrated? if not integrated, what does it interfere with?
Definition
8-9 mths
last postural reflex to develop
Term
what is the stimulus to activate optical reflex?
Definition
tilt the child anterior, posterior, and lateral from the vertical
Term
when should optical reflex be integrated? if not integrated, what does it interfere with?
Definition
birth - 2 mths (through life)
allows head and body to be upright to horizon
Term
areas of occupation
Definition
ADLs
iADLs
education
work
play
leisure
social participation
Term
OT process
Definition
referral - physician/PA
screening - OT, COTA
evaluation - OT
intervention plan - initial OT after combo
intervention services - mostly COTA
reassessment - OT/COTA
discharge/discontinuation - both; formally OT
Term
3 COTA "roles"
Definition
gather data under supervision of OTR
contribute to the intervention plan
provide intervention
Term
levels of experience
Definition
entry-level - new grad or new to practice setting
intermediate - higher level of skills gained by experience, cont edu, and involvement in professional activities
advanced - specialized with expertise in a particular area of practice
Term
4 levels of supervision
Definition
close - direct/daily
routine - direct/regularly scheduled
general - indirect as needed and direct once a mth or as designated by state law
minimum - direct/indirect as needed or as mandated by state regulatory board
Term
periods of development
Definition
gestation/birth - pre, peri, postnatal
infancy - birth - 18mths
early childhood - 18mths - 5yo
middle childhood - 6yo - puberty
adolescence - 10/12 - 18/21
early adulthood - early 20s - 30s
middle adulthood - 40 - 60yo
late adulthood - 60s-70s - death
Term
3 basic rules of normal development
Definition
cephalo - caudal progression (head to tail)
proximal - distal progression
gross - fine
Term
4 models of practice
Definition
ecological model of human performance
model of human occupation
person-environment-occupation
canadian model of occupational performance
Term
outcome for ecological model of human performance
Definition
altering context not the person
Term
a way of understanding how human occupation is motivated (volition), organized (habituation), performed (performance) and influenced by the environment -- ?MOP
Definition
model of human occupation (MOHO)
Term
what is the core of the canandian occupational performance
Definition
spirituality
Term
5 theorists
Definition
erikson piaget freud kolhberg maslow
Term
3 levels of kohlbergs moral theory
Definition
preconventional
conventional
postconventional
Term
freud's 5 stages of psychosexual development
Definition
oral - birth-18mths
anal - 18mths-3yrs
phallic - 3-6yrs
latency - 6-puberty
genital - puberty onward
Term
4 "steps" of piaget's cognitive theory
Definition
sensorimotor - 0-2yrs
preoperational - 2-6yrs
concrete operational - 7-12yrs
formal operational - 12yrs-adult
Term
erikson's pyschosocial theory
Definition
infancy 0-1 basic trust v. mistrust - hope
early childhood 1-3 autonomy v. shame - will
play age 3-6 initiative v. guilt - purpose
school age 6-12 industry v. inferiority - competence
adolescence 12-19 identity v. confusion - fidelity
early adulthood 20-25 intimacy v. isolation - love
adulthood 26-64 generativity v. stagnation - care
old age 65-death integrity v. despair - wisdom
Term
maslow's hierarchy of needs if basic needs are not met, then other stuff doesn't matter
Definition

(Bottom to top)

physiological safety love/belonging esteem self-actualization

Term
frame of reference
Definition
a learner may need a frame of reference in which some things are familiar so that he may build on the existing model by adding new info as he acquires it. it provides framework within which he may proceed to a logical conclusion
-how you approach the therapy-
Term
pediatric frames of reference
Definition
developmental - over time and between skills
sensory integration - sensory processing
biomechanical - strength, ROM, alignment
neurodevelopmental - APT, trunk, "feel" normal
motor control - acquisition of motor skills
rehabilitative - relearn old skills, adaptive equipment
Term
4 major constructs for person-environment-occupation
Definition
1 person
2 context
3 occupation
4 occupational performance n participation
Term
interpreting light touch, pressure, temperature, pain, and vibration through skin contact/receptors
Definition
tactile
Term
interpreting stimuli originating in muscles, joints, and other internal tissues to give information about the position of one body part in relation to another
Definition
proprioceptive
Term
interpreting stimuli from the inner ear receptors regarding head position and movement
Definition
vestibular
Term
interpreting stimuli through the eyes, including peripheral vision and acuity, awareness of color and pattern
Definition
visual
Term
interpreting and localizing sounds, and discrimination background sounds
Definition
auditory
Term
interpreting taste
Definition
gustatory
Term
interpreting odors
Definition
olfactory
Term
identifying objects through proprioception, cognition, and the sense of touch (no visual input)
Definition
stereognosis
Term
identifying the excursion and direction of joint movement
Definition
kinesthesia
Term
interpreting noxious stimuli
Definition
pain response
Term
acquiring an internal awareness of the body and the relationship of body parts to each other
Definition
body scheme
Term
differentiating one side of the body from the other
Definition
right-left discrimination
Term
recognizing forms and objects as the same in various environments, positions, and sizes
Definition
form constancy
Term
determining the spatial relationship of figures and objects to self or other forms and objects
Definition
position in space
Term
identifying forms or objects from incomplete presentations
Definition
visual-closure
Term
differentiating between foreground and background forms and objects
Definition
figure ground
Term
determining the relative distance between objects, figures, or landmarks and the observer, and changes in plane surface
Definition
depth perception
Term
determining the position of objects relative to each other
Definition
spatial relations
Term
determining the location of objects and settings and the route to the location
Definition
topographical orientatino
Term
eliciting an involuntary muscle response by sensory input
Definition
reflex
Term
moving body parts through an arc
Definition
range of motion
Term
demonstrating a degree of tension or resistance in a muscle at rest and in response to a stretch
Definition
muscle tone
Term
demonstrating a degree of muscle power when movement is resisted, as with objects or gravity
Definition
strength
Term
sustaining cardiac, pulmonary, and musculoskeletal exertion over time
Definition
endurance
Term
using righting and equilibrium adjustments to maintain balance during functional movements
Definition
postural control
Term
maintaining biomechanical integrity among body parts
Definition
postural alignment
Term
maintaining anatomical and physiological condition of interstitial tissue and skin
Definition
soft tissue integrity
Term
using large muscle groups for controlled, goal-directed movements
Definition
gross coordination
Term
moving limbs and eyes across the midsaggital plane of the body
Definition
crossing the midline
Term
using a preferred unilateral body part of activities requiring a high level of skill
Definition
laterality
Term
coordinating both body sides during an activity
Definition
bilateral integration
Term
using the body in functional and versatile movement patterns
Definition
motor control
Term
conceiving and planning a new motor act in response to an environmental demands
Definition
praxis or motor planning
Term
using small muscle groups for controlled movements, particularly in object manipulation
Definition
fine coordination/dexterity
Term
coordinating the interaction of information from the eyes with body movement during activity
Definition
visual-motor integration
Term
coordinating oralpharyngeal musculature for controlled movements
Definition
oral-motor control
Term
identifying person, place, time and situation
Definition
orientation
Term
focusing on a task over time
Definition
attention span
Term
stopping an activity at an appropriate time
Definition
termination of activity
Term
placing information, concepts and actions in order
Definition
sequencing
Term
organizing a variety of information to form thoughts and ideas
Definition
concept formation
Term
recognizing a problem, defining a problem, identifying alternative plans, selecting a plan, organizing steps in a plan, implementing a plan, and evaluating the outcome
Definition
problem solving
Term
applying previously learned concepts and behaviors to a variety of new situations
Definition
generalization
Term
demonstrating alertness and responsiveness to environmental health
Definition
level of arousal
Term
identifying familiar faces, objects and other previously presented material
Definition
recognition
Term
starting a physical or mental activity
Definition
initiation of activity
Term
recalling information after brief or long periods of time
Definition
memory
Term
identifying similarities of and differences among pieces of environmental information
Definition
categorization
Term
mentally manipulating the position of objects in various relationships
Definition
spatial operations
Term
acquiring new concepts and behaviors
Definition
learning
Term
planning and participating in a balance of self-care, work, leisure and rest activities to promote satisfaction and health
Definition
time management
Term
modifying one's own behavior in response to environmental needs, demands, constraints, personal aspirations and feedback from others
Definition
self control
Term
developing the value of the physical, emotional and sexual self
Definition
self concept
Term
identifying and managing stress and related factors
Definition
coping skills
Term
identifying ideas or belief that are important to self or others
Definition
values
Term
identifying mental or physical activities that create pleasure and maintain attention
Definition
interests
Term
identifying, maintaining, and balancing functions one assumes or acquires in society (e.g. worker, student, etc.)
Definition
role performance
Term
using verbal and nonverbal communication to interact in a variety of settings
Definition
interpersonal skills
Term
interacting using manners, personal space, eye contact, gestures, active listening and self-expression appropriate to one's environment
Definition
social conduct
Term
using a variety of styles and skills to express thoughts, feelings and needs
Definition
self-expression
Term
only seeing the "op" of a stop sign and still knowing thats what the sign is
Definition
visual closure
Term
blindly feeling for pencil in bookbag
Definition
stereognosis
Term
knowing a small "a" from "A" from cursive "a"
Definition
form constancy
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