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NBCOT
Occupational Therapy NBCOT EXAM
294
Other
Graduate
12/11/2009

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Term
Bell's palsy
Definition
is a paralysis of cranial nerve VII (the facial nerve) resulting in inability to control facial muscles on the affected side. Several conditions can cause a facial paralysis, e.g., brain tumor, stroke, and Lyme disease. However, if no specific cause can be identified, the condition is known as Bell's palsy.
Term
What is the minimum wheelchair accessibility standard for doorways
Definition
32ft
Term
Spasticity
Definition
a disorder of the central nervous system (CNS) in which certain muscles continually receive a message to tighten and contract. The nerves leading to those muscles, unable to regulate themselves (which would provide for normal muscle tone), permanently and continually "over-fire" these commands to tighten and contract.
Term
Behavior modification
Definition
is the use of empirically demonstrated behavior change techniques to improve behavior, such as altering an individual's behaviors and reactions to stimuli through positive and negative reinforcement of adaptive behavior and/or the reduction of maladaptive behavior through punishment and/or therapy.
Term
neuroma
Definition
is a growth or tumor of nerve tissue.
Term
veracity
Definition
truth
Term
vo·li·tion
Definition
The act or an instance of making a conscious choice or decision.
Term
biopsychosocial model
Definition
(abbreviated "BPS") is a general model or approach that posits that biological, psychological (which entails thoughts, emotions, and behaviors), and social factors, all play a significant role in human functioning in the context of disease or illness. Indeed, health is best understood in terms of a combination of biological, psychological, and social factors rather than purely in biological terms [1]. This is in contrast to the traditional, reductionist biomedical model of medicine that suggests every disease process can be explained in terms of an underlying deviation from normal function such as a pathogen, genetic or developmental abnormality, or injury
Term
supine position
Definition
is a position of the body: lying down with the face up,
Term
* Class I
*
* Class III
* Class IV
Definition
* Class I: no limitation is experienced in any activities; there are no symptoms from ordinary activities.
* Class II: slight, mild limitation of activity; the patient is comfortable at rest or with mild exertion.
* Class III: marked limitation of any activity; the patient is comfortable only at rest.
* Class IV: any physical activity brings on discomfort and symptoms occur at rest.
Term
* Class I
* Class II
* Class III
* Class IV
Definition
* Class I: no limitation is experienced in any activities; there are no symptoms from ordinary activities.
* Class II: slight, mild limitation of activity; the patient is comfortable at rest or with mild exertion.
* Class III: marked limitation of any activity; the patient is comfortable only at rest.
* Class IV: any physical activity brings on discomfort and symptoms occur at rest.
Term
ipsilesional neglect
Definition
a deficit in attention to and awareness of one side of space is observed on the same side as the lesion
Term
unilateral neglect
Definition
condition in which, after damage to one hemisphere of the brain, a deficit in attention to and awareness of one side of space is observed
Term
Translation
Definition
is a linear movement of an item from the palm of the hand to the finger tips. 1.5-2 yrs
Term
finger to palm translation
Definition
The object (coin or chip) is placed on the fingers and transferred to the palm of the hand
Term
palm to finger translations
Definition
the object is placed on the palm of the hand and (using finger manipulation only), transferred to the finger tips
Term
Shifting
Definition
Shifting occurs at the pads of the fingers. It is often accomplished when adjusting a pencil in the hand (from the eraser to lead area) prior to writing SLIDING MOTION FROM ERASER TO TIP 4-5 yrs
Term
Rotational
Definition
movements occur by rolling a small object between the pads of the fingers with an alternating action of the thumb pad to the finger pads i.e. fliping a pen 2-3 yrs
Term
Moro reflex, startle reflex
Definition
the infant is placed in a semiupright position and the head is momentarily allowed to fall slightly backward into the examiner's hand; the child will symmetrically fling the arms out from the body and flex the thumbs, followed by a reverse flexion of the arms as if grasping onto his mother. An asymmetric response may signify a fractured clavicle or a birth injury to the nerves of the arm which does not function properly. Absence of the Moro reflex in a newborn is an ominous finding, implying some sort of serious neurologic condition.
Term
grasp response
Definition
is obtained by placing a finger or object in the open palm of each hand; a normal infant will grasp the object and will resist attempted removal with a tighter grip. This reflex is sometimes strong enough in a really vigorous baby to briefly support the child's body weight as if he were doing pull-ups
Term
tonic neck reflex, fencing reflex
Definition
is produced by turning the baby's head to one side while he lies on his back; he extends his arm on the side to which the head is turned, and flexes the other arm, in a pose that mimics a fencer. For an infant to remain in a constant tonic neck response is always abnormal.
Term
parachute reflex
Definition
the child is suspended by the trunk and suddenly lowered as if the child were falling for an instant. The child spontaneously throws out the arms as a protective mechanism. The parachute reflex appears before the onset of walking.
Term
rooting reflex
Definition
the newborn's cheek is lightly stroked, and he turns to find the expected mother's nipple
Term
sucking reflex
Definition
a finger or artificial nipple is placed in the newborn's mouth, and he does what comes naturally
Term
Babinski reflex
Definition
a finger is stroked firmly down the outer edge of the baby's sole; the toes spread and extend out.
Term
tonic labyrinthine supine reflex (TLR)
Definition
primitive reflex found in newborn humans. With this reflex, tilting the head back while lying on the back causes the back to stiffen and even arch backwards, causes the legs to straighten, stiffen, and push together, causes the toes to point, causes the arms to bend at the elbows and wrists, and causes the hands to become fisted or the fingers to curl. The presence of this reflex beyond the newborn stage is also referred to as abnormal extension pattern or extensor tone.
Term
asymmetric tonic neck reflex
Definition
a primitive reflex that is present from birth but should disappear by six months of age. If the infant is lying on its back and the head is turned to one side, the arm and leg on the side to which the head is turned should straighten, and the arm and leg on the opposite side should bend (the ‘fencer’ position). Persistence of the reflex beyond six months is suggestive of cerebral palsy.
Term
Blocked practice
Definition
Blocked practice sessions concentrate on one aspect of technique, practicing it over and over again until you get it right.
Term
Random practices
Definition
Random practices employ several aspects of technique within a session
Term
C6
Definition
Complete paralysis of body and legs. No finger movement, no elbow extension, no wrist flexion. Good wrist extension, good elbow flexion. tenodisis grasp
Term
C5
Definition
C5 : Results in potential loss of function at the shoulders and biceps, and complete loss of function at the wrists and hands.
Term
Autonomic dysreflexia
Definition
Autonomic dysreflexia means an over-activity of the Autonomic Nervous System. It can occur when an irritating stimulus is introduced to the body below the level of spinal cord injury, such as an overfull bladder. The stimulus sends nerve impulses to the spinal cord, where they travel upward until they are blocked by the lesion at the level of injury. Since the impulses cannot reach the brain, a reflex is activated that increases activity of the sympathetic portion of autonomic nervous system. This results in spasms and a narrowing of the blood vessels, which causes a rise in the blood pressure. Nerve receptors in the heart and blood vessels detect this rise in blood pressure and send a message to the brain. The brain sends a message to the heart, causing the heartbeat to slow down and the blood vessels above the level of injury to dilate. However, the brain cannot send messages below the level of injury, due to the spinal cord lesion, and therefore the blood pressure cannot be regulated.
Term
C7
Definition
C7 and T1 : Results in lack of dexterity in the hands and fingers, but allows for limited use of arms. C7 is generally the threshold level for retaining functional independence. Ability to transfer independently from bed to chair, and chair to car. Car transfers may need assistance depending on upper body strength Partial finger movement,full elbow extension and flexion, full wrist extension and flexion.
Term
C1, C2, C3 Quadriplegic
Definition
Inability to breathe using chest muscles or diaphragm, therefore the person will be dependant on a ventilator to breathe. A portable ventilator can be attached to the back of a wheelchair during transport.
Limited head and neck movement depending on muscle strength.

Complete paralysis of arms, body and legs.

Sympathetic nervous system will be compromised, possibility of Autonomic Dysreflexia.

Electric wheelchair may possibly be controlled by either a chin or "sip and puff" controller, this will vary depending on dexterity.

The person will require total assistance when transferring from a bed to a wheelchair and from a wheelchair into a car. A hoist will have to be used, possibly by two assistants for safety.

Complete assistance required during mealtimes.
Term
C4
Definition
Full head and neck movement depending on muscle strength. Limited shoulder movement.

Complete paralysis of body and legs. No finger, wrist or elbow flexion or extension.

Sympathetic nervous system will be compromised, possibility of Autonomic Dysreflexia.

Electric wheelchair may be controlled by either a chin or "sip and puff" controller, this will vary depending on dexterity.

The person will require total assistance when transferring from a bed to a wheelchair and from a wheelchair into a car. A hoist will have to be used, possibly by two assistants for safety.

Complete assistance required during mealtimes.

Respiratory System

Able to breathe without a ventilator using diaphragm.

Assistance required to clear secretions and assistance in coughing will be required.
Term
Isometrics
Definition
Isometrics are defined as a type of muscle contractions wherein the muscle develops tension without changing length
Term
isotonic
Definition
isotonic contraction, tension remains unchanged and the muscle's length changes. Lifting an object off a desk, walking, and running involve isotonic contraction
Term
Likert scale
Definition
Likert scale (pronounced /ˈlɪkərt/,[1] also /ˈlаɪkərt/) is a psychometric scale commonly used in questionnaires, and is the most widely used scale in survey research. When responding to a Likert questionnaire item, respondents specify their level of agreement to a statement
Term
Gutman scale rank ordering
Definition
scale in which numbers are placed along side listed items indicating there order of importance
Term
D1 Flexion
Definition
D1 Flexion

The D1 flexion pattern begins with the shoulder and elbow extended at the patient’s side and the wrist supinated. The terminal position for the D1 flexion pattern is the shoulder and elbow are flexed, internally rotated, and adducted, the wrist in supination. The patient should look as though he or she is reaching across the body to touch the opposite anterior deltoid, with the dorsal side of the hand.
Term
D2 Flexion
Definition
D2 Flexion

The D2 extension pattern begins with the shoulder and elbow flexed and adducted, the humerus internally rotated, and the wrist pronated. The patient should look as though he or she is touching the ASIS of the opposite hip. The movement consists of abducting the shoulder, externally rotating the humerus, and supinating the wrist. One may describe it as taking a sword out of its holster and raising it up to the sky
Term
D2 Extension
Definition
D2 Extension

The D2 flexion pattern is again, the counter movement to the D2 extension pattern. The patient starts in the terminal position of the D2 extension patter with the shoulder and elbow extended and adducted, the humerus externally rotated, and the wrist supinated. The movement occurs when the patient flexes shoulder and elbow, adducts the arm, internally rotates the humerus, and pronates the wrist.
Term
symmetric tonic neck reflex,
Definition
symmetric tonic neck reflex,
a normal response in infants to assume the crawl position by extending the arms and bending the knees when the head and neck are extended. The reflex disappears when neurologic and muscular development allows independent limb movement for actual crawling
Term
Kleinert protocol
Definition
active extention and passive flexion using a dosal block splint
Term
Duran protocol
Definition
passive flexion and passive extention using a dorsal block splint
Term
wheel chair dimensions
Definition
two inches are added to width to ensure that there is no rubbingg and two inches are deducted from the length from buttox to popliteal fossa to prevent decubiti formation of the posteir popleteal fossa.
Term
Tertiary prevention
Definition
Tertiary prevention reduces the negative impact of an already established disease by restoring function and reducing disease-related complications
Term
Secondary prevention
Definition
Secondary prevention activities are aimed at early disease detection, thereby increasing opportunities for interventions to prevent progression of the disease[3] and emergence of symptoms. have the disease
Term
Primary prevention
Definition
Primary prevention avoids the development of a disease.[2] Most population-based health promotion activities are primary preventive measures.
Term
Arthrogryposis
Definition
Arthrogryposis is a rare congenital disorder that is characterized by multiple joint contractures and can include muscle weakness and fibrosis. It is a non-progressive disease.
Term
Arthrogryposis
Definition
Arthrogryposis is a rare congenital disorder that is characterized by multiple joint contractures and can include muscle weakness and fibrosis. It is a non-progressive disease.
Term
Orthostatic hypotension
Definition
Orthostatic hypotension is a form of hypotension in which a person's blood pressure suddenly falls when the person stands up
Term
Functional Capacity Evaluation
Definition
Functional Capacity Evaluation (FCE)
This physical performance test identifies the patient’s functional abilities, these test results assist in return to work determination or can identify functional deficits.
Term
Myelomeningocele
Definition
Myelomeningocele is a birth defect in which the backbone and spinal canal do not close before birth. The condition is a type of spina bifida.
Term
Spina bifida
Definition
Spina bifida (Latin: "split spine") is a developmental birth defect caused by the incomplete closure of the embryonic neural tube. Some vertebrae overlying the spinal cord are not fully formed and remain unfused and open. If the opening is large enough, this allows a portion of the spinal cord to stick out through the opening in the bones
Term
Arnold-Chiari syndrome
Definition
Arnold-Chiari syndrome is a defect in the formation of the cerebellum (the small, bottom portion of the brain) and brainstem. This defect can prevent the passage of blood from the brain into the spinal canal. Arnold-Chiari syndrome is usually accompanied by a myelomeningocele, which is a form of spina bifida.
Term
Arnold-Chiari syndrome
Definition
Arnold-Chiari syndrome is a defect in the formation of the cerebellum (the small, bottom portion of the brain) and brainstem. This defect can prevent the passage of blood from the brain into the spinal canal. Arnold-Chiari syndrome is usually accompanied by a myelomeningocele, which is a form of spina bifida.
Term
Degenerative joint disease
Definition
Degenerative joint disease: Also known as osteoarthritis, this type of arthritis is caused by inflammation, breakdown and eventual loss of the cartilage of the joints. Among the over 100 different types of arthritis conditions, osteoarthritis is the most common, affecting usually the hands, feet, spine, and large weight-bearing joints, such as the hips and knees.
Term
Complex regional pain syndrome (CRPS)
Definition
Complex regional pain syndrome (CRPS) is a chronic pain condition. The key symptom of CRPS is continuous, intense pain out of proportion to the severity of the injury, which gets worse rather than better over time. CRPS most often affects one of the arms, legs, hands, or feet
Term
Dynamic interactional approach
Definition
is awareness questioning to help the client identify success and detect errors
Term
Patient Descriptor
Definition
" precentage of patients who"
Term
turning radius of wheelchair
Definition
minimum clearance of 5 X 5 feet
Term
Turning radius of wheelchairs
Definition
5X5
Term
Executive functioning
Definition
high level cognitive abilities needed to perform multistep activities
Term
primary cognitive capacities
Definition
memory orientation and attention
Term
STNR
Definition
STNR which enables extension of the arms and flexion of the legs at the same time. However, the STNR has to be 'switched off' before the baby can crawl forward as this involves a combination of flexion and extension
Term
narrow adult chair
Definition
16 wide x 16 deep x 20 high
Term
regular adult chair
Definition
18 wide x 16 deep x 20 high
Term
junior standard chair
Definition
16 wide x 16 deep x 18.5 high
Term
slim adult chair
Definition
14 wide x 16 deep x 20 high
Term
cota can :
Definition
complete IADL evaluation however canot interpret results and set determination of goals
Term
Rancho Level of Cognitive Functioning Scale
Definition
I - No response;
II - Generalized;
III - Localized;
IV - Confused-agitated;
V - Confused, inappropriate, non-agitated;
VI - Confused-appropriate;
VII - Automatic-appropriate;
VIII - Purposeful-appropriate.
Term
Arthroplasty
Definition
Arthroplasty is a surgical procedure to restore the integrity and function of a joint
Term
amyotrophic lateral sclerosis
Definition
Amyotrophic lateral sclerosis (ALS), sometimes called Lou Gehrig's disease, is a rapidly progressive, invariably fatal neurological disease that attacks the nerve cells (neurons) responsible for controlling voluntary muscles.
Term
Peripheral neuropathy
Definition
Peripheral neuropathy is the term for damage to nerves of the peripheral nervous system,[1] which may be caused either by diseases of the nerve or from the side-effects of systemic illness.
Term
Charcot-Marie-Tooth disease
Definition
a heterogeneous inherited disorder of nerves (neuropathy) that is characterized by loss of muscle tissue and touch sensation, predominantly in the feet and legs but also in the hands and arms in the advanced stages of disease.
Term
The first intervention goal in child toileting is to have the child:
Definition
usually begins 12 months and is to indicate when his/her diaper is wet or soiled.
Term
proprioceptive neuromuscular facilitation
Definition
It is often a combination of passive stretching and isometrics contractions
Term
d1 d2
Definition
http://www.angelfire.com/pa2/thermod/pnf.html
Term
oral motor development of the child; Diagonal jaw movements
Definition
7-8 months
Term
oral motor development of the child; effective mastication
Definition
9 months
Term
oral motor development of the child; cup drinking and rotary chewing
Definition
12 months
Term
Gamekeeper's thumb
Definition
Gamekeeper's thumb (also known as skier's thumb or UCL tear) is a type of injury to the ulnar collateral ligament (UCL) of the thumb. The UCL is torn at (or in some cases even avulsed from) its insertion site into the proximal phalanx of the thumb in the vast majority (approximately 90%) of cases
Term
Degenerative joint disease
Definition
Degenerative joint disease: Also known as osteoarthritis, this type of arthritis is caused by inflammation, breakdown and eventual loss of the cartilage of the joints
Term
crossed extension reflex (foot reflex)
Definition
This is a primitive reflex that is usually is only present until one month of age. The examiner holds one of the baby's legs extended and applies firm pressure to the sole of the foot of the same leg. The baby's free leg flexes, adducts and then extends. The adduction component of the reflex is generally only present after 36 weeks gestation.
Term
Binasal hemianopsia
Definition
Binasal hemianopsia (or Binasal hemianopia) is the medical description of a type of partial blindness where vision is missing in the inner half of both the right and left visual field
Term
Homonymous hemianopsia
Definition
Homonymous hemianopsia, or homonymous hemianopia, is a medical term for a type of partial blindness resulting in a loss of vision in the same visual field of both eyes.
Term
Bitemporal hemianopsia
Definition
Bitemporal hemianopsia (or Bitemporal hemianopia) is the medical description of a type of partial blindness where vision is missing in the outer half of both the right and left visual field
Term
right CVA
Definition
poor judgement , impulsive behavior, and disregard for safety
Term
left CVA
Definition
slow responses, hesitancy, and fearfulness caused by perceptual or motor planning problems
Term
myasthenia gravis
Definition
is a neuromuscular disease leading to fluctuating muscle weakness and fatiguability. It is an autoimmune disorder, in which weakness is caused by circulating antibodies that block acetylcholine receptors at the post-synaptic neuromuscular junction,[1] inhibiting the stimulative effect of the neurotransmitter acetylcholine. Myasthenia is treated medically with cholinesterase inhibitors or immunosuppressants
Term
Duchenne muscular dystrophy
Definition
Duchenne muscular dystrophy (DMD) is a severe recessive X-linked form of muscular dystrophy characterized by rapid progression of muscle degeneration, eventually leading to loss of ambulation and death. This affliction affects one in 3500 males, making it the most prevalent of muscular dystrophies. In general, only males are afflicted, though females can be carriers.
Term
project group
Definition
short term activities that require 2 or more ppl. Task are shared and the focus is on interaction and not task completion.
Term
parrellel group
Definition
does not require interaction
Term
cooperative group and mature groups
Definition
requires members to be self expressive and meet socio-economic roles.
Term
Allen Cognitive Level Screen
Definition
6.0 Premeditated activities
5.6 Social Bonding
Anticipates safety
Driving
Child care
5.0 Intonation in speech
4.6 Live alone
4.2 Discharge to street
4.0 Independent Self Care
3.6 Cause & Effect
2.8 Grab bars
2.2 Walking
1.8 Pivot Transfer
1.4 Swallow
1.0 Conscious
Term
ulnar drift
Definition
right hand placed on table moves further right
Term
Boutonniere deformity
Definition
Boutonniere deformity is a deformed position of the finger, in which the joint nearest the knuckle (PIP) is permanently bent toward the palm while the furthest joint (DIP) is bent back away (PIP hyperflexion with DIP hyperextension). It is commonly caused by injury[1] or by an inflammatory conditions like rheumatoid arthritis. looks like a hill caused by lenthening of extensor digitorum comunius tendons
Term
Swan neck
Definition
Swan neck deformity is a deformed position of the finger, in which the joint closest to the fingertip is permanently bent toward the palm
Term
deQuervain's tendonitis
Definition
is an inflammation or a tendinosis of the sheath or tunnel that surrounds two tendons that control movement of the thumb.
Term
Finkelstein's test
Definition
Finkelstein's test is used to diagnose de Quervain syndrome in people who have wrist pain. To perform the test, the thumb is placed in the closed fist and the hand is tilted towards the little finger—ulna deviation (as in the picture) in order to test for pain at the wrist below the thumb. Pain can occur in the normal individual, but if severe, DeQuervain's syndrome is likely. Pain will be located on the thumb side of the forearm about an in inch below the wrist.
Term
trigger digit
Definition
trigger digit, is a common disorder of later adulthood characterized by catching, snapping or locking of the involved finger flexor tendon, associated with dysfunction and pain.
Term
sensory deprivation
Definition
begin intervention with slow linear movements
Term
Multiple sclerosis
Definition
is a disease in which the fatty myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring as well as a broad spectrum of signs and symptoms
Term
inpatient psychiatric unit
Definition
activities should be structured , easily completed and reinforce reality
Term
Glasgow Coma Scale
Definition
Glasgow Coma Scale is a neurological scale which records conscious states of a person,it has 3 tests; eye, verbal, and motor responses. The highest score is 15. GCS is interpreted as severe < 8 moderate 9-12 and minor > 13.
Term
Metacarpophalangeal joint
Definition
Metacarpophalangeal joint (MP): joint between the metacarpals and the phalanges.
Term
abduction of the thumb
Definition
crab hands
Term
Schizophrenia
Definition
neuropsychiatric and mental disorder characterized by abnormalities in the perception or expression of reality. It most commonly manifests as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking with significant social or occupational dysfunction.


positive symptoms They include delusions, auditory hallucinations, and thought disorder,
negitive symptoms Common negative symptoms include flat or blunted affect and emotion, poverty of speech (alogia), inability to experience pleasure (anhedonia), lack of desire to form relationships (asociality), and lack of motivation (avolition).
Term
Negative symptoms
Definition
Negative symptoms are thoughts, feelings, or behaviors normally present that are absent or diminished in a person with a mental disorder.
Term
Tinel's sign
Definition
Tinel's sign is performed by lightly banging (percussing) over the nerve to elicit a sensation of tingling or "pins and needles" in the distribution of the nerve.

For example, in a person with carpal tunnel syndrome where the median nerve is compressed at the wrist, Tinel's sign is often "positive" and causes tingling in the thumb, index, and middle fingers. tapping the forearm an inducing pain may indicate pronator teres syndrome
Term
Phalen's test
Definition
Phalen's test is performed by asking the patient to hold her wrist in maximum flexion. The test is positive if the portion of the thumb and finger that are innervated by the median nerve becomes numb. CTS
Term
Froment's sign
Definition
To perform the test, a patient is asked to hold an object, usually a piece of paper, between their thumb and index finger. The object is then pulled away.

* A normal individual will be able to maintain a hold on the object without difficulty.
* However, with ulnar nerve palsy, the patient will experience difficulty maintaining a hold and will compensate by flexing the FPL
Term
Part A
Definition
Part A is hospital insurance provided by Medicare. Most people do not pay a premium for this coverage. Part A covers inpatient care in skilled nursing facilities, critical access hospitals, and hospitals. Hospice and home health care are also covered by Part A.

http://www.medicareconsumerguide.com/
Term
Part B
Definition
Part B is medical insurance to pay for medically necessary services and supplies provided by Medicare. Most people will have to pay a premium to receive this coverage. Part B covers outpatient care, doctor's services, physical or occupational therapists, and additional home health care.
Term
Part C
Definition
Part C is the combination of Part A and Part B. The main difference in Part C is that it is provided through private insurance companies approved by Medicare. With this program, you may have lower costs and receive extra benefits.
Term
Part D
Definition
Part D is stand-alone prescription drug coverage insurance. Most people do have to pay a premium for this coverage. Plans vary and cover different drugs, but all medically necessary drugs are covered. You can choose what drug plan will be best suited to your needs.
Term
Diplegia
Definition
Diplegia, when used singularly, refers to paralysis affecting symmetrical parts of the body [1]. The term can refer to any bodily area, such as the face, arms, or legs.
Term
Triplegia
Definition
Triplegia is a medical condition is which the patient has paralysis of three limbs.
Term
Hemiplegia
Definition
Hemiplegia is a condition in which half of a body is paralyzed.
Term
Stages Food
Definition
Stage 1; is composed of clear, sugar free fluids.
Stage 2; a diet composed of pureed foods
Stage 3; ground, diced, well cooked foods
Term
Guillain–Barré syndrome
Definition
an autoimmune disorder affecting the peripheral nervous system, usually triggered by an acute infectious process, frequently severe and usually exhibits as an ascending paralysis noted by weakness in the legs that spreads to the upper limbs and the face along with complete loss of deep tendon reflexes. With prompt treatment by plasmapheresis or intravenous immunoglobulins and supportive care, the majority of patients will regain full functional capacity.
Term
Atlantoaxial dislocation
Definition
AAI involves increased mobility at the joint where the first cervical vertebrae meets the second (the atlantoaxial joint). This condition is found not only in patients who have Down syndrome but also in some patients who have rheumatoid arthritis, abnormalities of the odontoid process of the axis, and various forms of dwarfism. Down syndrome may be suseptible so avoid ruff play activities
Term
Erb's Palsy
Definition
Erb's Palsy (Erb-Duchenne Palsy) is a paralysis of the arm caused by injury to the upper group of the arm's main nerves.
These injuries arise most commonly, but not exclusively, from shoulder dystocia during a difficult birth.
Term
wrist and hand nerve damage
Definition
radial nerve damage; inability to extend the MP joints-unable to staiten hands or fingers
Median nerve damage; inability to make full fist
Ulnar nerve damage; inability to flex the MP joints and extend the IP
CTS compression of the median nerve symptoms are numbness of thumb, index and middle finger
Term
C5
Definition
Full head and neck movement with good muscle strength. Good shoulder movement.

Complete paralysis of body and legs. No finger or wrist movement. No elbow extension, good elbow flexion.

Sympathetic nervous system will be compromised, possibility of Autonomic Dysreflexia.

Electric wheelchair can be controlled with a hand control for uneven surfaces. A manual wheelchair may be used for short distances on flat surfaces.

The person will require total assistance when transferring from a bed to a wheelchair and from a wheelchair into a car. A hoist will have to be used, possibly by one to two assistants for safety.

Ability to feed self using feeding strap and fork or spoon during mealtimes. Food will need cutting.
Term
MS
Definition
Try to accommodate patient as ability may fluctuate due to exacerbation
May have periods of weakness during the day so afternoon may be better with working with them
MAY HAVE VISION DIFFICULTIES INCLUDING BLINDNESS, DIPLOPIA, AND NYSTAGMUS
Term
counter tops in stores
Definition
maximal hieght as per ANSI is 31 inches
Term
CP
Definition
CP is caused by damage to the motor control centers of the developing brain and can occur during pregnancy. The motor disorders of cerebral palsy are often accompanied by disturbances of sensation, perception, cognition, communication, and behaviour, by epilepsy, and by secondary musculoskeletal problems
Term
Dysarthria
Definition
Dysarthria is characterised by poor articulation
Term
Bradykinesia
Definition
Bradykinesia is characterized by slowness of movement and has been linked to Parkinson's disease and other disorders of the basal ganglia.
Term
Akinesia
Definition
Akinesia is the inability to initiate movement due to difficulty selecting and/or activating motor programs in the central nervous system
Term
Dystonia
Definition
Dystonia is a neurological movement disorder in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures
Term
PAM for RA
Definition
heat
Term
Athetoid cerebral palsy
Definition
Athetoid cerebral palsy is a form of athetonia, which is marked by slow, writhing involuntary muscle movement. A mixed muscle tone where some are too high and others too low also characterize
Term
Duran protocol
Definition
6-8 weeks light ADL, 8-12 strengthening activities ex laundry, dynamic splint is used immediately for up to 4 weeks
Term
dynamic splint
Definition
dynamic splint a supportive or protective apparatus which aids in initiation and performance of motion by the supported or adjacent parts.
Term
intervention for gag reflex
Definition
walking tongue depressor up and down tongue to desensitize
Term
rotator cuff
Definition
from 0-6weeks its PROM to AA/AROM then
from 6weeks it is isometrics then progressing to isotonics
Term
Friedreich's ataxia
Definition
Friedreich's ataxia is a rare disease passed down through families (inherited) that affects the muscles and heart

# abnormal speech
# Changes in vision, particularly color vision
# Decrease in ability to feel vibrations in lower limbs
# Foot problems, such as hammer toe and high arches
# Hearing loss -- occurs in about 10% of patients
# Jerky eye movements
# Loss of coordination and balance, which leads to frequent falls
# Muscle weakness
# No reflexes in the legs
# Unsteady gait and uncoordinated movements (ataxia) -- gets worse with time
Term
Dysmetria
Definition
Dysmetria refers to a lack of coordination of movement typified by the undershoot or overshoot of intended position
Term
key guard overlay
Definition
over shooting as in dysmetria
Term
reduced keyboard
Definition
decreased range of motion but good fine motor skills
Term
compliance with splint wearing schedule
Definition
make sure client understands purpose and limitations of the slint
Term
Inhibitory technique
Definition
Inhibitory technique:
--To normalize the muscle tone from hypertonic or spastic state. --Deep pressure, slow rolling, and slow rocking.
Term
Facilitatory technique
Definition
Facilitatory technique:
--To normalize the muscle tone from a flaccid state. --Icing, fast brushing, tapping, stroking, quick stretch
Term
ontogenetic motor patterns
Definition
Supine withdrawal
Segmental rolling
Pivot prone (prone extension)
Neck co-contraction
Supporting self on elbows
All fours movement patterns
Standing
Walking
Term
NDT
Definition
NDT focuses on the sensation of movement; it is not movement itself, but the sensation of movement, that is learned and remembered
Term
agonist
Definition
he word agonist means "producing an action" - an antagonist opposes that action. Bicep curl, the agonist is the Biceps brachii and the antagonist muscle is the triceps brachi
Term
wheel chair seat belt
Definition
extend across hip 45 degree angle
Term
swallowing response
Definition
chilled dental mirror down faucial arches
Term
direct treatment for oral motor control
Definition
utilize bolus and control temp, consistency, and amount
Term
ADL goal attainment
Definition
community reintergration
Term
goal of rehabilitation work group
Definition
improve work skill
Term
neurofunctional approach
Definition
focuses activity performance in the actual environment
Term
motor re-learning program
Definition
provides verbal and visual feedbackto make postural limb adjustments
Term
crps
Definition
stress loading and weight bearing is a recommended intervention
Term
Stage and MET level
Definition
StageI 1-1.4
Sitting in a chair 1.0
StageII 1.4-2
Sweeping the floor 1.5
StageIII 2-3.0
Driving a car 2.0
StageIV 3-3.5
Ironing 3.5
Showering 3.5
Bowling 3.5
Stage V 3.5-4
Sex 3.7-5.0
Stage VI
Term
Anterior cord syndrome
Definition
Anterior cord syndrome is a medical condition where the blood supply to the anterior portion of the spinal cord is interrupted. It is characterized by loss of motor function below the level of injury, loss of sensations carried by the anterior columns of the spinal cord (pain and temperature), and preservation of sensations carried by the posterior columns (fine touch and proprioception).
Term
Monomine oxidase inhibitor MAOI
Definition
antidepressent ex Nardil should not be taken with foods that contain Tyramine side effects include incresed blood pressurewhich may lead to stroke
Term
angle of pull for dynamic splint
Definition
always 90 degrees
Term
developmental group
Definition
teach social interaction
Term
entry level cota can also
Definition
perform ADL evaluation
Term
Presbycusis
Definition
Presbycusis, or age-related hearing loss , is the cumulative effect of aging on hearing .
Term
infants don't have voluntary release at 3-4 months
Definition
infants don't have voluntary release at 3-4 months
Term
Scleroderma
Definition
Scleroderma is a chronic autoimmune disease characterized by fibrosis (or hardening), vascular alterations, and autoantibodies. There are two major forms: Limited cutaneous scleroderma (or morphea)[1] mainly affects the hands, arms and face, although pulmonary hypertension is frequent. Diffuse cutaneous scleroderma (or systemic sclerosis)[2] is rapidly progressing and affects a large area of the skin and one or more internal organs, frequently the kidneys, esophagus, heart and lungs, and can be fatal. There are no treatments for scleroderma itself, but individual organ system complications are treated
Term
Raynaud's phenomenon
Definition
Raynaud's phenomenon is a vasospastic disorder causing discoloration of the fingers, toes, and occasionally other extremities. This condition can also cause nails to become brittle with longitudinal ridges
Term
Biofeedback
Definition
Biofeedback is a non-medical process that involves measuring a subject's specific and quantifiable bodily functions such as the activity of brain waves, blood pressure, heart rate, skin temperature, sweat gland activity, and muscle tension, conveying the information to the patient in real-time.
Term
wernicke's area
Definition
deals with language comprehension
Term
Ideational apraxia
Definition
Ideational apraxia (IA) is a neurological disorder which explains the loss of ability to conceptualize, plan, and execute the complex sequence of motor actions involving the use of tools or objects in everyday life
Term
Cubital tunnel syndrome
Definition
Cubital tunnel syndrome is the effect of pressure on the ulnar nerve, one of the main nerves of the hand. It can result in a variety of problems, including pain, swelling, weakness or clumsiness of the hand and tingling or numbness of the ring and small fingers. It also often results in elbow pain on the side of the arm next to the chest.
Term
Diabetes
Definition
consider loss of sensation always
Term
psychotrophic medications
Definition
can incur severe sun burns
Term
sensory testing
Definition
peripheral nerve injury distal to proximal
Spinal cord injuries proximal to distal
;sensory testing must begin with eyes un-occluded so the client can visually observe the demonstration then vision should be occluded
Term
restraints
Definition
can only be used in the case of imminent danger, medical necessity, or as a last resort when less restrictive means have been utilized
Term
developmental levels grasp of cube
Definition
4 months -primitive squeeze grasp
5 months-palmar grasp
6 months-radial palmar grasp
8 months-radial-digital grasp
Term
developmental pre-writing skills
Definition
1-1.5 years palmar supinate grasp
2-3 digital pronate grasp
3.5-4 static tripod
4.5-6 dynamic tripod posture
Term
task oriented group
Definition
increase members awareness of feelings, thoughts, needs, values, and behaviors through the process of choosing, planning, and implementing a group activity
Term
topical group
Definition
a verbal group that focuses on the discussion of activities members are engaged in or will be engaged in.
Term
instrumental group
Definition
designed for individuals with chronic disabilities who are functioning at their highest level with no anticipation for improvement
Term
thematic group
Definition
acquiring knowledge skills and attitudes to perform skills independently
Term
videofluoroscopy procedure
Definition
goal is to rule out swallowing difficulties only . someone with oral stage problems would not require this
Term
cosmetic prosthesis does not enhance functional abilities as it requires more muscle fuction to operate
Definition
cosmetic prosthesis does not enhance functional abilities as it requires more muscle fuction to operate
Term
rhythmic rotation PNF
Definition
is used when restriction is felt during ROM. The therapist repeats the motion of all the components of the PNF at the point of restriction slowly and gently. As the relaxation response occurs the movement is continued through a larger range
Term
Rhythmic initiation PNF
Definition
involves passive movement followed by active movement in the same motion and is used to elicit initiation
Term
MET level
Definition
grooming in sitting 1-2
grooming while standing at sink 2-3
showering in standing 3-4
Term
anosognosia
Definition
unawareness or denial of deficits
Term
sequencing
Definition
ability to determine proper ordering of steps in a task
Term
continued education
Definition
improve skills for service delivery
Term
Approximation PNF
Definition
manual copression of the jointand used to stimulate joint receptors
Term
D2 PNF
Definition
moves the upper extremity down and in
Term
D1
Definition
moves the UE up and away
Term
TAM measurements
Definition
extention deficits are added to and the subtracted from the flexion measurement total
Term
Hodgkin's lymphoma
Definition
which is a type of cancer originating from white blood cells called lymphocytes.
The survival rate is generally 90% or higher when the disease is detected during early stages
Term
non-Hodgkin lymphomas
Definition
non-Hodgkin lymphomas (NHLs) are a diverse group of hematologic cancers which encompass any lymphoma other than Hodgkin's lymphoma
Term
Huntington's disease
Definition
is an incurable neurodegenerative genetic disorder that affects muscle coordination and some cognitive functions, typically becoming noticeable in middle age. It is the most common genetic cause of abnormal involuntary writhing movements called chorea (dancing. The Huntingtin gene normally provides the genetic code for a protein that is also called "huntingtin". The mutation of the Huntingtin gene codes for a different form of the protein, whose presence results in gradual damage to specific areas of the brain.
Term
Dyskinesia
Definition
Dyskinesia is a movement disorder which consists of effects including diminished voluntary movements[1] and the presence of involuntary movements, similar to tics or chorea. D
Term
crps II
Definition
PAM perfered is contrast baths
Term
Thromboangiitis obliterans
Definition
Thromboangiitis obliterans is a rare disease in which blood vessels of the hands and feet become obstructed.(Buerger's disease) is caused by vasculitis (inflammation of the blood vessels).
Term
botox
Definition
lessens spacticity for 3-6 months
Term
pinch meter
Definition
normal position; forearm neutral and the pinch meter placed on the middle phalanx
Term
flexor synergy
Definition
scapular adduction and elevation, shoulder abduction and external rotation, elbow flexion and forearm supination.
Term
infants should be encouraged to sleep supine or side-lying to prevent SIDS
Definition
infants should be encouraged to sleep supine or side-lying to prevent SIDS
Term
dysthymic disorder
Definition
It is considered a chronic depression, but with less severity than major depressive disorder.
Term
hypersensitivity
Definition
fast brushing, firm consistent touch, light touch,
Term
deficit-specific approach
Definition
provide bilateral activities
Term
Rood Phase of motor control
Definition
Reciprocal inhibition - an early mobility which mainly reflex

Co-contraction simultaneous contraction of agonist and antagonist that provides stability -hold an object or position for a long time

Heavy work- mobility superimposed on stability- proximal muscles contract and move and distal segments are fixed

skill- stabilized proximal muscles while the distal segments are fixed
Term
Klumpke's paralysis
Definition
Klumpke's paralysis is a form of paralysis involving the muscles of the forearm and hand, resulting from a brachial plexus injury
Term
Cerebral palsy -gag reflex
Definition
press down firmly on center of the tongue and apply pressure distal to proximal
Term
sensory processing components
Definition
vestibular, proprioceptive, and tactile senses
Term
perceptual processing components
Definition
form constancy, right left discrimination, and spacial relations
Term
volar splint
Definition
fingers are free, and 0-10 wrist extention,
Term
Allen cognative level: side note
Definition
Level 2-3 can't follow written directions
level 4 require visual cues to complete task
level 5 can complete task a simple craft projects without written directions
Term
dorsal splint
Definition
back splint
Term
circumferential burns
Definition
acts like a tourniquet
Term
A Dr referral for Occupational Therapist is required by:
Definition
Feds, State & 3rd Party
Term
scapulohumeral rhythm
Definition
2:1 scapula:humerus - Scapula must move 1 degree for every 2 degrees of humeral movement. Damage will occurs without 2:1 due to insufficient space for movement.
Term
Reflex Sympathetic Dystrophy RSDS
Definition
RSDS is also referred to as "the shoulder-hand syndrome," "causalgia CPRS
Term
possible lithium overdose
Definition
gross tremors
Term
concurrent review
Definition
evaluation of ongoing intervention programs
Term
prospective review
Definition
the evaluation and approval of proposed intervention plan
Term
utilization review
Definition
review the use of resources within a facility
Term
Borderline personality disorder
Definition
Borderline personality disorder (BPD) is a personality disorder described as a prolonged disturbance of personality function in a person over the age of eighteen years, characterized by depth and variability of moods.[1] The disorder typically involves unusual levels of instability in mood; "black and white" thinking,
Term
Sensory integration theory
Definition
structure the environment to match the child's capabilities
Term
neck co-contraction
Definition
stability pattern that requires simultaneous activation of the neck flexors and extensors essential for head control
Term
roll over
Definition
utilized to elicit lateral trunk response; leg and arm on the same side of the body flex as the trunk rotates.
Term
quadrupled
Definition
stability pattern used develop limb and trunk cocontraction
Term
prone on elbows
Definition
stability pattern that provide trunk and proximal limb stability
Term
auditory hallucinations
Definition
consider written instructions
Term
touch football
Definition
MET 7-8
Term
unilateral neglect
Definition
consider bright placemats for individual to scan
Term
compulsive disorders recomendations
Definition
redirecting thoughts and energies into meaning ful activities
Term
Spastic Diplegia
Definition
a condition of hypertonia and spasticity in the muslces of the lower extremities, usually those of the legs, hips and pelvis with minimal to no upper extremity involvement
Term
wheel chair prescriptions for individuals with CNSD
Definition
firm seats for stability that can be used to prevent dicubiti with recommended seat angle ranging from 80 110 degrees
Term
scissor cutting
Definition
circles 3-4
complex figure shapes 4-6
Term
passive range of motion is contraindicated for persons with DJD
Definition
passive range of motion is contraindicated for persons with DJD
Term
tethered cord
Definition
spinal cord is sometimes attached to the spinal column and becomes taut as the child grows. Symptoms include decrease in strength of bilateral extremities and equinovarus position of foot
Term
shunt malformation
Definition
intermittent headaches , shortened attention span, increased paralysis, and decreased upper extremity strength, decreased performance in school and increased in irritability
Term
proprioceptive deficits
Definition
tight pencil grip, in-coordination and use of visual cues
Term
vestibular deficits
Definition
hyper or hypo responsiveness to movement and gravitational insecurity
Term
deep partial thickness burns
Definition
severe burn, where individual will assume positions of comfort; usually flexion and adduction. These positions must be avoided cause the may cause contractures. the correct positions are anti-deformity positions
Term
evaluations completed by another therapist
Definition
if they are incomplete, these evals can't be completed by peers but can be completed by an OT supervisor
Term
amelia
Definition
is the birth defect of lacking one or more limbs. It can also result in a shrunken or deformed limb. For example, a child might be born without an elbow or forearm
Term
velcro tabs
Definition
velcro tabs are appropriate for individuals with decreased fine motor skills and strength
Term
person with one arm and no other deficits can independently learn to doff and don a variety of shirt types
Definition
person with one arm and no other deficits can independently learn to doff and don a variety of shirt types
Term
clubhouse programs
Definition
for ppl with mental illness use consumer empowerment model which encourages active involvement of all participants in decision making. it is not a clinical program, meaning there are no therapists or psychiatrists on staff. All clinical aspects of the program have been removed so as to focus on the strengths of the individual, rather than their illness
Term
egocentic -cooperative group
Definition
focus on group task rather than feelings of the participants
Term
sensory motor approach
Definition
activities should not require the individual to think about the steps it should be spontaneous and fun
Term
resistive exercises
Definition
serve to increase strength
Term
tonic labyrinthine prone reflex (TLR)
Definition
increases flexor tone
Term
complete tendon rupture
Definition
is painless
Term
partial tendon tear
Definition
results in weakened muscles and pain
Term
adhesive capsulitis
Definition
or Frozen shoulder a disorder in which the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, and grows together with abnormal bands of tissue, called adhesions, greatly restricting motion and causing chronic pain.
Term
lip closure
Definition
light upward sweep, or pressing down between the nose and upper lip
Term
gutman scale
Definition
actually write the numbers buy items and place them in order

2pizza
1gyro
3hotdog
Term
volumeter
Definition
measures water displacement
Term
RA
Definition
activities that use AROM are indicated for the treatment of RA. PROM isotonic and progressive resistance are contraindicated
Term
sensory processing disorder
Definition
*

Do you wonder why they are excessive risk takers - jumping and crashing into anything they can ?
*

Why they can’t do puzzles - write well - or find the coordination for riding a bike or hitting a ball?
*

Why they cry or cover their ears with every loud sound - even vacuums, toilets or hairdryers ?
*

Why they don’t like to be touched or can’t be touched enough?
*

Why they will only eat macaroni and cheese and pizza?
*

Why they will only wear certain clothes or need you to cut the tags out of their shirts?
*

Ever wonder why you can’t seem to calm them down or get them to sleep?
*

Why they won’t put their hands in anything messy or use glue, Play Doh, or play with mud?
*

Why they fear playground equipment or being tipped upside down?
*

Why crowded stores bother them so much leading to major meltdowns in public places?
Term
fine motor coordination
Definition
fine motor coordination is not a criteria for sensory processing disorder
Term
anorexia nervosa
Definition
could benifit from biopsychosocial model
Term
scleroderma
Definition
systemic diseaseof unkown etiology. CREST sydrome
Calcinosis
Raynauds phenomenon
esophageal dysfuction
sclerodyctyl of fingers and toes
telangiectasis; red spots covering hands

systemic sclerosis of internal organs can be life threatening


dress in layers for neutral warmth
Term
letter cancellation test
Definition
cross out letters in books or news paper
Term
Pavlik harness
Definition
Pavlik harness is used as a brace for babies that have a hip disorder called hip dysplasia
Term
hip dysplasia
Definition
hip subluxation
Term
akathisia
Definition
a side effect of medications, mainly neuroleptic antipsychotics characterized by unpleasant sensations of "inner" restlessness that manifests itself with an inability to sit still or remain motionless
Term
somatoagnosia
Definition
deficits in body awareness
Term
motor apraxia
Definition
loss of kinesthetic memory
Term
orif
Definition

 open reduction internal fixation 

repairing a fractured bone with the use of plates and screws or rod to stabilize the bone.

toe touch

Term
work hardening program
Definition
rebuild self-confidence and physical reconditioning by replicating their work routine.
Term
halfway house
Definition
reintegration with society, while monitoring and supporting; this reduces the risk relapse
Term
boutonniere deformities
Definition
caused by lengthening of the extensor digitorum communis tendon
Term
quick stretch does not exist in PNF
Definition
quick stretch does not exist in PNF
Term
approximation PNF
Definition
promotes stability
Term
traction PNF
Definition
promotes mobility
Term
TLR brain
Definition
mediated by the lower brain stem. all other reflex are upper brain stem
Term
early finding of delays
Definition
consider more evaluation
Term
iq 55-69 and up
Definition
vocational rehab services
Term
videofluoroscopy procedure
Definition
first foods then thickened liquids
Term
c6 dressing
Definition
can learn to dress LE independantly while in bedmaximal for donning and doffing socks
Term
flail arm splint.
Definition
Brachail plexex injury c5-t1 . cover entire are to help position hand for fuctional use
Term
elbow lock splint
Definition
locks elbow in place for functional use
Term
deltoid swing
Definition
used for muscle weakness
Term
figure of eight
Definition
prevents MP hyperextention
Term
clonus
Definition
clonus is a series of involuntary muscular contractions due to sudden stretching of the muscle
Term
weighted cuffs CP
Definition
reduce althoid movements
Term
areas of occupation
Definition
work and liesure activities
Term
performance skills
Definition
self expression,temporal organization, adaptation, interaction
Term
child development (spoon)
Definition
6-7
feeding with cracker

9
holding and banging a spoon

9.5
stirring with a spoon in imitation

12-14
filled spoon to mouth
Term
IEP
Definition
written 30 days after eval
Term
schizophrenia disorganised
Definition
marked by primative and disorganized behavior.
Term
raynards phenomenon
Definition
biofeedback is used to treat
Term
wernike's area
Definition
launguage
Term
thumb extention
Definition
hitch hiker
Term
BFO balanced forearm Ort. or deltoid sling
Definition
used for mucsle weakness
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