Term
| For myocardial infractions, restrictions are for how long? |
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Definition
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Term
| After 6 weeks of a myocardial infracton, OT can... |
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Definition
| A graded exercise program strengthens the healthy part of the myocardium and improves cardiac output. |
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Term
| Congestive Heart Failure (CHF)can be controlled by |
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Definition
diet, medication, and rest
-A gradual resumption of activity will promote improved function |
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Term
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Definition
-don’t lift anything
-not holding breath with exursion (valsalva manuever or sneezing)
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Avoid rapid movement of upper body
No pushing or pulling with arms when getting in and out of bed.
No pushing up with arms from a chair when standing.
-don’t lift arms over 90 degrees
-No raising elbows higher than shoulders.
Avoid long periods of over shoulder activity.
-Avoid reaching too far across body. Like pants or tieing shoes
Avoid twisting or deep bending.
Do not reach behind your back.
Wiping or showering
10 lb lifting restriction
Wear compressive hose
-Refraining from driving (secondary to upper body torque)
Avoid traveling in a seat without an airbag when riding in a car
-Stop activity if you feel any pulling or stretching.
Report any clicking or popping noise around chest. |
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Term
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Definition
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Term
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Definition
| systolic <120 diastolic <80 |
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Term
| Signs and Symptoms of Cardiac Distress |
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Definition
Angina
Dyspnea
Orthopnea-laying down shortness of breath
Nausea/emesis
Diaphoresis
Fatigue
Cerebral Signs
Orthostatic-bp drops
Abnormal heart activity
Pain or pressure in chest, arm, or jaw
Dizzy, light-headed, or faint
Confused
Blurred vision
Clumsy |
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Term
| Stop activity if someone with cardiac failure has... |
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Definition
Heart rate is still high 10 minutes after exercise.
Fatigue and extreme tiredness 24 hours after exercise
Pain in joints, heels, or calf muscles
Increased swelling in
legs and feet. |
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Term
Cardiac Rehabilitation
Intervention Phase 1: Inpatient Cardiac Rehab |
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Definition
Early Mobilization
Monitored low-level physical activity
Self-care (sitting up, using restroom)
Reinforcement of cardiac and post-surgical precautions
Instruction in energy conservation and graded activity
Guidelines for appropriate activity level at discharge |
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Term
Cardiac Rehabilitation
Intervention Phase 2: Outpatient Cardiac Rehab |
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Definition
Usually begins at discharge
Exercise is advanced while the client is closely monitored on an outpatient basis |
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Term
Cardiac Rehabilitation
Intervention Phase 3 |
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Definition
Community-based Exercise Programs
Alternative: Home health care if patient cannot tolerate outpatient. |
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Term
| Pulmonary Diseases include |
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Definition
Chronic Obstructive Pulmonary Disease Emphysema
Chronic Bronchitis
Asthma |
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Term
| Signs and Symptoms of Pulmonary Distress |
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Definition
Dyspnea
Extreme fatigue
Nonproductive cough
Confusion
Impaired judgment
Cyanosis |
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Term
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Definition
| boundaries of an area of space in which the body can maintain its posture without changing the base of support |
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Term
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Definition
Sensory stimulation to evoke a motor response
Developmental postures to promote changes in muscle tone
Stimulation can have an inhibitory or a facilitatory effect on muscle tone
Slow Rolling
Neutral Warmth-wrapping up in a blanket
Deep Pressure
Tapping-trying to get extensors to move to so tap the extensors muscles.
Prolonged Stretch
Developmental Sequences
Proximal to distal and cephalocaudal
Clients moved through developmental sequences
Current practice: Used as adjunctive or preparatory intervention to prepare client for participation in purposeful activity
Limitations:
-Passive nature of sensory stimulation
-Short-lasting and unpredictable effect of some of the sensory stimulation |
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Term
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Definition
| refers to the interaction of one or more forces upon the other force(s), which suggests a stage or condition of active interdependence |
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Term
| Reconstruction of Rood’s Theory |
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Definition
Muscle tone and motor control coeffect each other
Flexion and extension patterns coeffect each other
Repetition of muscular response creates movement patterns
Interaction or goal direction coeffects movement
Activities that provide approximation of real life context increase treatment effectiveness and generalizability
Therapists use somatic markers to select interaction methods with clients |
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Term
| Rood: Ontogenetic Development Patterns |
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Definition
On Elbows ( Prone on elbows)
All Fours ( Quadriped Position)
Static Standing
Walking |
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Term
| Rood: Proprioceptive Facilitatory Techniques |
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Definition
Use of sensory input to improve movement of body parts by the facilitation of muscle spindles, Golgi tendon organs, joint receptors, and vestibular apparatus
Goal is to enhance client’s control over motor response
Produces sustained postural patterns…so they can engage in their occupations.
Heavy Joint Compression- put weight through joint like support on the table and weight on shoulder.
Resistance-hold hand and push against it with arm straight out and supporting elbow.
Vestibular Stimulation-fast rocking
Inversion-tipping them upside down. Don’t do it with cardiac problems. |
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Term
| Rood: Inhibitory Techniques |
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Definition
Neutral Warmth- warm blanket
Slow Stroking- run hand down the spine lightly to relax
Light Joint Compression ( Approximation)- little pressure on shoulder, support elbow and move around. Trying to get into muslces activate extensors.
Rocking in Developmental Patterns- fingers, and hand are in extensors on all 4’s on ground. Putting pressure through it and rocking. |
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Term
| Brunnstrom: 6 Stages of Recovery |
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Definition
Arm
Flaccidity
Beginning development of spasticity; Limb synergies appear as associated reactions
Increasing spasticity; Synergy patterns performed voluntarily
Spasticity declining; Movement combinations beginning to deviate from synergies
Synergies are not dominant; Movement combinations deviating from synergies.
Spasticity absent; Isolated joint movements |
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Term
| Proprioceptive Neuromuscular Facilitation Approach |
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Definition
Developmental sequencing of movement
Balanced interplay between agonist and antagonist in producing volitional movement
Mass movement patterns
Sensory Stimulation |
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Term
| Neuro-Developmental Treatment |
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Definition
Based on normal development and movement
Normalize muscle tone
Inhibit primitive reflexes
Facilitate normal postural reactions
Improving quality of movement
Relearn normal movement patterns |
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Term
| Neuro-Developmental Treatment Interventions |
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Definition
Handling techniques
Weight bearing over the affected limb
Use of positions that encourage the use of both sides of the body
Avoidance of sensory input that may adversely affect muscle tone |
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Term
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Definition
| Acquisition and modification of learned movement patterns over time |
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Term
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Definition
Outcome of Motor Learning;
Ability to produce purposeful movements of the extremities and postural adjustments in response to activity and environmental demand. Can apply it to real life situations. |
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Term
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Definition
| stay attentive to one task. |
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Term
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Definition
| maintain attention for a long period of time. |
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Term
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Definition
| can activate their attention for one thing and ignore other noise. |
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Term
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Definition
| can go between 2 different tasks. Can stop one task and pay attention to another task. |
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Term
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Definition
| Doing multiple tasks at one time. (cooking and helping child w/hmwk) |
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Term
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Definition
| mental work while they are attending. Working memory that goes to long term memory. |
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Term
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Definition
| sustain attention over a long period of time. Incorporates all the other components. |
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Term
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Definition
Procedural-motor movement(may not be able to say how to do it but they can get dress)
Conditioning-have a certain stimulus and they remember what comes next. |
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Term
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Definition
Episodic-your own personal history.
Semantic-knowledge of facts. Based more on language. Things you have read or heard or talked about. |
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Term
| Executive Function includes |
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Definition
Initiation
Problem Solving and Reasoning
Decision Making
Categorization
Mental Flexibility
Abstraction
Generalization and Transfer |
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Term
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Definition
Intellectual Awareness-some degree of awareness of what their capacity is. Need to know limitations .
Emergent Awareness-they become aware at the time of doing it.
Anticipatory Awareness- they anticipate their limitations before it occurs. |
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Term
Acute Care Inpatient Setting
3 roles of OT |
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Definition
1. Education
Safety precautions, activity analysis
2. Initiation of the rehabilitation process Initiation of rehab services for clients transferred to a rehab facility
3. Consultation
Focused on the discharge environment and client needs after leaving the acute care hospital |
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Term
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Definition
| can not visually identify an object by visually. (usually R hemisphere) |
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Term
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Definition
| difficulty recognizing colors |
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Term
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Definition
| which someone can distinguish between colors, but cannot name them |
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Term
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Definition
| can’t visually tell which ones are heavier or smaller than another. |
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Term
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Definition
| inablitly to recognize faces. Of family members or even them. Lack of facial expressions |
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Term
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Definition
| inabilty to identify the whole picture |
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Term
| Figure-Ground Discrimination Dysfunction- |
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Definition
inabilty to see the foreground from the background.
in a drawer, can you select one item from all the mess. Can they pick out one red sock out of all the red clothes. |
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Term
| Form Constancy Dysfunction- |
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Definition
| put in different direction and see if they can identify it |
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Term
| Position in Space/ Spatial Relations- |
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Definition
orienting to a shape or object in relation to self
-objects in front of them and ask which one is on top, or on bottom, in front, behind. |
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Term
| Stereopsis/ Depth Perception- |
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Definition
| problem with steps or curbs and may not see them. |
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Term
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Definition
| lack of awareness of body parts to each other. May not recognize it is their arm. May see your arma nd think it’s theirs. |
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Term
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Definition
| may not be able to integrate information from like an arm or leg. |
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Term
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Definition
| don’t recognize the severity of own paralysis. Don’t know they are as bad as they are. |
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Term
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Definition
| (L parietal damage) Usually middle three fingers. Have problem with dexterity. |
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Term
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Definition
| (5 objects and know what they are in their hand) vision occuled |
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Term
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Definition
| can’t tell you what number or letter is written in hand. |
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Term
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Definition
| inabilty to execute motor movement |
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Term
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Definition
| difficulty sequecing task. Give hair brush and try to brush teeth. |
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Term
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Definition
| can’t do it on command. Don’t ask them on command to do it. |
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Term
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Definition
| difficulty with orienting clothes. |
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Term
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Definition
| 2 or 3 dimensional and see if they can do it. Folding laundry, or build a 3 block design. Doing puzzles. Have them put together puzzles. |
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