8/28a Intro to CDM

Question 1

Movement emerges from interactions between:

Answer 1

Individual
Task
Environment

Question 2

Arcadia Management Model observes:

Answer 2

Control
Amount of Movement
Speed of Movement
Symmetry of Movement
Symptom Provocation

Question 3

What influences decisions about patients?

Answer 3

Disease
Disorder
Goals
Personality

Question 4

What is ICF?

Answer 4

International Classification of Function

Question 5

What are the different steps to consider for an ICF evaluation?

Answer 5

Health Condition
Impairment of a Body function/structure
Activity Limitation
Participation restriction
Environmental factors
Personal Factors

Question 6

Examples of impairment

Answer 6

Numbness
Pain
Stiffness
Weakness

Question 7

How is impairment measured?

Answer 7

Evaluating different improvements of the body, for example:

Range of motion, strength, and endurance

Question 8

Examples of activity limitations

Answer 8

Unable to walk to the bathroom, difficulty standing, etc.

Question 9

How is activity measured?

Answer 9

Gait, sit to stand, steps, running, jumping, etc

Question 10

Examples of participation restrictions

Answer 10

unable to get to work or do daily activities

Question 11

How is participation measured?

Answer 11

quality of life, fitbit/wearable device

Question 12

What are personal factors?

Answer 12

Finance, religion, personality

Question 13

What are environmental factors?

Answer 13

no healthy food nearby, no public transportation

Question 14

Define performance and capacity qualifiers

Answer 14

what a person is optimally able to do in the best possible environment VS. what a person can do under normal conditions.

Question 15

What are the steps for the patient management model?

Answer 15

1. Examination
2. Evaluation and determine if a referral/consult is necessary
3. Diagnosis/Prognosis
4. Intervention
5. Outcomes

Question 16

What does a PT need to look for in an examination?

Answer 16

Medical History (Hx)
Current Condition - why are they seeing you?
Chief complaint (c/c)
ROS
Test and Measures
Social/Occupation/Other factors
Environmental 
Personal
Medications

Question 17

What questions are important to ask yourself before giving care?

Answer 17

What examination tools and tactics are available?

Can I even help?

Question 18

What is the primary goal of an evaluation?

Answer 18

come to a conclusion about the primary problem by generating a problem list, analyzing data, prioritizing, and utilizing clinical reasoning

Question 19

Primary movement diagnosis (Dx):

Answer 19

what is keeping the patient from moving and what is the impact of their condition on their function?

Question 20

what is a PT prognosis?

Answer 20

predict the patients treatment plan:

• how much improvement is expected?
• how many visits will they need/what is the length of stay(LOS)
• When to stop treatment

Question 21

After diagnosis and prognosis in the patient management model, what is necessary?

Answer 21

Intervention for the following:

• coordination of care (referrals)
• communication
• PT instruction/education (teach patients how to improve themselves)
• Procedural interventions

Question 22

RCP

Answer 22

Procedural interventions include:
Restorative
Compensatory
Preventative

Question 23

difference in procedural interventions

Answer 23

restorative - strengthening and range of motion
compensatory - assistive devices, get ptnt ready for surgery
preventative - ace wrapping, splinting

Question 24

how to measure changes in health/function/activity status

Answer 24

Outcomes

Question 25

TUG

Answer 25

Timed Up and Go - performance based outcome often used in home care

Question 26

what is the difference between studies and summaries in the 6s model?

Answer 26

studies are small and have a large amount of bias

while, summaries are merged studies into 1 clinical practice guideline that is evidence based

Question 27

Types of research - 6s model

Answer 27

studies
synopses of studies
syntheses
synopses of syntheses
summaries
systems