Client Factors and Performance Skills

Question 1

Muscle Strength

Precautions and Contraindications:
- Monitor and Respect Pain, Pain Tolerance
- Do not overexert, monitor fatigue
- Avoid strength activities for certain medical conditions such as severe cardiovascular issues, uncontrolled asthma, or certain musculoskeletal disorders
- Avoid training when suffering from an acute illness or infection
- Gradual progression
- Avoid strengthening for abnormal tone

Answer 1

Activities:

• Hanging Exercise (R)
• Yard Work (R)
• Bear walks (R)
• tug of war (R)

Question 1

Endurance/Activity Intolerance

Precautions and Contraindications:
- Avoid Overexertion
- Monitor for signs of Fatigue
- Age Appropriate Activities
- Avoid endurance activities for certain medical conditions such as chronic fatigue conditions
- Do not engage in endurance activities if recovering from recent injuries or surgeries
- Modify to accommodate abilities
- Avoid when suffering from acute illness or infections
- Monitor for seizures or other neurological conditions
- Monitor for signs of activity intolerance
- Monitor and regulate heat environmental condition
- Ensure rest breaks

Answer 1

Activities:

Relay Races (R)
Crawling under the tables (R)
Balloon Pop (R)
Dance Parties (R)

Question 2

Abnormal tone - Flaccid

Precautions and Contraindications:

-Avoid Overstretching
- Maintaining Proper Positioning
- Provide Adequate support (handling techniques)
- Gradual Progression
- Monitor for signs of fatigue or discomfort
- Promote Active Participation
- Use sensory activities to promote control
- Avoid excessive joint stress
- Avoid high impact or weight bearing that could lead to dislocation or injury
- Monitor for contractures
- Prevent and avoid deformities
- Respect pain
- Monitor for neurological conditions

Answer 2

Activities:

• Therapy putty (R)
• AROM/PROM (R)
• catching or throwing ball (R)
• balloon volleyball (R)

Question 3

Abnormal tone - Spastic

Precautions and Contraindications:

• Avoid Excessive Force
• Monitor for Pain
• Use proper support and positioning
• Incorporate Relaxation Techniques
• Encourage Active Participation
• Avoid activities during severe episodes of spasticity
• Monitor for and prevent contractures and deformities
• Be cautious in extreme heat or cold environments, which can affect muscle tone and overall comfort.

Answer 3

Activities:

-Gentle stretching (R)
- heavy work (cart pushing) (R)
- splinting (C)
- deep breathing/relaxation techniques (C)

Question 4

FMC Skills

Precautions and Contraindications:
- Monitor for signs of fatigue
- Use proper positioning and support
- Select age-appropriate activities and adapt to skill level
- Promote ergonomics practices
- Avoid activities that require fine motor precision if the child has severe motor impairments
- Refrain from activities if the child is experiencing pain or has recently injured their hand, wrist, or fingers.
- Avoid materials or textures that may trigger sensory sensitivities or aversions.
- Avoid excessive activities that can aggravate medical conditions
- Regular Monitoring and Feedback

Answer 4

Activities:

• Tracing patterns (R)
• Buttoning (R)
• Finger painting (R)
• Collage Making (R)

Question 5

GMC Skills

Precautions and Contraindications:
- Ensure safety and appropriate supervision
- Age and Developmentally Appropriate Activities
- Monitor Fatigue and Overexertion
- Modify activities as needed to accommodate any physical limitations or disabilities.
- Provide appropriate rest breaks
- Avoid High-Risk Activities
- Regular Monitoring and Feedback
- Modify activities as needed to accommodate the child’s medical conditions
- Monitor Spasticity or Muscle Tone Fluctuations
- Avoid Joint instability
- Be cautious about triggers, sensory sensitivities, or aversions
- Avoid activities that require complex planning or impulse control if the child has significant cognitive or behavioral challenges.
- Avoid high-intensity activities in extreme heat
- Monitor Behavioral changes or emotional distress

Answer 5

Activities:

• Obstacle course (R)
• Hop Scotch (R)
• Jump Rope (R)
• Yoga for kids (R)

Question 6

Visual Perceptual Skills

Precautions and Contraindications:
- Tailor Activities to Skill Level
- Monitor Visual Fatigue
- Provide adequate lighting
- Be considerate of sensory sensitivities
- Ensure proper ergonomics
- Use clear and simple instructions
- Monitor for Emotional or Behavioral Response
- Progress gradually
- Refrain from visual perceptual activities if acute eye conditions or infections are present
- Monitor for other medical or neurological conditions affecting visual processing
- Monitor and avoid sensory overload
- Use safe and appropriate materials

Answer 6

Activities:

• Spot the difference game
  -Hangman
• I spy
• copy patterns

Question 7

Trunk Control

Precautions and Contraindications:
- Monitor signs of fatigue
- Use proper support and positioning
- Ensure safety of activity environment
- Monitor for pain
- Avoid trunk control activities if the child has severe spinal or skeletal conditions that could be aggravated by such activities
- Monitor other medical conditions that affect performance of the activity (respiratory condition, seizures, or significant cardiovascular issues)
- Avoid if experiencing acute pain or injury affecting trunk area
- Avoid high demand if experiencing severe neuromuscular disorders
- Monitor sensory processing issues
- Monitor and Avoid high risk of falls and injury

Answer 7

Activities:
- ball rolling (R)
- side plank (R)
- wobble board (R)
- crab walk race (R)

Question 8

Sitting Balance

Precautions and Contraindications:
-Ensure proper sitting and support
-Gradually progress
- Use safe and stable surface
- Monitor signs of fatigue, strains or pain
- Provide regular breaks
- Monitor and respect sensory sensitivities
- Avoid sitting balance activities if the child has severe spinal or skeletal conditions or injuries that could be aggravated
- Avoid activity if experiencing acute pain or has recently sustained an injury
- Monitor for other neuromuscular disorders
- Monitor for fall risks
- Monitor for and avoid deformities

Answer 8

Activities:

• Balance Board sitting (R)
• Exercise proper seating with wedges (C)
• Desk work (R)
• Meal time with adaptive equipments (C)

Question 9

Standing Balance

Precautions and Contraindications:
- Provide proper support and stability
- Monitor for signs of fatigue
- Provide regular breaks if needed
- Use safe environment for activities (stable surfaces)
- Adjust for sensory sentivities
- Avoid activity if experiencing acute pain or has recently sustained an injury
- Monitor for other neuromuscular disorders
- Monitor for fall risks
- Monitor for and avoid deformities

Answer 9

Activities:

• Balance Beam (R)
• One leg ball toss (R)
• Targeted reaching with adapted equipments (C)
• Visual Path with safety harness or assistive device (C)