Cognition assessment and intervention Flashcards
What does QUEST stand for?
Quality of Upper Extremities Skills Test
What does the QUEST aim to do?
It is designed to evaluate movement patterns and hand function in children with cerebral palsy
What is the difference between grasp in the Dissociated Movements domain and in the Grasp domain?
Dissociated movements domain looks at the arm position during grasp/release of a 1 inch cube and grasping at shoulder, elbow, wrist, and fingers where as the Grasp domain looks at posture during grasp of a 1 inch cube, cereal and a pencil/crayon
Is QUEST top-down or bottom-up?
It is a bottom-up approach as it focuses on the cause of deficits in foundational skills
What is the age range for the QUEST?
18 months to 8 years
What is the MACS?
The Manual Ability Classification System (MACS) has been developed to classify how children with cerebral palsy (CP) use their hands when handling objects in daily activities.
How is the information gathered through MACS useful in assessment and intervention of individuals with Cerebral Palsy?
MACS has 5 levels based on a child’s self-initiated ability to handle objects and their need for assistance or adaptation to perform manual activities in everyday life. Knowing a child’s MACS level can help parents, teachers and others to understand situations in which a child is independent and the extent to which they need support or adaptations.
How can MACS and QUEST be used together?
QUEST can be used to give a baseline while MACS is top-down and looks at the skills necessary to complete daily activities and address functional performance
What age group is MACS suitable for?
4-18 years
What are the primary differences between MACS and QUEST?
- MACS level stays relatively stable throughout life where as quest score can change
- MACS assesses what children can do in everyday life where quest assesses specific upper limb performance components
- MACS doesn’t take into account differences in hand function between left and right and looks at overall ability where quest assesses both left and right upper limb seperately.
What is the School Function Assessment (SFA)?
It is used to measure a student’s performance of functional tasks that support his or her participation in the academic and social aspects of an elementary school program (K-6)
What does the SFA measure?
Participation, task supports and activity performance
What client group is the SFA used for?
Children in school kinder to grade 6, between the ages of 5-12 years
Is the SFA top-down or bottom-up?
Top-down as it looks at performance as opposed to the cause of the deficits
What is the 4QM?
The four-quadrant model of facilitated learning (4QM) is used by teachers and practitioners in selecting effective learning strategies based on changing needs of the learners during acquisition of new skills.
How is the SFA administered?
Individual scales
How long does the SFA take to administer?
5-10 minutes
What is the RUDAS?
Rowland Universal Dementia Assessment Scale - is an assessment scale that assesses cognitive impairment in people from all educational, cultural and linguistic backgrounds
Who is the RUDAS suitable for?
People with suspected or diagnosed dementia, people of all education, cultural and linguistic backgrounds
What are benefits of the RUDAS?
likely to have less cultural and educational bias due to adaptability
How long does it take to administer the RUDAS?
10 minutes
Does the RUDAS require training to administer?
Yes, must be administered by anyone familiar with working with clients with cognitive impairments/dementia and RUDAS administration and scoring
What are some limitations of the RUDAS?
There may be cultural and educational bias due to the instrument being developed in the western world
What cognitive or perceptual skills does the RUDAS assess?
Memory, body orientation, praxis, drawing, judgement, memory (recall), language
What is the MOCA?
The Montreal Cognitive Assessment, Screens for cognitive impairment and can follow a
patient’s progress over time. Also used to screen for stroke
Who is the MOCA used with?
Adults only
What cognitive or perceptual skills does the MOCA assess?
Attention, executive functions, memory, language, visuoconstructive skills, conceptual thinking, calculations, orientation
How long does the MOCA take to administer?
5-10 minutes
Who can administer the MOCA?
Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the MOCA administration and scoring.
What is the MMSE?
Mini Mental State Exam - Screens for cognitive impairment and can follow a patient’s progress over time. Also used as a screen for Dementia.
Who is the MMSE used for?
Adults only
What cognitive or perceptual skills does the MMSE assess?
Orientation to time, orientation to place, registration, attention and calculation, recall, naming, repetition, comprehension, reading, writing, drawing.
How long does the MMSE take to administer?
5-10 minutes
Who can administer the MMSE?
Very simple and easy to follow. Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the MMSE administration and scoring.
What is the DLOTCA?
The dynamic Loewenstein occupational therapy cognitive assessment for adults - Enables the therapist to develop a detailed cognitive profile to assist with intervention planning and management.
What age group is the DLOTCA designed for?
18-69 years
What cognitive or perceptual skills does it assess?
orientation, awareness, visual perception, spatial perception, praxis, visuomotor construction, thinking operations
How long does the DLOTCA take to administer?
45-90 minutes
Who can administer the DLOTCA?
Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the LOTCA administration and scoring. Requires standardised materials.
What is the DLOTCA-G?
Dynamic Loewenstein Occupational Therapy Cognitive Assessment for Geriatrics - Assesses basic cognitive skills in geriatric clients with traumatic head injuries or stroke
What age group is the DLOTCA-G designed for?
Ages 70+
What is the CAM?
Cognitive Assessment of Minnesota - Used with clients with stroke, Level IV and above on the Ranchos Los Amigos Scale of Cognitive Functioning.
Who is the CAM not suitable for?
Not suitable for clients with severe visuo-perceptual motor or visual acuity deficits or clients with aphasia.
What cognitive or perceptual skills does the CAM assess?
Attention span, Memory/Orientation, Visual neglect, Following directions, Immediate memory, Temporal awareness, Matching, Object identification, Visual memory & sequencing, Recall/recognition, Auditory memory & sequencing, Simple money skills, Simple math skills, Foresight & planning, Safety & judgement, Concrete problem solving, Abstract thinking
How long does the CAM take to administer?
40 minutes
Who can administer the CAM?
Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the CAM administration and scoring. Materials are easily accessible and inexpensive.
What is the RMBT?
Rivermead Behavioural Memory Test - Can be used for clients with TBI, stroke, Encephalitis and progressive conditions such as Alzheimer’s Disease
What age group is the adults RMBT designed for?
Ages 16 - 96
What cognitive or perceptual skills does the RMBT assess?
First and second name, Belonging, Appointment, Pictures, Story (immediate & delayed), Picture, Faces, Route (immediate & delayed), Message (immediate & delayed), Orientation and date, Body-image self-identification.
How long does the RMBT take to administer?
25-30 minutes
Who can administer the RMBT?
Can be administered by anyone familiar with working with clients with cognitive impairments and familiar with the RBMT administration and scoring. Requires standardised materials
