Complimentary Therapies (CAM)

Question 1

CAM - Defined

Answer 1

Complimentary & Alternative medicine (CAM) is a group of diverse medical and health care systems, practices & products that are not presently considered conventional medicine by the health profession

Question 2

AOTA statement about CAM’s *

Answer 2

OT practitioners may utalize CAM in the delivery of OT services when they are used as PREPARATORY activities to facilitate the ability of clients to engage in their daily life occupations

Question 3

Factors in Treatment Effectiveness

Answer 3

Theraputic relationship, alliance
Client Dx SX problems
Intervention, operational definition (share deff. w/ pts - what is the CAM used for
Context, environment & SES

Question 4

Increasing Prevalance of CAM

Answer 4

80% of the world pop. uses CAM
USA 38% of pop uses CAM annually
83 million adults in US spent 33.9 billion on CAM (2007)

Question 5

Reasons for CAM

Answer 5

Rising cost of conventional medicine 
Scientific evidence for CAM 
Impersonal care by physician 
Recognition of lifestyle factors of disease 
Pt. control of TX

Question 6

Client therapist Relationship

Answer 6

Develop alliance

Recognize clients needs & wishes regarding choices in interventions

Question 7

Principle 1 : Innate Healing

Answer 7

The body has an innate healing response that can be reinforced through nutrition, exercise, occupation, & mind-body exercise
There is wisdom in the body
The body has a homeostatic mechanism to get to mid point (help heal themselves)

Question 8

Principle 2 : Do no Harm

Answer 8

Be aware of pt.’s current medical status

Interactions between CAMS and traditional TX’s w/ active infections or cancer can cause adverse effecs

Question 9

Principle 3 : Treat the Cause

Answer 9

The clinician should attempt to identify and TX the underlying cause rather than just the SX
SX are viewed as the body;s attempt to heal itself
Causes can include: mental, physical, emotional, & spiritual factors

Question 10

Principle 4 : Prevention

Answer 10

*PREVENTION IS THE ULTIMATE GOAL OF CAM
Building health
Accomplished by lifestyle changes
Restore health & healthy habits,

Question 11

Principle 5 : Be a Teacher

Answer 11

The OT using the CAM is a teacher & encourages the pt. to incorporate healthy practices into everyday life
(Ed. on managing sx)

Question 12

Principle 6 : Treat the Whole Person

Answer 12

OT treats the whole person by taking int consideration the interaction of the dynamic systems in a persons life
(Hollistic perspective)

Question 13

Naturalistic approaches related to CAM

Answer 13

Exercise 
Diet 
Family SUpport 
Continuity of daily life patterns 
Health perspective 
Realistic life goals

Question 14

Myofascial Release (MFR) Fascial Overview

Answer 14

Fascial tissue is a complex connective tissue involved w/ the function of all cells including central, peripheral,and autonimic nervous system
It lines all the vital organs

Question 15

MFR Overview

Answer 15

Manual energy therapy designed to treat the fascia
Problem areas are located by palpation/observation
Hands are used to apply mechanical pressure to stretch fascia and release collagenous barriers that cause pain, restrictions, loss of AROM, or decreased organ function
(Enhances skills of an OT)

Question 16

MFR Indications for use

Answer 16

Spasticity (stretch & release)
Soft tissue restrictions
Pain
AROM

Question 17

Trigger Point : Definition & Overview

Answer 17

Sharp localized radiating or referred pain

• restricts motion
• causes muscle weakness
• elicits muscle
• causes secondary trigger points

Question 18

Trigger point & MFR (Treatment Notes)

Answer 18

Ice after trigger point release to decrease inflimation

After MFR & Trigger Point : provide a HEP & stratagies for function (reaching, compensation)

Question 19

Tai Chi : Overview

Answer 19

Mind/body exercise.martial art form

Intervention to improve balance & reduce fall in older adults (well researched)

Question 20

Tai Chi Benefits

Answer 20

Endurance, strength, balance

Flexability, relaxation, stress reduction

Question 21

Pilates Overview

Answer 21

Helps increase movement w/o pain

Assists movements that allow for unwanted guarding caused by pain or weakness

Question 22

Pilates & Resistance

Answer 22

Resistance is introduced after core strength is improved to allow loading of injured tissue

Question 23

Pilates Enviornmental Conditions

Answer 23

Conditions that are altered 
Narrow or widen BOS 
Raise or lower COG 
Lengthen of shorten lever length 
Decrease or increase assit

Question 24

Yoga Overview

Answer 24

Ancient Indian mind-body practice that focuses on:
Breathing control
Meditation
Mindfulness
Body movement (flexability, balance, strength & focus)

Question 25

Yoga Hatha

Answer 25

Involves holding body in a particular posture, asanas, frr periods of time while controlling breathing rate & focus

Question 26

Yoga Iyengar

Answer 26

Uses aids of support, props, belts, to allow for better control during asanas

Question 27

Yoga “: Populations

Answer 27

Arthritis 
CVA 
CTS 
MS 
Epilepsy 
HIV 
Balance problems

Question 28

Craniosacral Therapy Overview (CST)

Answer 28

Manual therapy technique
Focus on normalization of body function related to craniosacral system (cause migranes, vital organ issues, focus on normalizing pressure)
Influences structure contained w/ in the Duramater (brain, spinal cord, cranial nerves, spinal nerve roots, ventricular system)

Question 29

CST Regulates…

Answer 29

The quantity & pressure of the bones to which dura mater attaches the joint or structure of the skull that interconnect these bones
-cranium
-2nd & 3rd cervical vertebrae
-Sacrum
-Coccyx
Therapist needs to be able to relax & quiet self

Question 30

CST Parts Palpated

Answer 30

Bones of skull
Sacrum
Coccyx

Question 31

CST Pathological Problems

Answer 31

Identified by lack of symmetry = loss of physiological motion (chronic pain, fibromyalgia, migraine, IBS, poor sleep, fatigue, better health)

Question 32

Feldenkrais Overview

Answer 32

Awareness Through Movement (ATM) 
-Verbally directed 
-20-60 min sessions 
Postural control 
-Perceptual capacities 
Goal= healthy, positive, easy action 
Connects cognition to propioception

Question 33

Reiki : Overview

Answer 33

Touch healing system
Rei = universal energy of soul
Ki = vital life force
Joining of spiritual dimension & physical to stimulate healing process and release stress

Question 34

Reiki Benefits

Answer 34

Increase energy 
Removes energy blocks 
Decreases stress 
Enhances health & well being 
Reduces aches and pains 
Preventative health care 
Energizes & balances

Question 35

Reki : SX treated

Answer 35

Art is focus of energy through the hands 
-HTN 
-Chronic pain
-Headache 
-muscle aches 
-parkinsons 
-Arthirits 
_Back pain

Question 36

1st Degree Reiki Practitioner

Answer 36

Work on oneself, hand placement

Question 37

2nd degree Reiki Practitioner

Answer 37

Practicing on others, expanded opening of the energy channels

Question 38

3rd degree Reiki Practitioner

Answer 38

Master or teacher

Question 39

Therapeutic Touch : Overview

Answer 39

Practitioner centers their mind & body w. intent to heal
Palms move slowly over the body (look for hot & cold areas)
Impacts energy field

Question 40

When can CAM;s be Combined w/ OT

Answer 40

Preparatory methods

Purposeful activities to facilitate the ability of clients to engage in life occupations

Question 41

When to use CAMS

Answer 41

Evaluate clients strengths, limitations, priorities, & needs related to daily occupations
Determine weather CAMS are consistent w/ clients cultural practices, priorities, needs, is safe, & appropriate to facilitate their participation in daily life occupations
Evaluate outcomes

Question 42

Scope of OT Practice

Answer 42

Must follow state & federal guidelines when billing for OT services