critical thinking Flashcards
Objectives
By the end of the lecture, the student will be able to:
Discuss the clinical framework of clinical decision making
Appreciate the framework used to conduct clinical decision making
fyi
The Framework
Effective clinical decision making relies on PTs and PTAs understanding of:
the ICF model
Sound familiar????
Contextual factors
___ENVIRONMENTAL_________ ??
___PERSONAL_________ ??
Interventions
A PT and PTA must understand basic elements of intervention to be the MOST successful with the patient.
- The task
- The individual’s performance capabilities
- The environment
Let’s look at Figure 1.1
Motor function emerges from interactions among all 3 components.
Foundational Theories of Motor Function
Motor Control Theory
- Systems theory
- Motor program (programming) theory
- Motor Learning Theory
Motor Control Theory
Systems Theory
Body systems (i.e. sensory system) work together to aid in motor control
Motor Programming Theory
Based on the concept of Motor Program
What is a motor program?
Define open-loop and closed-loop system within the context of a motor program.
Define open-loop and closed-loop system within the context of a motor program.
know for test pg 5
open loop-
closed loop- change outlook based on intrinsic system. ie-changing surface of ground
What is a motor program?
Something that becomes automatic
Motor Learning Theory
The use of feedback and practice to influence the type and degree of learning
Goal- create relatively permanent changes in performance
Strategies- Chapter 2
Lets’ look at terminology- Box 1.2
Adult Rehabilitation
Recovery, specifically motor, is variable and individualized pg 6
Some recovery is complete yet different
A patient who had a brain aneurysm learns how to walk again, but now walks with a slower gait speed and wider base of support
Adult Rehabilitation
behavioral substitution- alternative behavioral strategies to complete task its how we get people back to recovery
Compensation
Patient who had a stroke- UE recovery 2-3 weeks after insult
Spontaneous Recovery
Stimulation after injury is CRUCIAL- trying to get them back to their own function
Function-induced recovery
Constraint Induced Movement Therapy-(CIMT)
something not being used you loose
Learned nonuse
A PT and PTA must understand basic elements of intervention to be the MOST successful with the patient.
The task
The individual’s performance capabilities
The environment
Identifying specific impairments and activity limitations of a patient to create a POC for a specific patient
The nature of progression
- i.e. A patient’s significant weakness of the hip extensors interferes with the ability to complete some transfers
- Hip extensors need to be addressed appropriately before the patient can work successfully on transfers
