Frames Of References Flashcards

1
Q

Theory

A
  • describe fundamental principles
  • create a language system for a profession or language or discipline
  • guide overarching thinking about assessment and intervention
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2
Q

Frames of references

A
  • a tool
  • provides a specific way to think about assessment and intervention for a child
  • multiple frames of references should be considered with each child and family that you work with
  • it is a lens with which to look at the child and occupation to determine intervention
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3
Q

Frame of reference examples

A
  • developmental and motor learning
  • biomechanical
  • behavioral
  • cognitive and cognitive-behavioral
  • NDT
  • sensory integration/rehabilitation
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4
Q

Developmental frame of reference

A
  • identifies the level of motor (gross, fine, or oral) social, emotional, and cognitive in which a child engages and targets intervention to help the child advance
  • development occurs over time and across areas
  • typical developmental is interrupted due to illness, trauma, and disability
  • repetitive practice of developmental skills provides experiences to promote brain plasticity and learning
  • practice of skills in a developmental level and just above to promote mastery
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5
Q

Developmental strategies and techniques

A
  • you have to know the typical developmental is in order to know if there is a delay
  • activities follow a development progression
  • repetitive practice of developmental skills in various ways provides experiences to promote brain plasticity and learning
  • activities at the level they are successful in and then introduce the next step
  • challenge the child to engage int asks slightly above abilities
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6
Q

When to use developmental FOR

A
  • children expected to follow a typical developmental progression
  • infants, toddlers, preschoolers, and elementary aged children
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7
Q

When it’s inappropriate to use developmental FOR

A
  • children who will not follow a typical developmental progression (such as children with quadriplegic cerebral palsy)
  • older children for which a developmental approach has been attempted but not successful
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8
Q

Motor learning FOR

A
  • how a child learns movement (motor learning is connected with the development FOR)
  • children develop improved neural pathways when they repeat meaningful whole tasks in the natural environment
  • occurs as children repeat motor tasks that are intrinsically motivating, meaningful, and that they can problem solve
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9
Q

Motor learning interventions

A
  • engage in whole activity versus part
  • meaningfulness = variety of activities from which to choose, children perform better when motivated
  • variability = engage children in activities that requires variable adjustments to movements (such as distance to catch the ball, moving body to reach in different planes)
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10
Q

When to use motor learning FOR

A
  • children expected to follow a typical developmental progression
  • infants, toddlers, preschoolers, and elementary aged children
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11
Q

When it’s inappropriate to use motor learning FOR

A
  • children who will not follow a typical developmental progression (such as children with quadriplegic cerebral palsy)
  • older children for which a developmental approach has been attempted but not successful
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12
Q

Biomechanical FOR

A
  • based on concepts from kinesiology (thinking about ROM of joints and muscles and their alignment)
  • involves ROM, strength, and endurance
  • preventing or reducing contractures
  • improving ROM through passive and active means can increase functional mobility
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13
Q

Biomechanical strategies and techniques

A
  • orthoses
  • splints
  • positioning
  • PROM/AROM
  • strengthening
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14
Q

When to use biomechanical FOR

A
  • children with physical disabilities
  • children with low tone
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15
Q

When it’s inappropriate to use biomechanical FOR

A
  • children without physical impairment (such as autism spectrum disorder, ADHD)
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16
Q

Behavioral FOR

A
  • behavior is enforced by a reward
  • positive reinforcement increases the likelihood a behavior will be …
  • children will stop behaviors that do not receive feedback
  • applied behavioral analysis (ABA) = an example
17
Q

Behavioral strategies and techniques

A
  • identify steps and behaviors that are interfering with occupations
  • determine what may be causing the behavior
  • put strategies in place to support desired behavior
  • put strategies in place to support desired behavior
  • include child and caregivers in plan
  • identify reinforcers and rewards
  • provide positive reinforcers
  • give reinforcers regularly at first, then intermittently
18
Q

When to use behavioral FOR

A
  • extensive evidence of support for children with ASD
  • managing challenging behaviors
19
Q

Limitations of behavioral FOR

A
  • not always holistic in addressing underlying cause of behavior
  • feedback from autistic adults who received extensive ABA report negative impact on well-being as a child
  • critics note it makes individuals dependent on rewards to complete tasks, not on individual interest and self exploration
20
Q

Cognitive FOR

A
  • top-down
  • uses cognition (thinking) strategies to complete occupations
  • OT helps child explore strategies, make decisions, apply strategies, and evaluate use
  • child use the strategies to use in multiple situations and feels empowered, thus more likely to repeat the strategy
21
Q

Cognitive strategies and techniques

A
  • OT designs interventions to increase repertoire of cognitive strategies
  • identify global problem solving strategies
  • task analysis
  • explore task-specific strategies
  • ex: Michelle Garcia Winner’s Social Thinking Cirriculum
  • Cognitive Orientation to Daily Occupational Performance (CO-OP)
22
Q

Examples of cognitive strategies

A
  • anytime you are supporting thinking!
  • external sensory and environmental strategies = picture schedules, visual timers, kinesthetic cues (vibrating watch)
  • mental or self-verbalization on strategies = self-coaching (I can do this, only three more problems), self-guidance (talking self through the task), and scripts (role play)
  • task modification and specific strategies = lists and task modification
  • finger space between the words
  • social stories
  • Garcia Winner’s Social Thinking Cirriculum
23
Q

When to use cognitive FOR

A
  • older children
  • research supports for a variety of diagnoses (Autism spectrum disorder, cerebral palsy, traumatic brain injury)
24
Q

When it’s inappropriate to use cognitive FOR

A
  • idea that thoughts and feelings influence behavior within the environment
  • behavior associated with dysregulation is maintained by cognitive factors
  • changing one’s cognitive thoughts and beliefs results in changes in behavior
25
Q

Cognitive behavioral strategies and techniques

A
  • identify the thought sand beliefs (such as negative self-talk) that effect performance of motivation
  • help child reframe self-talk to promote performance and motivation to engage in occupations
  • use of role play, social stories,m and novel activities to challenge children to explore and succeed
  • encourage child to evaluate performance and problem solve
  • ex = How Does Your Engine Run and Zones of Regulation, and breathing techniques
26
Q

When to use cognitive behavioral FOR

A
  • older children
  • children with insight into behaviors
27
Q

When it’s inappropriate to use cognitive behavioral FOR

A
  • younger children
  • children with significant cognitive impairment
28
Q

Neurodevelopmental (NDT) FOR

A
  • technique used to help children with functional limitations due to differences in neuropathy, specifically children with cerebral palsy
  • goal = to improve function in daily tasks by increased active use of trunk and extremities
  • OT may attempt to normalize tone before and during activities
  • OT analyzes musculoskeletal limitations interfering with movement and occupation
  • OT facilitates movement that is meaningful for the child
29
Q

NDT strategies and techniques

A
  • therapeutic handling at key points of control (hips, trunk, pelvis, and shoulders)
  • inhibition (decreasing tone) through slow rolling, weight bearing, and positioning
  • facilitation of movement through guiding to promote weight shift, protective extension, righting reactions, and equilibrium
30
Q

When to use NDT FOR

A
  • children with irregular tone
31
Q

When it’s inappropriate to use NDT FOR

A
  • children without physical disability or physical disability that does not impact tone
32
Q

Ayres sensory integration

A
  • organization of sensory input to produce a response
  • changes at a neurological level
33
Q

Rehabilitation

A
  • allows a person to return to previous occupations, generally after an injury with compensations and adaptations
  • changes how person completes occupations such as adaptive equipment or strategies
  • strategies include = teaching and learning, environmental modifications, training caregivers, and adapted dressing