Home Environment

Question 1

Why is environmental accessibility important in optimizing patient function?

Answer 1

It ensures the patient can safely and effectively interact with their environment, enhancing independence and participation in daily activities

Question 2

What are common environmental barriers in the home, workplace, and community that affect patient function?

Answer 2

Home: Narrow doorways, steep stairs, uneven flooring.
Workplace: Inaccessible desks, improper lighting, limited wheelchair space.
Community: Lack of ramps, poor public transportation access, uneven sidewalks.

Question 3

What strategies can improve patient function through environmental modifications?

Answer 3

Install ramps, handrails, and grab bars.
Rearrange furniture for mobility aids.
Add non-slip flooring and improve lighting.
Use assistive devices like transfer benches or stair lifts

Question 4

What is the scope of adaptive equipment and assistive technology options for individuals with disabilities?

Answer 4

Adaptive equipment: Grab bars, raised toilet seats, ramps, and stair lifts, shoe horn, reachers, etc.
Assistive technology: automated pill dispenser, hydration reminder, digital clock, med. alert device. **electronic!

Question 5

What modification options are available for improving accessibility in the home?

Answer 5

Widen doorways to 32–34 inches.
Install ramps with a 1:12 slope ratio.
Add grab bars in bathrooms.
Ensure kitchen countertops and switches are at an accessible height.

Question 6

How has the historical context influenced rehabilitation approaches?

Answer 6

Early focus: Reflex-based approaches like Bobath and Brunnstrom emphasized tone and posture.
Modern focus: Neuroplasticity and task-specific training prioritize functional recovery and active learning.

Question 7

What are key steps in integrating treatment techniques into neuro rehab interventions?

Answer 7

1. Analyze patient tasks and environment.
2. Identify missing components of functional movements.
3. Incorporate assistive devices and environmental adaptations.
4. Provide task-specific training in real-life contexts

Question 8

What are the recommendations for installing handrails? What measurements?

Answer 8

height 34-38 inches
one handrail should extend minimum of 12” beyond foot and top of stairs

Question 9

What are the recommendations for installing ramps? What measurements?

Answer 9

for every inch of height, 12” of ramp. 1:12
minimum of 36” wide

Question 10

What are the recommendations for doorway width? What measurement?

Answer 10

32-34”

Question 11

What are the recommendations for stairs? What measurements?

Answer 11

Step height should be 7” or less, minimum of 11” depth