L2 Interventions

Question 1

Plan integrates fundamental principels of ped PT

Answer 1

family-centered
focus on individualized functional outcomes

commitment to interdisciplinary process

Question 2

Skills for creating interventions

Answer 2

ICF
principles of motor development, motor control, motor learning

evidence for interventions

Question 3

How to create hypothesis oriented ped interventions

Answer 3

1. initial hypothesis
2. initial data collection
3. problem statement
4. hypothesize goals
5. exam planning
6. exam
7. eval
8. diagnosis/prognosis
9. general intervention planning
10. intervention session planning
11. Reflection
12. Formal re-eval

Question 4

Participation is optimized by real-life experiences, like…

Answer 4

child’s active involvement
friendships/connections with others
learning and skill development
enjoyment

Question 5

Physical engagement

Answer 5

what the child is doing

Question 6

Social engagement

Answer 6

interpersonal interactions

Question 7

Self-engagement

Answer 7

child’s enjoyment in the moment

Question 8

Determinants of participation

Answer 8

child
family
environment

Question 9

Dimensions of participation

Answer 9

physical
social
self

Question 10

Principles of participation-based PT/OT

Answer 10

-goal oriented
-family-centered
-collaborative
-strengths-based
-ecological
-self-determined
-evaluate processes and outcomes w/child and family

Question 11

Five step process for participation based therapy

Answer 11

1. Develop a collaborative relationship with family and child
2. Determine mutually agreed upon goals from home and community participation
3. assess child, family, and environment strengths and what needs to occur
4. Develop and implement the intervention plan
5. Eval processes and outcomes with the child and family

Question 12

Principles for activity-focused interventions

Answer 12

1. Top-down approach
2. Recognition that relationship between function and QOL is complex
3. Advocacy (for family and child)
4. Focus on individualized, meaningful goals that the family have identified as important
5. Goals should be well-written and measurable
6. Interdisciplinary approach
7. Effectively integrate three components outlined by guide to PT practice (communication, instruction, individualized)
8. Eval therapeutic effect of interventions

Question 13

Individual Considerations for Activity based interventions

Answer 13

age
parent/caregiver
cognition/communication
cultural factors
space/environment
peers/siblings
time management
team input

Question 14

Session Objectives

Answer 14

important to choose activities to meet your short term goal and participation goal

Question 15

Goals need..

Answer 15

Child’s name
Behavior
Condition
Degree
Expected Time
Functional

Question 16

Guidelines for Activity-Focused Practice

Answer 16

1. Practice
2. Make practice fun and motivating
3. Thoughtfully plan the practice activities
4. Use toys to promote desired functional outcomes
5. Adjust task complexity and difficulty
6. Schedule practice to enhance retention and transfer
7. Adapt the physical environment to support desired motor behaviors
8. Conduct practice in natural environment when practical
9. consider the influnce of psychosocial environment
10. provide augmented information
11. apply behavioral strategies for children unable to benefit from verbally mediated guidance and feedback

Question 17

1. Practice

Answer 17

multiple trials
flexibility in practice
frequency variations
understand when to use errors and not

Question 18

2. Make practice fun and motivating

Answer 18

play is the work of children
incorporate child’s interests and own goals

(focus on task)

Question 19

3. Thoughtfully plan the practice activities

Answer 19

might be the actual task itself or a component of that task

Question 20

4. Use toys to promote desired functional outcomes

Answer 20

meet the developmental needs of child
meet objective of practice session

Question 21

5. Adjust task complexity and difficulty

Answer 21

do so to appropriate level
individualized
part task, focus on a component

closed vs open task

Question 22

Closed task

Answer 22

environment stays the same

Question 23

Open task

Answer 23

environmental conditions change on each trial

Question 24

6. Schedule practice to enhance retention and transfer

Answer 24

consider the child’s learning style
degree of difficulty of task variation
prior experience
attention and memory

Question 25

7. Adapt the physical environment to support desired motor behaviors

Answer 25

use objects, person, sensory features, perception-action framework integrated into dynamic systems approaches

Question 26

8. Conduct practice in the natural environment when practical

Answer 26

collaborate with families and classroom personnel to create environments that will promote opportunities for learning

consider this strategy especially for children with cognitive limitations to improve transfer and generalizability of skills

Question 27

9. Consider the influence of psychosocial environment

Answer 27

focus on motivation, expectations, encouragement, hx of trauma

Question 28

10. thoughtfully provide augmented info

Answer 28

Use different types of feedback and instruction

understand the difference between knowledge of results and performance, and what works best for the child

physical guidance and cognitive strategies can be helpful as well

Question 29

11. Apply behavioral strategies for children unable to benefit from verbally mediated guidance and feedback

Answer 29

for children with cognitive impairments, visual cues and repetition may be more useful

also use positive reinforcements, fading supports, ignoring challenging behaviors, and scheduled teaching