Lecture 2 chapter 6

Question 1

Examination

Answer 1

What measure, selection of intervention strateigies/creation of POC

Question 2

Intervention

Answer 2

Guiedlines for how to proceed through clinical intervention process and conclusions draw regarding intervention process

Question 3

Use of evidence

Answer 3

Provides a structure to organize the rapidly expanding body of research

Question 4

Outcomes

Answer 4

Organize the most relevant rehabilitation outcomes as well as the aspect measured by the outcomes (inpairment, function, or enviormental aspects)

Question 5

Conceptual Framework Concepts

Answer 5

Model of practice (APTA)
Model of function and disability (ICF)
Hypothesis-oriented clinical practice
Principles of motor control and motor learning
Evidence-based clinical practice

Question 6

APTA Model of practifce

Answer 6

Iterative process
5 elements
Examination
Evaluation
Diagnosis
Prognosis
Intervention

Question 7

World Health Organization (WHO) model - ICF

Answer 7

Health conidtion
Inperement level
Functional limitation level
Participation level
Highly individual
Enviormental factors
Personal factors

Question 8

Hypothesis-Oriented Clinical practice

Answer 8

Hypothesis generation assists clinician in: determining relationship between functional limitations and underlying impairments.
Evaluation effects of intervention and planning revisions
Dependent on Theory of motor control and motor learning

Question 9

Evidence-Based Clinical Practice (EBP)

Answer 9

Philosophical approach to clinical practice that integrates best available reserch, clinical expertise, and client characteristics
Critical in ensuring clinical practice is consistent with evolving research basis for the field

Question 10

Task-Oriented Approach to Clinical Practice

Answer 10

A milti-faceted approach to clinical management of motor control challenges in patients with CNS pathology
Integrated within the ICF framework

Question 11

Task-Oriented Approach to Examination

Answer 11

Evaluate functional activies and participation
Describes the strategies used to accomplish functional skills
Quantify the underlying sensory, motor, and cognitive impairments that constrain performance of functional activites and restrict participation
Recognize the importance of contextual factors (enviormental or personal) that affect how an individual functions in a social and physcial context

Question 12

Quantifying “Motor Control” Body structure

Answer 12

ROM, MMT, ect

Question 13

Quantifying “Motor Control” Body Function

Answer 13

Coordination, DOF, Feedback and Adaptability, Spatial and temporal parameters of task performance, effect of cognitive attention on task performance

Question 14

Task Specific Analysis Activity level

Answer 14

Provides a clearer picture of the patients functional skills related to a limmited set of tasks the clinical will be directly involved in retraining

Basic functional movements
Balance and posture
Upper extremity skills
Locomotion and mobility

Question 15

Framework for Movement Analysis of tasks

Answer 15

Developed a method for movement analysis of tasks

6 core tasks:
Sitting
Sit to stand
Standing
Walking
Step up/down
Reach/grasp/manipulate

Question 16

Terms for movement analysis

Answer 16

Symmetry
Speed
Amplitude
Alignment
Postural Control - verticality, stability
Coordination- smoothness, sequencing, timing, accuracy
Symptom provocation

Question 17

Sit to stand movement analysis worksheet

Answer 17

Question 18

Analysis of Posture and Balance

Answer 18

BESTest 36-item exam

Question 19

Balance Evakuation Systems Test (BESTest)

Answer 19

Biomechanical Constraints
Stability Limits/Verticality
Anticipatory Postural Adjustments
Postural Responses
Sensory Orientation
Stability in Gait

Question 20

Components of motor control

Answer 20

Agility
Balance
Power
Speed
Coordiantion
Reaction time

Question 21

Agility

Answer 21

ability to change direction and positon of body without losing control

Question 22

Balance

Answer 22

Ability to stay upright and in positon, even in the face of obstacles

Question 23

Power

Answer 23

Ability to generate force, a comnination of speed and strength

Question 24

Speed

Answer 24

ability to quickly complete certain tasks

Question 25

Coordination

Answer 25

Ability to use different parts of the body together smoothly and effiecent More qualitative than quantitative Includes: heel to shin, finger to nose, rapid alternating movements (RAM) Use of angle-angle diagrams improves quantitative nature

Question 26

Degrees of freedome problem

Answer 26

Number of independent components in a control system and the number of ways each component can vary Control problem that occurs in the designing of a complex system that must produce a specific result

Question 27

Reaction TIme (RT)

Answer 27

How long it takes a person to prepare and intiate a movement The interval of time between the onset of a signal (stimulus) and the initiation of a response or a movement

Question 28

Three types of reaction time

Answer 28

Simple, Choice, Discriminate

Question 29

Simple RT

Answer 29

1 simulus and 1 response Pres a key when a light or tone is presented Recorded as minimal time needed to respond

Question 30

Choice RT

Answer 30

more than 1 stimulus, but each stimulus has a designated response Multiple stimuli, each requiring a different response Recorded as time that elapse between presented of stimulu and the response Requires increased time to process information

Question 31

Discriminate RT

Answer 31

multiple stimuli but only 1 response Used to measure cognitive processes such as attention, perception, and desicion-making Multiple stimuli presentd, required to respond to one specific target stimulus while ignoring other distractors

Question 32

Task-Oriented Approach to intervention

Answer 32

Resolve, reduce or prevent impairments in body structure and function Develop effective and efficient task specific strategies for accomplishing functional task goals Adapt functional goal-oriented strategies to changing task and enviormental conditions to maximize participation and minimize disablement

Question 33

Recovery

Answer 33

Returning capability of the individual to perform a task using mechanisms used prior to injury Get back to normal

Question 34

Compensation/ Compensatory Stratigies

Answer 34

Atypical approaches that take advantage of the patients residual abilites