Lecture 3--Functional training

Question 1

What does ICF stand for?

Answer 1

International Classification of functioning disability and health (ICF) model of functioning and disability

Question 2

What is the description of health condition in the ICF and an example?

Answer 2

A disease, disorder, injury or trauma

–CVA

Question 3

What is an impairment in the ICF and an example?

Answer 3

Problems in body function (physiological functions) or structures (anatomical parts of the body)

• -Hemiparesis (weakness)
• -Sensory loss
• -Dyspraxia

Question 4

What is an activity limitation on the ICF and an example?

Answer 4

Difficulties executing tasks or actions. Can include limitations in cognitive/learning skills, functional mobility skills, ADLs, “usual activities” for that person

• -Difficulty getting dressed
• -Difficulty eating
• -Difficulty with transfers

Question 5

What are participation restrictions on the ICF and an example?

Answer 5

Problems in involvement in life situations and social interactions problems with life roles in home management , work, community, leisure

• -difficulty cleaning house
• -difficulty with job duties

Question 6

What is our main focus with neurologic patients on the ICF

Answer 6

focus on activity limitations and participant restrictions

Question 7

What is functional training?

Answer 7

functional, TASK SPECIFIC, based on careful examination of motor function and activity performance

Question 8

What are some examples of functional training?

Answer 8

bed mobility, transfers, sitting balance, standing balance

these are all activity limitations

Question 9

After functional training is achieved we can work on ______ ______

Answer 9

Participant restrictions

*extensive practice and appropriate feedback is essential

Question 10

With functional training we want to continually modify the tasks by what 3 things?

Answer 10

Increase the level of difficulty
Promote adaptation skills
promote independence

Question 11

what is the overall goal of functional training?

Answer 11

Active movement

Question 12

What is task-oriented training?

Answer 12

• -Effective counteracts the effects of immobility
• -Prevents development of indirect impairments such as muscle weakness or loss of flexibility
• -Prevents learned house of involved segments while stimulating CNS

Question 13

Patients who may not be able to participate with task-oriented training what do you do?

Answer 13

Focus on impairment interventions and lead up activities

-engage them as much as you can

Question 14

What are the functional postures

Answer 14

• -Prone on elbows
• -quadruped
• -bridging
• -sitting
• -kneeling
• -modified plantigrade
• -standing

Question 15

T/F is it important to control the environment when doing functional training?

Answer 15

TRUE

• -early on patients benefit from practice in a stable, predictable environment
• -As learning progress environment can be changed
• -Make sure the environment is safe

Question 16

T/F think “safety” first in each therapy session but allow for error in learning?

Answer 16

TRUE

–Plan ahead if the person starts to fall or loses balance

Question 17

What are some strategies with functional task-oriented training strategies?

Answer 17

• emphasize early training
• define a goal ( with patient and family)
• determine the activities to practice
• determine the parameters of practice
• utilize behavior shaping
• promote problem solving
• structure the environment
• establish parameters for practice outside of therapy
• maintain focus on active learning (hands on)
• monitor recover closely and document progress (functional outcome measures

Question 18

REMEMBER TO LOOK AT TABLE 10.6 functional postures and potential treatment benefits

Answer 18

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