Occupational Therapy and the Musculoskeletal System (Week 1)

Question 1

Orthopedic conditions compromise _____

Answer 1

occupations - adls, iadls, leisure, sleep, education, social life, work, play

Question 2

Client factors effected by orthopedic conditions

Answer 2

Values, beliefs, and spirituality
Body functions
body structures

Question 3

Limited joint mobility =

Answer 3

decrease in daily activities which affects ones role performance

Question 4

Decrease in muscle strength and endurance is a result of

Answer 4

immobilization of joint during recovery

Question 5

Impact of Guarding position

Answer 5

decreased ROM
Decrease in strength
pain in joints not involved in the injury/condition

Question 6

impact of Joint pain and inflammation

Answer 6

limited ROM
Integrity of bone is compromised
(use adaptive equipment)

Question 7

Balance issues require _______ to prevent falls.

Answer 7

modifications

Question 8

Intervention for movement related function

Answer 8

practice energy conservation

Question 9

Interdisciplinary interventions for orthopedic conditions

Answer 9

1. medical therapy (pain management, antibiotics, anticoagulants)
2. physical therapy - general strengthening and ROM - LE focused

Question 10

7 parts of the occupational-focused assessment

Answer 10

1. Role Checklist
2. Occupational performance Hx Interview II (OPHI-II)
3. Assessment of motor and process skills (AMPS)
4. Activity Measure for Post-Acute Care (AM-PAC)
5. Performance Assessment of Self Care Skills (PASS)
6. Canadian Occupational Performance Measure (COPM)
7. Short Form-36

Question 11

What is the Role Checklist assessment?

Answer 11

client participation in and value placed on occupational roles

Question 12

What is the Occupational Performance Hx Interview II (OPHI-II) assessment?

Answer 12

gathers information about occupational performance and participation overtime

Question 13

What is the Assessment of Motor and Process Skills (AMPS)?

Answer 13

assessment of skills in context to performing functional tasks

Question 14

What is the Activity Measure of Post-Acute (AM-PAC) care assessment?

Answer 14

measures mobility, adl’s and cognition

Question 15

What is the Performance Assessment of Self-Care Skills?

Answer 15

Observation of functional mobility, personal care and home management

Question 16

What is the Canadian Occupational Performance Measure (COPM)?

Answer 16

a self-assessment of performance and satisfaction in various areas of occupation overtime

Question 17

What is the Short Form-36 assessment?

Answer 17

a standardized scale that measures health-related quality of life

Question 18

Assessments of client factors (6)

Answer 18

1. disability of arm, shoulder, hand (DASH)
2. ROM
3. Measure of Pain
4. Manual Muscle testing
5. Measures of grasp and pinch strength
6. Measures of edema

Question 19

What is the DASH assessment?

Answer 19

a questionnaire that rates the disability and symptoms related to UE musculoskeletal disorders (arm shoulder hand)

Question 20

Occupational therapists role in orthopedic conditions

Answer 20

restore occupational function while following proper precautions and communicating them continually to the client.

Question 21

During the acute stage of recovery an OT will (4)

Answer 21

1. educate the client
2. evaluate client factors and therapeutic goals
3. remediate muscles and joints around the site through controlled movement and strengthening exercise
4. provide additional support and comfort when working with slings/ braces/ splints

Question 22

What are the compensatory strategies of ADL retraining (3)

Answer 22

1. adaptive devices
2. task modification
3. environmental modification
   * may be temporary or permanent

Question 23

Occupation therapists conduct environmental assessments and fall prevention by

Answer 23

1. educating older adults
2. prevent exacerbation of the client
3. conduct a home/work visit to assess mobility and participation and recommend modifications
4. suggest community mobility

Question 24

Evidence that early mobilization of UE is effective (3)

Answer 24

1. decreased pain
2. decreased swelling
3. quicker return to occupation

Question 25

Evidence occupational therapy is effective in acute care for older adults and hip fx

Answer 25

1. increased recovery of ambulation
2. increase in functional recovery
3. decreased stay in the hospital
4. increase LE strength
5. increase in fall self-efficacy