OT Eval Process for Spinal Cord Injury

Question 1

Once ____ is received, the top-down approach of beginning an evaluation with an occupational profile is recommended.

Answer 1

medical clearance

Question 2

Beginning a SCI evaluation with an ____ is recommended

Answer 2

occupational profile

Question 3

After the occupational profile, evaluation continues with assessment of (4 things)

Answer 3

occupational and psychosocial needs, physical status, and functional status.

Question 4

Physical evaluation begins with identifying _____

Answer 4

medical precautions

Question 5

Physical evaluation begins with identifying medical precautions, including (2 things).

Answer 5

how much movement and load the client is allowed without jeopardizing spinal integrity

Question 6

Physical evaluation includes assessment of the

following:

Answer 6

Upper-extremity ROM, strength, muscle tone, sensation, and trunk balance.

Question 7

What assessment is appropriate for determining strength in individuals with SCI?

Answer 7

MMT

Question 8

In assessing the client’s strength, ROM, tone, sensation, and balance, the therapist must also monitor (3 things)

Answer 8

endurance, fatigue, and pain level

Question 9

Evaluation of hand and wrist function should be completed for clients with _____.

Answer 9

tetraplegia

Question 10

Standardized hand function tests may be used for clients with SCI ____ the acute rehabilitation phase.

Answer 10

beyond

Question 11

The occupational performance evaluation occurs through (3 things) which may include the following

Answer 11

observation and standardized and nonstandardized assessments,

Question 12

The Spinal Cord Independence Measure is completed by _____ and includes measures of ADL performance, sphincter control, respiration, and mobility

Answer 12

the health care team

Question 13

The Spinal Cord Independence Measure is completed by the healthcare team and includes measures of (4 things)

Answer 13

ADL performance, sphincter control, respiration, and mobility

Question 14

The FIMTM is a widely used measure to assess severity of disability and client function but is not specific to SCI

Answer 14

Know you can use the FIM for clients with SCI

Question 15

The Canadian Occupational Performance Measure measures changes in clients’ self-perception of their occupational performance over time but is not specific to SCI

Answer 15

Know you can use the COPM for clients with SCI