Overview of TI Flashcards
ICF Model and Interventions
What does the WHO define health as?
the state of complete physical, mental, and social well-being
What is the ICF model?
conceptual framework characterized as a biopsychosocial model that integrates abilities and disabilities and provides a coherent perspective of various aspects of human functioning and disability as they relate to the continuum of health
The ICF model was designed to place _ emphasis on diseases and _ on how people are affected.
less, more
What is the purpose for the classification? (ICF)
knowledge of relationships among health, disability, and functioning provides a foundation for delivery of effective HC -
which provides a framework for how practice can be organized and how research can be based
facilitating effective management and care of pts reflected by meaningful outcomes
What are the components of the ICF model?
Functioning and Disability (Activity and Participation, Body Functions and Stucture) and contextual factors (environmental and personal)
What about the health conditions component of the ICF model?
they are acute or chronic diseases, disorders, or injuries that have an impact on level of activity
characterized by a set of abnormal findings indicative of alterations/interruptions of structure or function of the body
basis of medical Dx and trigger medical intervention
What is the Body Functions and Structures component of the ICF model about?
impairments in body function:
including problems assoc. w/ function of body systems (incl. physiological and psychological functions) and problems with anatomical features (Such as significant deviation or loss effecting all body systems)
What is the Activity component of the ICF model?
activity limitations include difficulties an individual may have in executing actions, tasks, or activities
What is the participation a component of the ICF model about?
problems an individual may experience in involvement of life situations
includes difficulties participating in self-care, responsibilities in the home, workplace, or community, and recreation or leisure or social activities
What are the environmental factors of the ICF model?
include physical, social, and attitudinal environment in which people conduct their lives
can facilitate or hinder functioning
What are the personal factors of the ICF model?
features of individual not part of health condition or state that interact as constructs (such as age, gender, race, lifestyle habits, coping skills, character, affect, culture, education)
What are the factors that selecting interventions are matched based upon?
exam findings (incl. date collection, systems review, tests and measures)
eval
Dx to support PT intervention
PX assoc w/ improved or maintained health status
Goals and outcomes
=POC
What are the common MSK impairments managed thru PT intervention?
pain, muscle weakness/reduced torque production, decreased muscular endurance, limited ROM, restriction of joint capsule, restriction of periarticular CT, decreased muscle length, joint hypermobility, faulty posture, muscle length/strength imbalances
What are the common NMS impairments managed thru PT intervention?
pain; impaired balance, postural stability, or control; incoordination, faulty timing; delayed motor development; abnormal tone (hypotonia, hypertonia, dystonia); ineffective/inefficient functional movement strategies
What are the common CVS/Pulm impairments managed thru PT intervention?
Decreased aerobic capacity, impaired circulation, pain with sustained activity
What are primary impairments?
arise directly from the health condition
What are secondary impairments?
result of preexisting impairments
What are composite impairments?
result of multiple underlying causes and arises from a combination of primary or secondary impairments
Describe the impairment based approach.
If ROM is limited, ROM exercises are implemented;
if muscle flexibility is limited, stretching, stretching is Rxed;
if muscle strength is limited, resistance training is Rxed
and so on
True/False: Impairments manifest differently from one patient to the other.
true
True/False: All impairment are linked to activity limitations and participation restrictions or lead to disability.
false - not all impairments are necessarily linked
The important key to effective management is recognition of _.
functionally relevant impairments (elimination/reduction of them is necessary during Tx)
What are the strategies for establishing relevance?
when possible, use reliable and valid tests with know predictive validity
consider when testing alters familiar symptoms
consider when intervention corresponds with positive changes in signs/symptoms
consider when improvements correspond with positive changes in signs/symptoms
What is the activity based approach?
intervention approach addressing activity limitations: consider overlap in them and impairments
What are common activity limitations related to physical tasks?
reaching/grasping, lifting/carrying/lowering, pushing/pulling, bending/stooping, turning/twisting, throwing/catching, rolling, sitting/standing, squatting/crouching, kneeling, standing up and sitting down, getting in and out of bed, moving around in various environments (i.e crawling, walking), ascending and descending ladders/stairs, hopping/jumping, kicking or swinging an object
What are the participation restrictions that may exist against PT regimen?
problems a person may experience in involvement in life situations as measured against social standards - specific to age, gender, sex, culture, etc
What are the areas of functioning?
self care, mobility in the community, occupational tasks, school-related tasks, home management, caring for dependents, recreational and leisure activities, socializing with friends/family, community responsibilities and service
What is the core of patient centered care?
reducing activity restrictions
