Participation, Activity, And FX Flashcards
Definition of activity based on ICF
Execution of a task or action by an individual
— essential to support physical, social, and pscyhological well being
— essential to create a personal sense of meaningful life
What are basic activities of daily living
BADL
- routine activities that people typically do without assistance
Ex: bathing, dressing, feeding, toileting, in home mobility, transfers
What are instrumental activities of daily living
IADL
- activities that allow an individual to live independent in a community
Ex: cooking/cleaning, shopping, driving, taking public trans, community mobility, social activities/recreation
What is the ICF definition of participation
Involvement in a life situation
- participation reflects the extent of engagement in the full range of activities that accomplish a larger goal
What are the 2 key elements of participation
Attendance — being there
Involvement — being in the moment
What are the benefits of participation
- Improving physical health and fitness
- Increased psychosocial and emotional wellbeing
- Enchanted academic achievement and attainment
- Reduced risk taking and problem behaviors
Does participation differ between children with and without disabilities?
Heck yes
What are the factors affecting participation
Gross motor función
Cognition and communication skills
Age
Gender
Enviornment
What are the quantifiable methods to document activity?
Nominal: yes vs no
Original: rank order
FIM levels: WeeFIM from 1-7
Interval: points are equidistant from one another
Ratio: endpoint zero, scores equidistant
What are other methods of quantifying activity
Event recording — tally the occurrence of a sit to stand
Duration recording — how long do they take to do the task
Rate recording — frequency of task/time
Time sample recording — how often within time interval
Functional consequence — presence of pain during activity
What is the gross motor function measure? GMFM
Clinical measure developed to evaluate change in gross motor function in children with CP
- evidence that the GMFM is also valid with children with DS
- used for children from 5 months to 16 years of age with a disability
- responsive to therapeutic intervention because measures change in performance and clinical relevance
What activities are examined in the GMFM
Lying and rolling
Sitting
Crawling and kneeling
Standing
Walking, running, jumping
How does scoring work for the GMFM
Scoring is based on a 4 point scale using a key
0 = does not initiate. The child is requested to attempt an item but is unable to commence any part of the activity
1= initiates but less than 10% of the task is completed
2 = partially completes but 10% to less than 100% of the task is completed
3 = completes 100% of task
NT = not tested. Either not administered or child refuses but you think they might be able to do all or part of it
How to measure the ability to cross a busy street at a light?
Walk 100 feet unassisted
Time test — walks across street in 30 seconds
Event recording — number of times have loss of balance when descending curb
What are additional factors to consider with participation
Diversity
Intensity
Enjoyment of activities
With whom and where do they participate in these activities
Preference for individual activities
- choice
- control
- meaning
- satisfaction
- desire to change
- belonging