POT rationales: Ethics, PEDS, MUSC Flashcards
What is the key for functional skill training approach?
Repetition is key
What is inter-rater reliability?
Different person administers the same test.
The larger the number, the better the reliability= from 0-1
Values closer to 0-> reliability is poor.
What are some prevention stages?
Primary- seeks to prevent onset of specific disease by altering lifestyle/disease
Secondary- already has the disease, change lifestyle before disability worsens
Tertiary- maximize function when disability already exists.
OT/OTA Supervision: What is general supervision?
Monthly
OT/OTA Supervision: What is close supervision?
Daily
OT/OTA Supervision: What is routine supervision?
Biweekly
OT/OTA Supervision: What is minimal supervision?
As needed basis
In HMOs, they use case manager to _____ payment for all medical services provided including OT services.
review/approve
What is patient outcomes data?
It shows overall improvement of patients who receive OT. Like FIM
What is the Pearson-product moment correlation coefficient?
It is the R. The linear correlation between x and y. Measures direction and strength.
What is reliability?
Measures consistency over time
What is validity?
Measures what its supposed to do?
Every 1 CEU=
10 PDUs or 10 contact hours
What levels of OT can supervise a level I student?
All levels. OT and OTA
What is Spina Bifida Myelimeningocele?
They have motor and sensory deficits in lower limbs, difficulty with dressing, balance, locomotion. May lead to a paralysis.
Piaget’s 3 Stages of Play:
Functional (Sensorimotor)
Symbolic- experience concepts and good to increase cognitive skills
Pretend
What is Pervasive Development Disorder?
Kinda like autism. Problems with communication, socialization, and repetition.
What kinds of intervention is used for kids with
ADHD?
Structured activities with clear rules and end results. Provide pictures of calendar activities.
What disease is caused by poor nutritional intake?
Spina Bifida
This is a stage of development where a baby starts to perform segmental rolling.
6 months
What is Spina Bifida Occulta?
do not present with obvious sxs, but have occasional neuro and motor instability. “Cleft Spine”
What does MVPT assesses?
Standardized test assess visual-perception, spatial relations, visual discrimination, visual memory, figure ground.
What type of extinction procedure occurs when reinforcement of a previously reinforced bx is discontinued?
Time out
What type of splint to use for a kid with distal radial injury?
neoprene hand splint with thermoplastic component
How would you position for a pt with CP in extensor tone?
OT will flex neck, LEs, prepare for easier and smoother transfer.
What feeding intervention can you use for a pt with Tonic Bite Reflex?
Intervention for feeding: use rubber coated spoon to provide smoother surface and protect child’s teeth from injury.
What is a typical grasp development pattern for 6, 7, 8, and 9 months?
Radial Palmar (6 mos)→ Radial Palmar Wrist extended (7 mos)→ Radial digital grasp (8 mos) → Radial digital wrist extended (9 mos)
What is another term of dyspraxia?
Development coordination disorder
What position should you do to a pt who has difficulty dressing 2nd to poor sitting balance?
Sidelying
What AE recommendation would you suggest to help pt to sit on the floor and play games with other peers?
Floor sitter
What is Arthrogryposis?
Multiple joint contractures found throughout the body at birth.
What is Tendinitis?
This is caused by sudden injury from repeated motion from the tendon. intervention- mobilization and graded fx activities.
What splint should you use for a pt with Mallet finger?
DIP extension splint to avoid DIP flexion
What kind of presentation would you expect to see for a pt with High Median Nerve Injury?
Weakness in Forearm pronation, wrist and finger flexion, lack of thumb opposition
What are contraindications of Parrafin wax?
with open wound and surgical site
What type of learning facilitates learning, allows self-monitoring, and controls physiological response?
Biofeedback
What is the normal ROM for elbow extension?
0-45 degrees
What is Intrinsic Plus Splint?
MCP flex 60-70 degrees, IP Full EXT, Wrist EXT 10 degrees
What is Duputren’s disease and tx?
This is where fascia thickens, tightens over time. Surgical option splinting after recovery. PROM/AROM strength when healed
what type of splint should you recommend to a pt with flexor tendon injury?
Dorsal Blocking splint
What type of splint is recommended for a pt with radial tunnel syndrome who did not undergo surgery?
Long-arm splint. If with surgery, use wrist cock up EXT splint
What does 1 mean in MMT
No palpable movement. TRACE
What does 2 mean in MMT
Able to do complete ROM with GE
What does 3 means in MMT?
Able to hold position against gravity
What is the optimal position when measuring pinch strength?
pt position is shoulder add, elbow flexed at 90 degrees, forearm neutral.
What type of test is used to determine if you’re positive with ulnar nerve palsy?
Froment’s sign. Pinch in position, the thumb IP joint flexes if adductor mm is weak.
What is duran protocol?
Passive flexion of fingers
If you’re positive with Tinel’s sign, this means you have ___?
Carpal tunnel
What are contraindications with using TENS?
Seizure disorders
How should a person with rotator cuff injury sleep?
Sleep in reclined positioned with injured arm propped with a pillow.
What type of splint is used for median nerve injury?
C-bar, thumb opponens splint,
Swan neck deformity can be a complication from?
Arthritis
What is contrast bath?
Mixing ice in hot water.
What are contraindications for contrast bath?
Acute injuries, DVT, hemorrhagic conditions, chronic wound, impaired cognition, impaired local circulation
What type of grasp requires thumb opposition?
Conoid grasp
What is the difference between NMES and TENS?
NMES is to elicit and contract mm. TENS is for pain relief.
How should you test with a Semmes-Weinstein Monofilament?
occlude vision before testing normal sensation if pt able to detect 2.83 monofilament, then normal sensation
What type of splint is design to open the fingers and thumbs of hand to counter spasticity?
Anti-spasticity ball splint
What type of exercise is good for people with arthritis to provide support to weak and inflamed joints and reduce the risk of joint damage during exercise?
Aquatic
What type of PAM would you use for a pt with Epiphyseal Fracture?
Ice Pack
