Prelims: ICF, HOAC II, Intro to Measures in Rehab

Question 1

What is the primary purpose of the ICF?

Answer 1

To provide a standard language and framework for health and health-related states.

Question 2

How does the ICF define “functioning” VS “disability”?

Answer 2

Functions: All body functions, activities, and participation.
Disability: Impairments, activity limitations, and participation restrictions.

Question 3

What are the two main components classified by the ICF?

Answer 3

Body functions and structures, and domains of activity and participation.

Question 3

What is a key use of the ICF?

Answer 3

As a planning and policy tool for decision-makers.

Question 3

What are the outcomes of interactions between health conditions and contextual factors in ICF?

Answer 3

Disability and functioning.

Question 3

How are health conditions compared in the ICF?

Answer 3

Using a common metric based on impact, not cause.

Question 4

Why is the ICF important for public health purposes?

Answer 4

It provides consistent and internationally comparable data on health and disability.

Question 4

Name a use of the ICF at the individual level.

Answer 4

Assessing individual functioning or planning treatments.

Question 4

What does the ICF address that traditional medical classifications do not?

Answer 4

Levels of functioning and disability.

Question 4

Body Functions VS Body Structures

Answer 4

Body Functions are physiological functions of body systems (including
psychological functions).
Body Structures are anatomical parts of the body such as organs, limbs and
their components.

Question 4

What are internal personal factors in the ICF framework?

Answer 4

Gender, age, coping styles, social background, education, profession, past and current experiences, behavior patterns, character.

Question 4

Barriers vs Facilitators

Answer 4

Barriers: Aspects of the environment that restrict or hinder functioning. For example, a poorly designed workplace can be a barrier.
Facilitators: Aspects of the environment that help or improve functioning. For example, accessible buildings and assistive technologies are facilitators.

Question 4

What aspect of disability does the ICF help measure in terms of interventions?

Answer 4

The impact of interventions on functional capacity and performance.

Question 4

What does HOAC II stand for?

Answer 4

Hypothesis-Oriented Algorithm for Clinicians II.

Question 4

What is the focus of Part 2 of HOAC II?

Answer 4

Ongoing assessment of progress, adjustment of interventions, and documentation of changes and outcomes.

Question 5

What are the two main parts of the HOAC II framework?

Answer 5

Part 1: Problem Identification and Intervention Planning
Part 2: Ongoing Assessment and Adjustment

Question 5

What is the focus of Part 1 of HOAC II?

Answer 5

Data collection, problem identification, goal setting, defining criteria for goal achievement, assessing impairments, and planning and implementing the plan of care.

Question 6

How are predictive criteria different from testing criteria?

Answer 6

Predictive criteria relate to anticipated problems and focus on eliminating risk factors or preventing issues from occurring, whereas testing criteria assess existing problems.

Question 6

What is the purpose of establishing testing criteria in HOAC II?

Answer 6

To evaluate the viability of the hypotheses and to determine if the interventions are achieving the desired outcomes for existing problems.

Question 6

What should therapists do if predictive criteria for anticipated problems are met?

Answer 6

: They should consider if the preventive interventions are still needed or if adjustments to the plan are necessary.

Question 6

are problems in body function or structure such as a significant deviation or loss

Answer 6

IMPAIRMENT

Question 6

Execution of task or action by an individual

Answer 6

Activity

Question 6

What should therapists do if a preventive intervention is not effective?

Answer 6

Reassess the anticipated problem, update the problem list, and adjust the intervention plan as needed.

Question 7

What is the role of Part 2 in the treatment process?

Answer 7

To evaluate the effectiveness of interventions, make necessary adjustments, and document changes to ensure that the treatment plan remains effective and relevant.

Question 7

involvement in a life situation.

Answer 7

Participation

Question 7

HOAC II Purpose:

Answer 7

Guides evidence-based interventions and documentation.
Aligns with APTA guidelines.

Question 7

Focus of HOAC II (part 1 &2)

Answer 7

Part 1: Remediation of functional deficits.
Part 2: Prevention and justification of interventions.

Question 8

Application of critical thinking in clinical contexts.
Structures patient care strategies.

Answer 8

Clinica reasoning

Question 9

Core Elements of Clinical reasoning

Answer 9

Knowledge-Based: Foundational understanding.
Cognition: Analyzing, synthesizing, creating.
Metacognition: Self-correction.

Question 10

Types of Clinical Reasoning

Answer 10

Procedural, Interactive, Conditional, Narrative, Pragmatic.

Question 11

Stages of Reflective Practice:

Answer 11

Preparatory: Before action.
Reflection in Action: During treatment.
Reflection on Action: After treatment.

Question 12

Common causes of errors in clinical reasoning

Answer 12

Early hypotheses, over-reliance on techniques, shallow reasoning.

Question 13

Assessment vs. Examination:

Answer 13

Assessment: Interpreting results.
Examination: Gathering patient history and reviewing systems.

Question 14

Characteristics of Measurement:

Answer 14

Levels: Validity, reliability, sensitivity.
Purpose-Based: Discriminative, predictive, evaluative.
Function-Based: Technical, functional, quality of life

Question 15

Evaluation Principles

Answer 15

Basis for communication, documentation, clinical reasoning, goal setting.