Quiz 1 Flashcards

1
Q

% delay that qualifies for OT

A

30-33% delay in 1 area
25% delay in 2 areas

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2
Q

Education for All Handicapped Children Act (EHA)

A

special education law that provides children with disabilities the right to Free Appropriate Public Education in the Least Restrictive Environment

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3
Q

Zero Reject Policy

A

no child could be excluded from public school
each eligible child between the ages of 3-21 should receive an IEP

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4
Q

Procedural Due Process

A

-procedural safeguards that dictate the policies and procedures that educational teams need to follow to be in compliance with the law
-parental access to records
-right to individualized evaluation by qualified individual
-written notice in parent native language for any change or initiation of placement

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5
Q

Least Restrictive Environment

A

requires that children with disabilities receive their educational program with children who are not disabled

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6
Q

Individuals with Disabilities Education Act (IDEA)

A

-most important federal law for children with disabilities
* requires schools to serve educational needs of eligible
students with disabilities regardless of disability severity
* Schools must find and evaluate students suspected of having disabilities—at no cost to parent
● once a child identified as having a disability, schools must providethem with special education and related services
-autism, deaf, blind, emotional disturbance, Intellectual disability, orthopedic impairment, ADHD, learning disabilities, speech impairment, TBI

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7
Q

IDEA Part B

A

Assistance for All children with disabilities:
● related service – developmental, corrective and other supportive
services that are required to assist a child with a disability to
benefit from special education (includes OT)
● child (3-21 years) must meet eligibility requirements for special
education to receive OT services
-child is primary client
-eligibility: children who function educationally at least 2
years below grade level

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8
Q

IDEA Part C

A

Infants & Toddlers with disabilities:
○ Infants & Toddlers and their families (Early Intervention
is for children between the ages of 0-3)
-OT is primary service
-child and their family are your client
-environment: daycare/home
-Eligibility: one or more of the following areas
- Cognitive development
- Physical development
- Communication
- Social or emotional development
- Adaptive development
-such as prematurity, Down syndrome, cerebral palsy

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9
Q

Early Intervention

A

● Services for children 0-3 who have an established risk, developmental delay or are considered biologically or environmentally at risk
● To enhance the development of infants and toddlers with disabilities, minimizing risk for delays during the first 3 years of life
● Defined under Federal Law of the Individuals with Disabilities Education Act [IDEA] Part C to enhance the capacity of families to meet the special needs of their infants and
toddlers
-voluntary program, free of cost
5 Domain Areas: communication, physical, cognitive, social/emotional, adaptive
anyone can refer the child (parent, social worker, doctor, teacher)

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10
Q

Criteria for Eligibility in New York
State for EI

A

○ The child has a 12 month delay in one or more functional areas; or,
○ There is a 33% delay in one functional area or a 25% delay in each of two areas; or,
○ When standardized instruments are used during the evaluation process, a score of at least 2 standard deviations below the mean in one functional area or a score of at least 1.5 standard deviations below the mean in each of two functional areas
*Children considered at-risk for disability are not eligible in NYS (LBW, parental neglect)
-child is behind in at least one area of development

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11
Q

Developmental Monitoring

A

Children considered at-risk should be referred to the Developmental Monitoring Unit in the EIP.
* Developmental Monitoring (DM) tracks children who are at-risk for delay, but who might not currently show delays that would make them eligible for EI
○ When there is a significant change in the child’s development, the staff
member will discuss with the parents whether they would like their child
referred to the Early Intervention Program

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12
Q

Play is

A

○ Self-chosen/self-directed
○ Intrinsically motivated
○ Occurs in a relatively stress-free state but active state of mind
○ Pleasurable, meaningful

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13
Q

Solitary Play

A

0-2yrs
Child plays alone with their own toys.
The child does not attempt to play with other children or adults nearby.
Enjoys hide and go seek games, looking through books, imitation and
pretend games, and verbal games

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14
Q

Pretend Play/Symbolic Play

A

18months-2yrs+
Child begins to imitate adult (talking on the phone, putting on shoes and
using keys to unlock a door)
uses inanimate objects to pretent (eg. Uses banana as telethephone)
At Age 3-4 this turns into tea time , Barbie time, dinosaur takeovers

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15
Q

Parallel Play

A

2 1/2 yrs- 3 1/2 yrs
Children still play on their own but play beside other children and may be using the same toys (eg. Playing in a sandbox)

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16
Q

Associative Play

A

3 - 4 1/2yrs
Children begin to play with others. They share play materials but may be
following their own play story line (they’re in their own world but still
interact) Eg. building blocks, art projects that involve more than one child, and musical instruments

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17
Q

Cooperative Play

A

4 - 5 1/2yrs
Children play in groups and everyone is cooperating to achieve a common
goal. This involves negotiation among children. Eg. organized team sports.
In these events, children work together to compete against another team

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18
Q

BOT-II

A

4 motor area composites: 8 subtests
1. Fine manual control: writing, drawing precision
2. Manual coordination: skills in reaching, grasping, manipulating objects
3. Body coordination: balance + U/E & L/E coordination
4. Strength and agility: large muscle strength, body position

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19
Q

PDMS-II Subtests

A
  1. Reflexes subtest
  2. Stationary subtest
  3. Locomotion subtest
  4. Object manipulation subtest
  5. Grasping subtest
  6. VMI Subtest
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20
Q

stages of therapeutic reasoning

A
  1. generate questions
  2. gather data
  3. formulate hypothesis of client’s situation
  4. develop goals and intervention plan
  5. implement intervention
  6. assess outcomes of intervention
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21
Q

Screening

A

Obtaining and reviewing data
relevant to a potential client to
determine the need for further
evaluation and intervention
15-20 min observation

22
Q

Evaluation

A

a collection of tests or
strategies used to assess
the child and their
performance
The process of obtaining
and interpreting data
necessary for intervention.
Includes planning for and
documenting the evaluation
process and results

23
Q

Assessments

A

include tasks which result in
comprehensive info about
child’s strengths and
weaknesses. This helps
identify and plan for intervention
Specific tools or instruments
that are used during the
evaluation process

24
Q

Norm-referenced Standardized Assessments

A
  • Specific age range and type of
    disability
  • Performance compared with
    normative sample
  • Yield percentile scores and age
    equivalents
  • Eg. BOT-2, PDMS-II
  • Deviation from standard protocol
    MUST be indicated in summary of
    report
  • standard scores cannot be used to
    describe performance
25
Q

Criterion-referenced Standardized Assessments

A
  • Measures performance on specific
    tasks rather than compare the child
    to their peers
  • Goal à determine which skills a
    child can or cannot do
  • Used for intervention planning or
    determining intervention
    effectiveness
  • Age-equivalent scores are
    frequently obtained
  • Eg. Hawaii Early Learning Profile
    (HELP), PDMS-II, SFA
26
Q

Moro Reflex Signs of Retention

A

hypersensitivity, hyper reactivity, poor impulse control, sensory overload, social & emotional immaturity

27
Q

Rooting Reflex Signs of Retention

A

fussy eating, thumb sucking, drooling, speech and articulation problems

28
Q

Palmar reflex Signs of Retention

A

difficulty with fine motor skills, poor manual dexterity, messy handwriting

29
Q

ATNR Signs of Retention

A

poor hand-eye coordination, difficulty with handwriting, difficulty crossing vertical midline, poor visual tracking for reading and writing

30
Q

Spinal Gallant Reflex Signs of Retention

A

unilateral or bilateral postural issues, fidgeting, bedwetting, poor concentration, poor short-term memory

31
Q

Tonic Labyrinthine Reflex Signs of Retention

A

poor muscle tone, tendency to walk on toes, poor balance, motion sickness, spatial orientation issues

32
Q

Landau Relfex Signs of Retention

A

poor motor development

33
Q

STNR Signs of Retention

A

tendency to slump when sitting, poor muscle tone, poor hand-eye coordination, inability to sit still and concentrate

34
Q

Factors That Influence Hand Function

A

Social context & Culture
* Exposure + access, different toys
Somatosensory Function
* Haptic perception: interpretation of somatosensory info via active
touch
Visual perception & Cognition
* Vision is important to learn new motor skills
* Attention + planning needed for object manipulation
Musculoskeletal Integrity
* ROM, strength, endurance

35
Q

PREMISE 1: CNS influence on hand skills

A

There is not one motor system that develops proximal to distal but in fact, there are 2 motor systems
a) Skilled manipulation (distal): dependent on the corticospinal tract
(lateral brainstem). Provides precision, and speed
b) Reach (proximal): primarily dependent on pathways originating
from the midbrain and the brainstem (synapse on interneurons of
trunk + proximal muscles of U/E) .
* Responsible for erect posture, movements of the body and head,
shoulder muscles

36
Q

PREMISE 2: CNS influence on hand skills (Importance of Sensory
feedback)

A

Skilled hand function is dependent on sensory feedback
Sensory information is important to control precision hand movements
Intrinsic muscles of the hand are heavily innervated with muscle spindles
Muscle Spindle Receptors (proprioception): receptors that provide information on muscle length and the rate of change in muscle length (help with coordinating the forces between intrinsic muscles, rapidly correcting for errors, and providing stability for the highly mobile digits)

37
Q

Hand Development: Grasping patterns

A
  1. Ulnar fingers before radial fingers and thumb
  2. Palmar (proximal) before fingers (distal)
  3. Extrinsic muscles before intrinsic muscle
38
Q

In-Hand Manipulation Skills

A
  1. Finger-palm translation (picking up coin)
  2. Palm-finger translation (putting down coin)
  3. Shift (shifting pencil in hand)
  4. Simple rotation (90 degrees)
  5. Complex rotation (180 degrees)
39
Q

Fine Motor Developmental Milestones 0-6 Months

A

*Reflexive grasp (at birth)
*Global ineffective reach for objects (3 months)
*Voluntary grasp (3 months)
*2 handed palmar grasp (3 months)
*Begins grabbing with palmar grasp (5 months)
*Controlled reach (6 months)

palmar grasp 4-6 months
radial palmar grasp 6-7 months
radial digital grasp 8-9 months

40
Q

Fine Motor Developmental Milestones 0-6 Months
(Implications if not reached)

A
  • Decreased muscle development and control
  • Delayed play skills/independent play
  • Delayed sensory development due to delayed interaction with toys and othersensory objects
41
Q

Pincer Grasp Development

A

Rake 5 months
Radial-palmar grasp 7 months
Immature pincer grasp 9 months
Mature pincer grasp 12 months

42
Q

Fine Motor Developmental Milestones 6-12 Months

A
  • Reaches & grasps
  • Mouthing of objects
  • Controlled release of objects
  • Picks things up with pincer grasp (thumb and one finger)
  • Transfers objects from one hand to another
  • Drops and picks up toys with intention
  • Moves toys between hands
  • Raking grasp (8 months)
  • Fine Pincer (10 months)
  • Finger isolation (poking/pointing) at 12 months
43
Q

Fine Motor Developmental Milestones 1-2 years

A
  • Puts four rings on stick
  • Turns pages two or three of a book at a time
  • Scribbles
  • Turns knobs
  • Paints with whole arm movement, shifts hands, makes strokes
  • Self-feeds with minimal assistance
  • Brings spoon to mouth
  • Holds and drinks from cup independently
44
Q

Fine Motor Developmental Milestones 2-3 years

A
  • Strings four large beads
  • Turns single pages of a book
  • Snips with scissors
  • Holds crayon with thumb and fingers (not fist)
  • Uses one hand consistently in most activities
  • Imitates circular, vertical, and horizontal strokes
  • Paints with some wrist action, makes dots, lines, circular strokes
  • Rolls, pounds, squeezes, and pulls
    playdough
  • Eats without assistance
45
Q

Fine Motor Developmental Milestones 3-4years

A
  • Imitates (maybe copies) circle
  • Imitates cross
  • Manipulates clay material (rolls balls, makes snakes, cookies)
  • Uses non-dominant hand to assist and stabilize the use of objects
  • Snips paper using scissors
46
Q

Fine Motor Developmental Milestones 4-5 years

A
  • Cuts on line continuously
  • Copies cross
  • Copies square
  • Writes name** (capital letters)
  • Writes numbers 1-5
  • Copies letters**
  • Handedness well established**
  • Dresses and undresses
    independently
47
Q

Fine Motor Developmental Milestones 5-6 years

A
  • Cuts out simple shapes
  • Copies triangle
  • Colors within lines
  • Uses a 3 fingered grasp of pencil
    and uses fingers to generate
    movement
  • Pastes and glues appropriately
  • Can draw basic pictures
48
Q

Fine Motor Developmental Milestones 6-7 years

A
  • Forms most letters and numbers
    correctly
  • Writes consistently on the lines
  • Demonstrates controlled pencil
    movement
  • Good endurance for writing
  • Can build Lego and other blocks
    independently
  • Tie Shoe Laces
49
Q

Pencil Grasp Development

A

Cylindrical Grasp 1-1 1/2 years
Digital Grasp 2-3 years
Modified Tripod Grasp 3 1/2 -4
Tripod Grasp 4 1/2 - 7 years

thumb down palmar grasp 6 months
thumb up palmar grasp 12-15 month
feather grasp 2-3 years

50
Q

proximal stability leads to distal mobility

A
51
Q

Orthographic coding

A

draws on the letter forms that are
stored in memory in the process of producing letters by hand