Role Of The PTA In Neurologic Rehabilitation

Question 1

Traditionally, what was neurological rehab management based on and what were the interventions directed at?

Answer 1

neurological rehab management of
adults and children was based on the knowledge of
the disease and interventions were directed at
improving the signs and symptoms

Question 2

What is the current view?

Answer 2

Current view has evolved to a health status model

based on disability (Nagi Disability Model)

Question 3

What does the Nagi Disablement Model describe?

Answer 3

Describes relationship between health and function

Question 4

What are the four components to the Nagi?

Answer 4

disease, impairments, functional limitations, and disability

Question 5

What is Disease?

Answer 5

pathologic state with signs and symptoms that

disrupt the homeostasis or internal balance

Question 6

What are Impairments?

Answer 6

alterations in anatomic, physiologic, or

psychological structures of function

Question 7

What are Functional Limitations?

Answer 7

impairments cause inability to
perform everyday activities that are considered part of the
normal routine

Question 8

What is Disability?

Answer 8

results when functional limitations become so
great that individual is unable to meet age-specific
expectations in the social or physical environment

Question 9

When do the four components evolve?

Answer 9

Four components of model evolve as the individual

loses health

Question 10

What can society’s attitudes result in?

Answer 10

Society’s attitudes can result in the communities

perception that someone is handicapped

Question 11

What does the Nagi direct caregivers to focus on?

Answer 11

Model directs caregivers to focus on the relationship
between the impairment and functional limitation
and the individual’s ability to perform everyday
activities

Question 12

What are the outcomes of using the Nagi?

Answer 12

Increased independence in the home and
community and improvements in quality of life are
expected outcomes

Question 13

What is function related to?

Answer 13

Function is related to age-specific
roles in a given
environment

Question 14

What does functional performance include?

Answer 14

Functional performance
includes personal
characteristics, the
environment, and the social
expectations placed on the
individual’s performance

Question 15

What does the performance of these skills do?

Answer 15

Performance of these skills enhances the individual’s

physical and psychological well being

Question 16

How is performance affected?

Answer 16

Performance is affected by physical, emotional, and
cognitive abilities, and the ability to interact with
others

Question 17

What factors may affect the disability process?

Answer 17

Congenital and genetic predisposition to disease,
demographics, comorbidities, lifestyle choices, health
habits, and environmental factors may also affect the
disability process

Question 18

What should the PT critically examine?

Answer 18

A patient’s Stability, Acuity, Criticality, and Complexity

Question 19

What should the PT consider?

Answer 19

-Practice setting
-Type of interventions to be provided
-Patient’s probable outcome
-Knowledge base, experience, and training of PTA
-Consult the APTA and State Practice Acts for specific
documentation and supervision requirements
• PTs must supervise PTAs

Question 20

What does the PTA provide?

Answer 20

therapeutic interventions to improve
functional independence, educates the
patient/family, assists with data collection, and
provides input for discharge planning

Question 21

What is the PTA expected to have knowledge of?

Answer 21

positioning
and handling, use of adaptive equipment,
management of abnormal tone, and developmental
activities that foster functional motor skills and
movement transitions

Question 22

How do some PTs view pediatrics as?

Answer 22

Some PTs still view pediatrics as a specialty area of

practice

Question 23

What does the APTA state about pediatrics and PTAs?

Answer 23

The APTA Section on Pediatrics (1997) states that the
PTA is qualified to assist in pediatric services under
the direction and supervision of a PT

Question 24

What do they recommend that PTAs not do?

Answer 24

Recommended that a PTA not provide services to
children who are physiologically unstable or if their
condition requires multiple adjustments of
sequences and procedures due to rapidly changing
status and/or response to treatment

Question 25

Who may be the first to observe problems or be informed of parent’s concerns?

Answer 25

PTA (needs to be communicated to PT in a timely manner)

Question 26

What is the relationship between the PT and PTA characterized by?

Answer 26

trust, mutual respect, and an appreciation for

individual and cultural differences