Terms Flashcards

1
Q

visual discrimination

A

the ability to discriminate dominant features of objects as to discriminate position, shapes/forms/colors.

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2
Q

form constancy

A

match the shape of the stimulus though it might be smaller/bigger/darker than the stimuli

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3
Q

visual perception

A

the way the brain interprets sensory information received from the environment. The information is processed by cognitive functions which cause the pt to respond

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4
Q

visual closure

A

ability to perceive a whole figure when only fragments are presented.

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5
Q

spatial relationship/spatial orientation

A

ability to orient one’s body in space an to perceive the positions of objects in pictures/figures/patterns that are rotated

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6
Q

figure-ground

A

ability to distinguish an object from background objects

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7
Q

Diplopia

A

double vision

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8
Q

Bradykinesia

A

Slowed motor movements

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9
Q

Dysmetria

A

Decreased coordination of movements

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10
Q

Rigidity

A

Muscle stiffness

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11
Q

Festinating Gait

A

Small rapid steps resulting from a forward-tilted head and trunk posture.

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12
Q

Muscle Atrophy

A

Decrease in the mass of a muscle.

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13
Q

Isometric Exercises

A

Are muscle tightening exercises performed with no muscle joint movement. Their action is to increase circulation for healing and strengthening muscles with minimal joint irritation.

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14
Q

Thrombosis

A

Formation of a clot in the blood that blocks or partially blocks a blood vessel.

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15
Q

Unilateral Neglect

A

Failure to pay attention to one side of the body

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16
Q

Backward chaining

A

the therapist performs the first several steps of a task and the pt is able to complete the last step of the task

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17
Q

Forward Chaining

A

Therapist encourages pt to complete the first step of the task while the therapist completes the rest of the task

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18
Q

Phantom sensation

A

A sensation that appears to occur in the missing limb

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19
Q

transradial amputation

A

below the elbow

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20
Q

transmetacarpal amputation

A

below the wrist

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21
Q

Passive TD - Amputee

A

nonfunctional hand worn for cosmetic purposes

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22
Q

Active TB - Amputee

A

body-powered, externally powered amputation

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23
Q

Contractures

A

Contracture is an abnormal shortening or tightening of connective tissue or MUSCLE that impedes proper movement of a JOINT

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24
Q

Prothesis wearing schedule

A

initial wearing time of 15-30 minutes-examine area for redness

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25
Q

Arthroplasty

A

joint replacement

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26
Q

Osteopenia

A

reversible weakening of the bone and is a precursor to osteoporosis

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27
Q

Agnosia

A

Inability to interpret sensations hence not able to recognize things.

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28
Q

Aphasia

A

Absence or impairment of ability to communicate through writing, speech or signs.

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29
Q

Loss of Executive Function

A

Impairment to think abstractly, plan, initiate, sequence, monitor and stop complex behaviors.

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30
Q

Body Image

A

The overall mental picture of what one’s body looks like not how one feels about their body’s appearance

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31
Q

Self-Image

A

Impression of ‘who one is’ based on thoughts and feelings about oneself.

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32
Q

Atrial Septal deficits

A

“wet lungs” to much blood sent to the lungs. Can lead to respiratory infection and poor exercise tolerance.

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33
Q

Ventricular septal deficits

A

Feeding difficulties, shortness of breath, increased respiratory infections, fatigue and delayed growth can occur

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34
Q

dyspnea

A

labored breathing; shortness of breath

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35
Q

Tetralogy of Fallot - Decrease pulmonary blood flow

A

Symptoms - central cyanosis, coagulation defects, clubbing of fingers/toes, feeding difficulties, dyspnea

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36
Q

central cyanosis

A

blue/purple color of skin due to low oxygen saturation

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37
Q

comorbid condition

A

one or more additional disorders/diseases co-occurring

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38
Q

Bradydysrhythmia

A

abnormal slow heart rate (less than 60 beats/minmay need a pacemaker

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39
Q

Tachydysrhythmia

A

abnormal fast heart rate at 200-300 beats/min-common in kids-can lead to congestive heart failure

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40
Q

pallor

A

pale color of the skin caused by illness, stress or anemia

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41
Q

anemia

A

decrease in the amount of red blood cells in the blood

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42
Q

Erythrocytosis

A

Too many red and white blood cells

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43
Q

Hemophilia

A

Absence or reduction of clotting blood proteins found mostly in men

  • longer bleeding times-three types
  • signs are: excessive bleeding/bruising spontaneous bleeding and nosebleeds
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44
Q

Anemia

A
  • caused by iron deficiency

- treated through diet (iron rich foods)

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45
Q

Sickle Cell Anemia

A

abnormally shaped red blood cells-most common in african-americans

  • at risk for organ damage due to blocked blood flow
  • decreased energy for daily tasks-teach pain management
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46
Q

strain - soft tissue

A

trauma to the muscle or muscle-tendon insertion

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47
Q

sprain - soft tissue

A

rapid swelling, heat, and impaired function to a ligament

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48
Q

bruise - soft tissue (contusion)

A

impact into the subcutaneous tissue w/skin discoloration

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49
Q

Complete Fracture

A

bone is broken all the way through

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50
Q

Comminuted fracture

A

bone is broke into many splintered pieces

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51
Q

Compound fracture

A

broken bone leads to an external wound w/bone protruding

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52
Q

Greenstick fracture

A

bone is partially broken and bent-only in kids

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53
Q

Mild IQ between 55-70

A

Ability to learn academic skills at the third-seventh grade level able to work w/min support

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54
Q

Moderate IQ between 40-55

A

Academic skills at the second grade level and able to perform unskilled as well as some skilled work tasks

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55
Q

Severe IQ between 25-40

A

Able to communicate and perform some basic ADLs and health habits often needing support

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56
Q

Profound IQ below 25

A

Requires caregiver assistance for basic tasks

57
Q

NDT Approach to Hand writting

A

-good for kids w/poor postural control, poor automatic reactions and limited limb control, kids with tone issues and poor proximal stability.

  • Promote proximal joint stability
  • Improve hand function
58
Q

Acquisitional Approach to Handwiriting

A
  • Implemented in brief, daily lessons.
  • Individual to each child.
  • Cognitive phase: develop a Cognitive strategy for the necessary motor movement.
  • Associate phase: Proprioceptive feedback and visual cues.
59
Q

Sensorimotor Approach to Handwriting

A

Various sensory experiences, media, and materials are incorporated.

-Multiple writing tools, writing surfaces, and positions for writing should be offered.

60
Q

Biomechanical approach to Handwriting

A
  • Ergonomic factors that influence writing production.

- Sitting posture, table suraces, paper position, pencil grip.

61
Q

Psychosocial approach to Handwriting

A
  • Improving self-control, coping skills, social behaviors.
  • Communicating the importance of good handwriting to the child.
  • Opportunities to enhance self-confidence are provided.
62
Q

What is Ayres Sensory Integration?

A

Proximal senses are emphasized; these senses are thought to dominate a child’s early life experiences.
-vestibular-tactile-proprioceptive

63
Q

Neurologically based concerns concerning sensory integration is?

A
  • Optimal brain function is based on sensory input.

- a lack of sensory input at critical points in development may result in learning or behavioral disorders.

64
Q

somatodyspraxia

A

poor ability to conceptualize, plan and execute motor actions associated w/signs of poor perception

65
Q

visual agnosia

A

difficulty recognizing objects

66
Q

ideational apraxia

A

difficulty conceptualizing planned, multistep movements

67
Q

motor apraxia

A

difficulty completing planned movements

68
Q

spatial relations/positioning

A

difficulty perceiving distance/object placement

69
Q

Dysarthria

A

articulation disorder resulting from paralysis of the organs of speech

70
Q

Anomic aphasia

A

difficulty finding words

71
Q

Wernicke’s aphasia/Receptive aphasia

A

impaired auditory reception, speech may be fluent but is often meaningless/nonsensical

72
Q

Broca’s aphasia

A

broken speech, slow labored speech

73
Q

global aphasia

A

loss of all language ability

74
Q

A right CVA produces a….

A

left hemiplegia

75
Q

A left CVA produces a…

A

right hemiplegia

76
Q

Transient ischemic attacks (TIA)

A

result from vascular disease in the brain and may be mild, either single or multiple. (ministrokes)

77
Q

Athetosis

A

fluctuation of tone from low to normal w/little spasticity

78
Q

Nystagmus

A

reflexive back-and-fourth movement of the eyes when the head moves

79
Q

Muscular Dystrophies

A

Progressive degeneration and weakness of muscle groups.

80
Q

orientation is?

A

awareness of person, place, and time

81
Q

anterograde amnesia

A

is the inability to recall events after a trauma

82
Q

retrograde amnesia

A

is the inability to recall events prior to a trauma

83
Q

long-term memory

A

the storage of information for recall at a later time

84
Q

neuroleptic medication can lead to

A

photosensitivity and protection from the sun

85
Q

precautions for postural hypotension

A

encourage pt to move slowly when changing positions from sitting to standing

86
Q

Sedentary work

A

exerting as much as 10lb of force.

-sitting most of the time and walking/standing occasionally

87
Q

Light Work

A

exerting as much as 20lb of force constantly

walking/standing significant degree

88
Q

Medium work

A

20-50lbs of force

10-25lbs of force frequently

89
Q

Heavy work

A

50-100lb of force

90
Q

very heavy work

A

100lb force occasionally

91
Q

ergonomics

A

improve health, safety and efficiency of both the worker and the work place

92
Q

work readiness

A

identify the goals for work and plan for returning to work

93
Q

work simulations

A

the pt performs tasks similar to the actual job.

treatment not an evaluation

94
Q

grading

A

upgrading/downgrading an activity step-by-step

95
Q

scaffolding

A

ot helps pt with parts of the task that are to hard but allows the pt to finish

96
Q

fading

A

ot slowly lessons or eliminates their support

97
Q

coaching

A

communicating expectations and support to help the pt perform at a task

98
Q

adaptation/modification

A

changing the activity demands to match a person’s current ability.

  • make activity need less cognitive skill
  • AE
99
Q

Compensatory technology for cognition

A
  • memory aides
  • time management devices
  • promoting, cueing, coaching
100
Q

Ramp lift demand

A

1 foot for every 1 ft height

101
Q

Doorway width demand

A

32 inches

102
Q

Wheelchair turning space demands

A

60 by 60 inches

103
Q

cessation

A

Being brought to an end

104
Q

Allodynia

A

sensation misinterpreted as pain

105
Q

Hyperalgia

A

increased response to painful stimuli

106
Q

Hyperpathia

A

pain that continues after stimuli is removed

107
Q

What is cumulative trauma disorder (CTD)?

A

trauma to soft tissue caused by repeated force

Symptoms of CTD
-muscle fatigue, pain, chronic inflammation, sensory impairment

108
Q

Work-related risk factors of CTD

A

repetition, high force, direct pressure, vibration, poor posture

109
Q

work hardening

A

aggressive approach focuses on the functional aspect of the job. Work stimulation tasks with small components of strength and conditioning blended in.

110
Q

Work Conditioning

A

strengthening and conditioning tasks to restore function

111
Q

tendon excursion

A

the distance a tendon travels upon movement of a joint

112
Q

The Duran protocol

A

an early passive ROM program

113
Q

Kleinert Protocol

A

active extension of digits w/passive flexion via traction, typically a rubber band

114
Q

The early active motion protocol

A

begins within days of surgery to prevent adhesion and promote gliding and excursion

115
Q

tendon glides exercises

A

to promote circulation in the hand to reduce swelling

116
Q

Neuromuscular electrical stimulation (NMES)

A

promote tendon excursion and activation

117
Q

Micrographia

A

smaller and smaller handwriting

118
Q

hypophonia

A

reduced volume of speech

119
Q

apathy

A

lack of interest, enthusiasm, or concern

120
Q

Task-oriented group

A

focus on the process of producing something as a group

  • picnic lunch
  • clinic newsletter
121
Q

Activity groups

A

focus on function and replicating living in the community with an emphasis on direct experience and the use of an activity to develop skills

122
Q

Group dynamics

A

properties of a group that emerge from the interventions among group members

123
Q

Group process

A

how things are said/done and how the group goes about accomplishing its goals

124
Q

therapeutic groups

A

have measurable and defined structure that includes a time frame.

125
Q

Group leader

A

to guide the activity of the group

126
Q

If the pts of a group have low cognitive abilities how should the OT leadership style be?

A

-more directive= provides more directions and structure and is more prescriptive in directing the way group activities unfold

127
Q

If the pts of a group have fair to good insight and motivation how should the OT leadership style be?

A

-facilitative= allows the pts to take responsibility for some group activities while maintaining control over goals/decision making

128
Q

If the pts of a group are mature (able to work together effectively in resolving conflicts) and has high verbal abilities how should the OT leadership style be?

A

advisory= works alongside the group participants in a coaching capacity. Enables group members to perform at their highest capacity.

129
Q

Parallel Group

A

pts complete tasks side by side w/little or no interaction between or among them

130
Q

Cooperative Group

A

taking care of each others needs is part of the group process

131
Q

Occupations groups

A

groups centered on occupations (cooking/gardening)

132
Q

Context Groups

A

groups designed around specific contexts (social networking/support groups)

133
Q

Performance skills/client factors groups

A

groups designed around cognitive skills/muscle strengthening/social skills

134
Q

Performance patterns groups

A

groups centered on concepts such as parenting, restoring balance, exploration of new habits.

135
Q

Psychodynamic groups

A

allow pts to explore the symbolic meaning of activities and group process.

  • impulse control
  • self-expression
136
Q

Cognitive-behavioral groups

A

seek to change the pts response or the way they think about using relaxation/stress management tech

teach skills such as role playing

137
Q

Cognitive-behavioral groups principles

A

shaping - behaviors or reinforced/rewarded

chaining - one step is learned at a time until all steps are learned

reinforcement - positive feedback about a desired behavior

practice - repetition of behaviors to improve

138
Q

Kawa Model Group

A

“river” - serves as a metaphor for a person’s life and the variables of occupation within it