Week 5: Motor Control Theory, Neuroplasticity

Question 1

Difference between task and occupation?

Answer 1

Task is small portion of an occupation such as cutting with a knife and fork within occupation of self feeding. Appreciating TOA is associated with understanding potential impact that the task may have upon occupational engagement

Question 2

Ability to receive sensory info and interpret that info while engaged in OP

Answer 2

Sensory perceptual skills

Question 3

The skilled motor behaviors displayed by individual in interacting with objects, tasks, and environments while engaged in OP

Answer 3

Motor and praxis skills

Question 4

Client’s ability to express, manage, and identify feelings while engaged in OP

Answer 4

Emotional regulation skills

Question 5

Ability of client to plan, organize, and monitor OP

Answer 5

Cognitive skills

Question 6

Client’s actions and behaviors in communicating and interacting with others

Answer 6

Communication and social skills

Question 7

Client factors related to body and structure function important bc…

Answer 7

Client factors related to body and structure function important bc they inform OT process and contribute to understanding how these functions (or lack of) contribute to eval process and development of intervention plan

Question 8

Client Factors

Answer 8

Values
Beliefs
Spirituality
Body Functions
Body Structures

Question 9

anatomical structures of body

Answer 9

body structures

Question 10

include physiologic functions of boy such as sensory, mental, cardiovascular, respiratory

Answer 10

body functions

Question 11

personal search for understanding

Answer 11

spirituality

Question 12

cognitive assignment of truth

Answer 12

beliefs

Question 13

principles, qualities deemed important

Answer 13

values

Question 14

Ability to make dynamic changes in/responses of body and limb to complete purposeful activity

Answer 14

Motor Control Theory

Question 15

task-oriented approach (TOA)

Answer 15

TOA is one of many approaches to eval and intervention that has understanding of various concepts such as:
Ecologic approach to functional task - emphasizes interactions among person, environment, and task performance

TOA directs OTs to address performance skill deficits while incorporating current understanding of neuroscientific concepts

Question 16

Difference between task and occupation?

Answer 16

Task is small portion of an occupation such as cutting with a knife and fork within occupation of self feeding. Appreciating TOA is associated with understanding potential impact that the task may have upon occupational engagement

Question 17

Client factors differ from performance skills bc..

Answer 17

Client factors differ from performance skills in that they represent responses to system control (can be measured and quantified include strength, ROM, visual acuity, muscle tone, attention)
Represent bodily functions and what the body does rather than what the person does (actual body structures and basic body functions, and what client can utilize to perform particular task)
Merely assessing available client factors is not predictive of occupational performance

Question 18

include motor, praxis, sensory perceptual, emotional regulation, cognitive and communication/social skills required to perform task
Must be assessed while client is engaged in occupation

Answer 18

Performance skills

Question 19

ability to make dynamic changes in/responses of body and limb to complete purposeful activity

Answer 19

motor control theory

Question 20

T/F: Repetition alone as part of neuromuscular rehab is sufficient to create or reinforce cortical reorganization.

Answer 20

False. Repetition alone as part of neuromuscular rehab is insufficient to create or reinforce cortical reorganization. Rather, intense task-oriented training of sensorimotor cortex is believed to lead to cortical organization

Question 21

T/F: Motor learning concepts indicate that degree to which a task is learned is positively correlated with depth of the well in which it is kept; more ingrained task is to person, more challenging it may be to change movement or behavior.

Answer 21

true

Question 22

___is motor control term that pertains to anything that shifts a motor behavior from one manner of performance to another

Answer 22

Control parameter is motor control term that pertains to anything that shifts a motor behavior from one manner of performance to another
Can be internal to person (like strength, vision) or external (location of object, lighting)
ex) task of washing back; length of arm, size of back, and habits from training serve as control parameters

Question 23

1) use it or lose it
2) specificity
3) use it and improve it
4) repetition matters
5) age matters
6) intensity matters
7) time matters
8) salience matters
9) transference
10) interference

Answer 23

10 principles of neuroplasticity

Question 24

T/F: Client may need to improve biceps strength to complete hand to mouth pattern yet improving bicep strength to a point where strength is sufficient to facilitate movement does guarantee that task can be completed successfully.

Answer 24

False. Client may need to improve biceps strength to complete hand to mouth pattern yet improving bicep strength to a point where strength is sufficient to facilitate movement does not guarantee that task can be completed successfully. Focus should be on performance skills and patterns

Question 25

less than 5 pounds of grip strength, impaired sensation of dorsal aspect of left hand, does not visually attend to environment with left peripheral visual field

Answer 25

client factors

Question 26

grasp onto objects such as eating utensil with insufficient strength when he attempts to use his left hand to hold fork while cutting foods with knife in right hand. Unable to judge water temperature from faucet on left and before shaving. Does not always attend to left side of his environment when cooking.

Answer 26

performance skills

Question 27

he requires assistance and verbal cues to complete his morning routine with good quality

Answer 27

occupational performance