question

C1-C3 SCI function

answer

Talking, chewing, sipping, blowing. respirator dependent. facial movement and some neck movement only

question

C4 SCI function

answer

Shoulder shrug, respiration. movement in neck and partial movement in shoulders.

question

C5 SCI function

answer

Head and neck control, elbow flexion, palmar supination, no trunk control

question

C6 SCI function

answer

Palmar pronation, wrist extension, tenodesis grasp, flex and partially extend elbow. cannot flex wrist, no trunk control

question

C7 SCI function

answer

Elbow extension, wrist flexion, finger extension, full range of shoulder movements, no trunk or lower limb movement

question

C8-T1 SCI function

answer

full upper extremity use, some trunk control possible

question

T2-T6 SCI function

answer

Increased trunk control and respiration

question

T9-T12 SCI function

answer

Increased abdominal function and endurance

question

L2-L4 SCI function

answer

Hip flexion, hip adduction, knee extension

question

L4-L5 SCI function

answer

Strong hip and knee flexion

question

S1-S5 SCI function

answer

varying degrees of bladder, bowel and sexual function

question

RLA scale level I

answer

Unresponsive to all stimuli

question

RLA scale level II

answer

Generalized inconsistent, nonpurposeful, nonspecific rxs to stimuli, responds to pain (may be delayed).

question

RLA scale level III

answer

Localized response, responds to some commands, may respond to discomfort.

question

RLA scale level IV

answer

confused and agitated. disoriented, bizarre and inappropriate behavior frequent, short attention span

question

RLA scale level V

answer

Confused, inappropriate, nonagitated response. appears alert, responds to simple commands

question

RLA scale level VI

answer

confused and appropriate response

question

RLA scale level VII

answer

Automatic and appropriate response (robot like), insight, judgement and problem solving poor

question

RLA scale level VIII

answer

purposeful and appropriate response, poor tolerance for stress, some abstract reasoning difficulties.

question

RLA scale level IX

answer

purposeful, appropriate, SBA on request

question

RLA scale level X

answer

Purposeful, appropriate, modified I

question

Wheelchair doorway width

answer

32"

question

wheelchair hallway

answer

36"

question

wheelchair toilet seat height

answer

18"

question

wheelchair ramp

answer

12" for every 1" rise, 5'x5' landing

question

wheelchair vanity height

answer

30-34"

question

wheelchair light switches

answer

under 60"

question

Allens Cognitive Level 1 - Automatic Actions

answer

characterized by automatic motor responses & changes in the autonomic nervous system. conscious response to the external environment is minimal. requires constant care and supervision

question

Allens cognitive Level 2 - Postural Actions

answer

characterized by movement that is associated with comfort. There is some awareness of large objects in the environment, and the individual may assist the caregiver with simple tasks. requires constant care and supervision

question

Allens Cognitive Level 3 - manual actions

answer

begins with the use of the hands to manipulate objects. The individual may be able to perform a limited number of tasks with long-term repetitive training. may behave destructively

question

Allens Cognitive Level 4 - Goal Directed actions

answer

is characterized by the ability to carry simple tasks through to completion. The individual relies heavily on visual cues. He/she may be able to perform established routines but cannot cope with unexpected events. can make plans but plans are often unrealistic

question

Allens Cognitive Level 5 - Exploratory actions

answer

characterized by overt trial & error problem solving. New learning occurs. This may be the usual level of functioning for 20% of the population. unable to see consequences of behavior or plan for the long term

question

Allens Cognitive Level 6 - Planned actions

answer

characterized by the absence of disability. The person can think of hypothetical situations and do mental trial & error problem solving. independent.

question

exploratory play

answer

using balls, sand and water toys, slides, swings, finger paints and magnets. Children use their senses as they explore, discover, examine and organize their activities.

question

Directed Manipulative play

answer

play that asks a child to perform a task, such as stacking cereal boxes, slipping coins into a piggy bank, playing with a deck of cards or playing with items such as puzzles, pegboards, beads or lacing cards. Tests a child's eye and hand coordination and dexterity.

question

symbolic play

answer

play that includes role-playing, playing with dolls and stuffed animals, toy furniture and telephones. This type of pretend play encourages good social skills and a positive self-image.

question

functional capacity evaluation

answer

used to assess a client's readiness to return to work, and to make recommendations about the return.

question

gowers signs

answer

a typical way of moving from sitting to standing using the hands on the front of the legs because the pelvic muscles are too weak to raise the trunk. Seen in clients with MD.

question

parrallel group

answer

group members work on their own individual tasks, without interacting with each other.

question

project group

answer

members engage in short-term interactions and display some degree of cooperation.

question

egocentric-cooperation group

answer

members work together on a shared task that is for an external purpose.

question

cooperative group

answer

members are working together to satisfy emotional or other personal needs of all the group members, as in a support group

question

mature group

answer

equality among the participants and they each contribute to facilitating group goals.

question

child rolls over

answer

3-3.5 mos

question

child grasps toy

answer

3-3.5 mos

question

child sits independently

answer

6 mos

question

child stands while holding something

answer

7 mos

question

child has thumb/finger grasp

answer

8 mos

question

child stands independently

answer

11.5 mos

question

child walks

answer

12-13 mos

question

child stacks two blocks

answer

14-15 mos

question

child walks up steps

answer

16-17 mos

question

child jumps up and down

answer

23-24 mos

question

behavioral treatment approach

answer

behavioral psychology, includes positive and negative reinforcements

question

developmental treatment approach

answer

seeks to improve skills and abilities that may be developmentally delayed.

question

biomechanical treatment approach

answer

addresses musculoskeletal problems.

question

occupational performance treatment approach

answer

assesses the client in the context of home, school, work and social environments.

question

neurodevelopmental treatment approach

answer

postural support, emphasis on remediation rather than compensation.

question

psychodynamic treatment model

answer

examines client's unconscious motives for choices and behaviors. also examines repeated life patterns, seeks to find antecedents to these patterns in order to break them.

question

cognitive/behavioral treatment model

answer

challenges negative self statements. a person's emotional and mood states are tightly bound to what he/she thinks, believes, and expects. By changes thoughts and beliefs, moods are also changed.

question

metaphysics

answer

concerned with the nature of reality, and with describing the human experience in terms of mind, body and the relationship between the two. holistic.

question

epistomology

answer

how we know what we know, and how we determine what is true.

question

axiology

answer

how we determine what is valuable, desirable, and good. all people have desires beyond mere subsistence.

question

identity vs. identity confusion

answer

adolescence 12- 18

question

intimacy vs isolation

answer

young adulthood 18-30

question

trust vs mistrust

answer

birth to 18 mos

question

autonomy vs. shame and doubt

answer

18 mos to 3 years

question

initiative vs. guilt

answer

3-6 years

question

industry (competence) vs. inferiority

answer

6-12 years

question

generativity vs stagnation

answer

30 - 60 years

question

ego integrity vs despair

answer

60 and up

question

short term memory

answer

working memory where information about recent events is stored

question

semantic memory

answer

memory about factual details

question

declarative memory

answer

general knowledge

question

episodic memory

answer

events or one's own experiences and activities

question

procedural memory

answer

how to perform a task

question

prospective memory

answer

remembering what to do in a particular situation

question

anterograde amnesia

answer

the inability to create new memories after a traumatic event

question

retrograde amnesia

answer

loss of memory from before a traumatic event

question

directive group model

answer

designed for very low functioning clients, particularly in inpatient settings. Highly structured intervention that takes about 45 minutes and includes orientation, introductions, warm-up, activity and wrap-up.

question

task oriented group model

answer

activities that provide an end product. in these groups, members work on task together and display strengths and dysfunctional behaviors which can be observed and commented on.

question

Integrative group model

answer

designed for people with sensorimotor deficits. draws on sensory integration theory.

question

ada door threshold

answer

1/2 inch

question

toilet grab bars

answer

33"-36" from floor

question

tub grab bars

answer

24" from floor

question

average vertical reach from w/c

answer

60"

question

average forward reach from w/c

answer

20-25"

question

average horiz work surface from w/c

answer

30"

question

meal preparation level 5

answer

multicourse meal, like chicken and mashed potatoes

question

meal preparation level 4

answer

single hot dish like macaroni and cheese

question

meal preparation level 3

answer

hot beverages, frozen dinners, soups

question

meal preparation level 2

answer

cold foods such as instant pudding, peanut butter and jelly

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