2nd year green vocab sheet 4
Pg 666= process used to gain access to & use incoming info; includes alertness, arousal & other processes such as selcetive attention
Voluntary control over more automatic brain systems to be able to select & manipulate sensory & stored information briefely or for sustained periods.
A state of responsiveness to sensory stimulation or excitability; dependent on a widely distributed neural network, including the prefrontal areas & neurotransmitter system
CRITICAL for encoding info into memory, & successfully executing goal directed behavior, lack of = many cognitive deficits in pt w/ neurologic impairments
efficiency people can search & focus on specific info & ignore distractions;
involved in processing & filtering relevent info in the presence of irrelevant stimuli;
supports task requiring vigilance & capacity to maintain attention over time; measured by time spent on task; Adults = prefrontal fx in R hemispher & white matter damage.
between 2 or more task simultaneously; dual tasking/multitasking;
breakdown in selective attention; inability to block out enviro/ internal stimuli when concentrating on task; = prefrontal damage in dorsolateral cortex
storage of limited info for limited time
related to short term & actively manipulating info that is in short-term storage via rehearsals
Long term memory
Relatively permanent storing of info w/ unlimited capacity
Starting task @ appropriate time w/out overreliance on prompts
organizing the work space and performing the task efficiently
ordering steps of task appropriately
problem solving solving example
using a knife that is too dull to slice.
NDT FOR IE= .
Bobath treatment approach; based on normal development & movement; objective = normalize muscle tone, inhibit primitive reflexes & facilitate normal postural reactions; KEY = improve quality of movement & help Pt relearn normal movement patterns; Tx= handling techniques, weight bearing over the affected limb, use of positions that encourage use of both sides of body & avoidance of sensory input that may adversely affect muscle tone using purposeful activities
focus= Pt ability to return to fullest physical, mental, social, vocational, & economic fx. & Pt abilites & using current abilitis w/ technology/equip to accomplish occupational performance. IE one handed tech, alternative means; ALWAYS link tx to occupational performance.
using kinematics & kinesiology; view limitations from biomechanical view= analysing movements required for ADLs based on physics, force, leverage & torque required via exercise, spliting, ortho approaches
home exercise program
can increase strenght, ROM, endurance, tolerance, coordination, perceptual, cognitive & social skills.; used for diminishing capacities such as Parkinson's, MS, & amyotrophic lateral sclerosis
pace ax appropriately & modify it for the Pt max performance; NOT complex, don not require strained/ unnatural movements; OT grades ax to provide "just right" demand on performance; to suit the Pt needs & meet intervention objectives;
Strength is graded by
an increase or decrease in resistance. This includes changing the plane of movement from gravity eliminated to against gravity, by adding weights to the equipment or to the client, using tools of increasing weights, grading the texture or the materials from soft to hard or fine to rough.
Coordination and muscle control may be graded
by decreasing the gross resistive movements and increasing the fine controlled movements required.
Joint ROM is graded
by positioning materials and equipment to demand greater reach or excursion of joints by adapting equipment with lengthened handles to facilitate active stretching.
Endurance and Tolerance
moving from light to heavy work and increasing the duration of the work period.
Grading of cognitive skills
the therapist can begin the treatment program with simple one-or two step activities that require little judgement, decision making, or problem solving and progress to activities with several steps that require some judgement or problem solving process