OTP 540 Physical Dysfunctions ACTUAL UPDATED QUESTIONS AND CORRECT
ANSWERS
Posterior Pelvic Tilt (sacral sitting) with Kyphosis - The hips have moved away from the back of the chair and the pelvis is tipped
backward.
- During palpation the PSIS is lower than the ASIS.
- C- spine curved posture with forward head.
- Body weight is behind the ischial tuberosities over the sacro-coccygeal area.
- Shear occurs while sliding into this position.
Common Causes
- Weak abdominals and needs this position for stability and function.
- Poor sitting balance.
- Decreased ROM of spine and hips.
- Hamstring tightness or extensor thrust spasticity.
- Improperly fitting seat pan- seat depth is too long, resulting in the popliteal
fossa/knee contacting the front of the seat (measurement M)
Current principles guiding the profession Evidence-based
Client-centered
Culturally relevant
Occupation-based
3 parts to evidence-based practice - Research makes up ⅓ of evidence-based practice (it isn't the only part to
evidence-based practice)
- Clinician expertise
- Individual clients - what they bring to the table and what is working for them
, definition of evidence-based practice External evidence:
- formal research (including qualitative, quantitative studies, and research
conducted at any level)
Internal evidence
- clinician expertise
- Clinical outcomes - what we see working as clinical outcomes in our practices
- Client - their input on the treatment process and what's working for them
Client-centered care - The client has a say in the goals for therapy
- Collaborative approaches
Culturally relevant Look at cultural norms and traditions of client
Occupation-focused intervention - Today's practice is informed by research evidence and clinician anecdotal
expertise that shows that engagement in occupations is more successful than
non-occupation based interventions
- Means using occupations as our main treatment intervention modality
- Keeps client's abilities to complete daily occupations at the forefront of care
MOHO - One's volition, habituation, and performance capacities interact with the
environment to produce one's ability to successfully engage in occupation.
"Through participation in therapeutic occupations, persons transform themselves
into more adaptive and healthy beings
EHP - One's self, task demands of an activity, and context interact to produce one's
ability to produce occupational performance (interdisciplinary - explain human
performance holistically)
- Context - physical environment, culture, etc.
- Task demands
- Individual
- How these 3 interact to enable or disable occupational performance
PEO/PEOP - Dynamic interaction of person, environment, and occupation creates
occupational performance (exclusive to OT)
- Unique intrinsic (interpersonal) factors, extrinsic (environmental) factors, and
occupational characteristics all equally influence ones' occupational performance
and subsequent life role fulfillment
Rehabilitation services - Health care services that help a person keep, regain, or improve skills and
functioning for daily living that have been lost or impaired because a person was
sick, hurt, or disabled.
- Ex. someone has an accident and breaks a bone, later seeing an OT. They've lost
normal ROM and strength. As they engage with an OT as it's healing, they begin to
regain strength and ROM
ANSWERS
Posterior Pelvic Tilt (sacral sitting) with Kyphosis - The hips have moved away from the back of the chair and the pelvis is tipped
backward.
- During palpation the PSIS is lower than the ASIS.
- C- spine curved posture with forward head.
- Body weight is behind the ischial tuberosities over the sacro-coccygeal area.
- Shear occurs while sliding into this position.
Common Causes
- Weak abdominals and needs this position for stability and function.
- Poor sitting balance.
- Decreased ROM of spine and hips.
- Hamstring tightness or extensor thrust spasticity.
- Improperly fitting seat pan- seat depth is too long, resulting in the popliteal
fossa/knee contacting the front of the seat (measurement M)
Current principles guiding the profession Evidence-based
Client-centered
Culturally relevant
Occupation-based
3 parts to evidence-based practice - Research makes up ⅓ of evidence-based practice (it isn't the only part to
evidence-based practice)
- Clinician expertise
- Individual clients - what they bring to the table and what is working for them
, definition of evidence-based practice External evidence:
- formal research (including qualitative, quantitative studies, and research
conducted at any level)
Internal evidence
- clinician expertise
- Clinical outcomes - what we see working as clinical outcomes in our practices
- Client - their input on the treatment process and what's working for them
Client-centered care - The client has a say in the goals for therapy
- Collaborative approaches
Culturally relevant Look at cultural norms and traditions of client
Occupation-focused intervention - Today's practice is informed by research evidence and clinician anecdotal
expertise that shows that engagement in occupations is more successful than
non-occupation based interventions
- Means using occupations as our main treatment intervention modality
- Keeps client's abilities to complete daily occupations at the forefront of care
MOHO - One's volition, habituation, and performance capacities interact with the
environment to produce one's ability to successfully engage in occupation.
"Through participation in therapeutic occupations, persons transform themselves
into more adaptive and healthy beings
EHP - One's self, task demands of an activity, and context interact to produce one's
ability to produce occupational performance (interdisciplinary - explain human
performance holistically)
- Context - physical environment, culture, etc.
- Task demands
- Individual
- How these 3 interact to enable or disable occupational performance
PEO/PEOP - Dynamic interaction of person, environment, and occupation creates
occupational performance (exclusive to OT)
- Unique intrinsic (interpersonal) factors, extrinsic (environmental) factors, and
occupational characteristics all equally influence ones' occupational performance
and subsequent life role fulfillment
Rehabilitation services - Health care services that help a person keep, regain, or improve skills and
functioning for daily living that have been lost or impaired because a person was
sick, hurt, or disabled.
- Ex. someone has an accident and breaks a bone, later seeing an OT. They've lost
normal ROM and strength. As they engage with an OT as it's healing, they begin to
regain strength and ROM
