ICF Model - Answers -health condition
-body function and structures (impairments)
-activity (limitations)
-participation (restrictions)
-personal factors
-environmental factors
IV P's - Answers prevention
prediction
plasticity
participation
prevention - Answers prevent the onset of disease or disability to stop its progress and minmize
consequences
secondary prevention , preventing falls post stroke
prediction - Answers optimal response to intervention choice is fundamental to effective
practive; begins with meaningful movement system diagnosis and measurement
inlcudes tests and measures , classifications
plasticity - Answers the capacity of cerrebral neurons and neural circuits to change structurally
and functionally in response to experience
when the 3 P's work together we are able to make plastic changes
participation - Answers involvement of people in all areas of life or the functioning of a person
as a member of society
,includes barriers to participations soliciting pt experiences and preferences
prediciton , participation and prevention all point towards - Answers plasticity
Restorative interventions: - Answers focus on targeted movement deficiencies and utilized
activity based interventions and motor learning strategies.
To be most effective utilize 3 elements:
(1) repetitive and intense practice of task oriented functional activities,
(2) strategies that enhance active motor learning and adherence-enhancing behaviors, and
(3) strategies that encourage use of more-impaired body segments while limiting use of less-
impaired body segments
Impairment Specific and Augmented Interventions: - Answers hands-on approach to training for
patients with limited motor function who are unable to perform voluntary movements or have
limited control.
Examples: PNF, NDT.
Compensatory Interventions: - Answers Indicated for patients with severe movement
deficiencies, limited recovery potential, and multiple comorbidities and impairments. These
interventions are designed to promote early resumption of function by using altered movement
strategies, focusing on using less-involved body segments for function, assistive devices, and
environmental adaptation.
Augmented - - Answers Hands-on approach to training and includes guided, assisted, or
facilitated movements. Indicated for patients during early recovery who are unable to perform
voluntary movements or have limited control.
impairment-specific interventions - Answers interventions - target specific impairments
(contracture, weakness, etc.) may be necessary during the course of treatment but should not
be primary focus of treatment as the intended outcome is functional independence.
Remediation of specific impairments can be built into functional activity training.
Compensatory - - Answers Designed to promote early resumption of function. Interventions
include altered movement strategies, focus on using less-involved body segment, assistive
devices, and environmental adaptation
NDT originated from the . - Answers reflex and hierarchical motor control theories. It has
adapted to include the systems/contemporary task-oriented approach over time
Postural control is considered foundational for learning motor skills.
True
, False - Answers True
Which patient presentation BEST indicates the application of the augmented treatment
a.
Patient 2 days s/p RCVA with hypotonic left hemiplegia, Brunnstrom stage 1, no evidence of
initiation of use of the left hemi-body.
b.
Patient s/p LCVA with FM score of the RLE 24/34, partially isolated hip and knee flexion, trace
activation of the R dorsiflexor.
c.
Patient s/p TBI within initial GCS of 12/15, walking with minimal assistance with SPC