TR & PHYS DISABILITIES
TR & PHYS DISABILITIES RMTR 3433
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This 0 page Class Notes was uploaded by Yessenia Lowe on Sunday November 1, 2015. The Class Notes belongs to RMTR 3433 at Oklahoma State University taught by Timmy Passmore in Fall. Since its upload, it has received 13 views. For similar materials see /class/232875/rmtr-3433-oklahoma-state-university in Psychlogy at Oklahoma State University.
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Date Created: 11/01/15
Exam 1 0 Domains of behavior 0 Cognitive Intelligence 0 Affective Emotionmood that people have towards things 0 What is this Intelligence Quotient o IQ 0 Measurement of intelligence 0 Based on average 0 Standards 0 Life situations Input 0 Visual Stimuli o Auditory stimuli o Tactile stimuli o Smell amp taste Process 0 Encoding 0 Storage 0 Search amp retrieval 0 Thinking learning remembering Output 0 Motor performance 0 Verbal performance 0 Are they expressing the right emotions in the right settings 0 Psychological state 0 Happy 0 Sad 0 Angry o Agitated o Indifferent Feelings o How ones reacts to a situation 0 Laughing in an appropriate situation environment 0 Crying in an appropriate situationenvironment Attitude o Cooperative o Resistive 0 Helpful 0 Willing o Initiates Social skills 0 Inappropriate and appropriate social interaction 0 Group type 0 One to one 0 Two to three 0 Three or more Exam 1 o Abilities 0 Response when spoken to o Maintains conversation gut doesn t initiate o Initiates but doesn t maintain o Initiates and maintains 0 Grooming 0 Clean 0 Not clean 0 Smell I Selfconcept o How do you feel about yourself 0 Where do you get your selfconcept 0 Peers 0 Family 0 Etc 0 Is how you feel about yourself appropriate I Motivation 0 What is your motivation I Affect o facial expressions 0 Flat no expression 0 Positive happy 0 Negative sadangry o Blunted stunned deer in the head lights 0 Body language 0 Slouching o Humped shoulders o Crossed arms 0 Etc 0 Psychomotorphysical I Psychomotor hierarchy o Re exisubconscious movements response to stimuliibody positions 0 Basic fundamental movementsibasic movement skills 0 Locomotor o Nonlocomotor o Manipulative o Perceptual abilitiesiinterpretation of stimuli and adjustment to o Kinesthetic awareness body s awareness of location regarding timespace 0 Visual o Auditory o Tactile o Coordinated abilities I Physical abilitiesifunctional characteristics for movement 0 Endurance 0 Strength 0 Flexibility o Segmental re ex controlled by a segmentregion of the spinal cord 0 Intersegmental re ex originating in the dorsal spinal roots Page 2 Exam 1 o Suprasegmental re ex initiated in spinal column Agility Skilled movementsiefflciency in performing movements 0 Simple 0 Compound 0 Complex Nondiscursive communicationicommunication with use of body 0 Expressive o Interpretive Psychomotorire ex movements Re ex segmental Intersegmental suprasegmental O Unconscious re exes which aid in body position I Stabilizing I Balancing Psychomotoribasic fundamental movements 0 Locomotor skills 0 000000 0 km Walk Gallop Run Slide Jump Hop Leap Nonlocomotor skill Manipulative Involvement of little to no movement from base of support Examples 0 O O Balancing Twisting Swaying Associated with control of an object O O 0 Hand Feet Other part ofbody Psychomotoriperceptual abilities kinesthetic 0 000 0 Visual Information received from sensory receptors I Joints I Muscles I Skin Which provides information awareness regarding the bodylimbparts Position in space Forces impacting Extent of movement Auditory Tactile Coordination Examl 0 Fine 0 Gross I Psychomotoriphysical abilities o Endurance o Seated 0 Standing 0 In bed 0 Strength 0 Upper extremity 0 Lower extremity Flexibility 0 Range of motion Agility Physical domain 0 Activity level I Strength I Balance I Endurance I Mobility o Leisurerecreationactivity I Interest 0 Past 0 Present I Awareness 0 Of interested in an activity but doesn t know wherehow to nd the activity in the community I Community 0 Location 0 Kind 0 Cost 0 Transportation I Resources 0 What is available to clientpatient o Is it realistic o CognitiveIQs 0 00000000 0 180185 Exceptional one in one thousand 170179 Superior one in one hundred 110119 Above average college level 99 109 Average 8089 Below average 7079 Borderline retarded 5268 Mild retardation 3652 Moderate retardation 2036 Severe retardation Lower than 20 Profoundly retarded 0 Co gnitive Functioning O Perception I Consciously perceived sensory stimuli I Filters information Exam 1 0 Places in memory or not 0 Dismisses what is thought to be unusable information Primary Memory I Temporary storage Secondary Memory I Storage for use later Encoding I Transforming stored information into usable state Episodal storage I Personal information 0 Recent occurrences o ETC Semantic storage I General information learned 0 Math 0 History 0 Etc 0 Cognitive Attention O O 0 Most fundamental skill More complicated the task I More difficult it is to attend Limitations I Limit cognitive Expectation impact abilities I Clientpatient I Therapist RT Curiosity amp creativity I Impact quality of information processed o Skeletal impairments O 0 What is a skeletal impaiiment I Impairments affecting skeletal systems I Impairments which impair life major activities 0 Broken bones o Osteoporosis o scoliosis I May or may not require rehabilitative services I May or may not require assistive devices General symptoms I Weakness I Joint instability from previous trauma arthritis I Amputations I Disorder affects functional capacity Skeletal deformity I Fractures of the bones I Limited joint motion I Joint stiffness I Swelling of soft tissues andjoints Exam 1 0 Arthritis I Involves jointjoints I In ammatoryidestructive I Nonin ammatoryimechanical degenerative I Acuteimay or may not resolve I Chronic event I May also include all join structures 0 Synovium o Cartilage o Tendons 0 Bone o Surrounding muscle I In ammatory vs nonin ammatory arthritis 0 In ammatory connective tissues disease 0 Rheumatoid arthritis 0 Juvenile rheumatoid arthritis 0 Systemic lupus erythematosus o Nonin ammatory arthritis 0 Osteoarthritis I Rheumatoid arthritis 0 Systemic rheumatic disease that primarily affect the synovial lining of the joints 0 Systemiciinvolving the entire bodyiinstead of a speci c area 0 Results of rheumatoid arthritis 0 Join pain 0 Swelling 0 Malfunction o Muscles surrounding join can become painful and swollen 0 Total restriction of joint can occur 0 Interventions o Prompt specialty care 0 Antiin ammatory medication 0 Exerciseleisure activities to improve I Joint ROM I Strength I Endurance 0 Appropriate and timely joint replacements I Osteoa1thritis 0 Most common type of arthritis 0 No systemic component 0 Typically becomes clinically significant after retirement 0 3 types 0 Primary I OA results due to repetitive tasksweight 0 Secondary due to an injury 0 Erosive in ammato I Typically associated with Rh 0 Osteoa1thritis interventions 0 Most patients will receive joint replacements 0 Recreational therapy Exam 1 I Works with patient typically after joint replacement 0 Improve 0 Strength 0 Endurance o Mobility o Resistive exercise 0 Use of assistive device in community 0 Independence with mobility Osteoporosis While not arthritis is often associated with osteoarthritis and rheumatoid arthritis Most prevalent metabolic bone disease in US Heterogeneous groups syndromes which reduce bone mass in otherwise healthy bones Reduction results in fragile bones o Increases likelihood of fractures Disease only becomes clinically significant when bone fractures The disease is a generalized reduction of bone mass without other related abnormalities Symptoms 0 An event which causes a fracture 0 Acute painiwith vertebral compression fracture 0 Chronic postural changes 0 Back pain most common complaint 0 Loss ofheight Osteoporosis interventions 0 Weight bearing I Activity I Exercise I Resistance 0 Exercise bans 0 Weights 0 Water exercise 0 Aerobic type exercise I Involving weight bearing 0 AmputationiRT interventions Interventions focus 0 Amput O O ation Strength Endurance Mobility Use of prosthetic or addictive device Typically named based on the joint of the limb amputated Above the knee amputation AKA Below the knee amputation BKA Above the elbow amputation AEA Below the elbow amputation BEA Etc Transferweight bearing terminology Full weight bearing FWB Exam 1 0 Patient is allowed to put full weight on the involved extremity 0 Weight bearing is tolerated o Allowed as much weight on involved extremity as is not painful o Toe touch weight bearing 0 Allowed to put weight of the front part of the foot down only 0 Typically for balance support 0 No transfer of weight through leg 0 Partial weight bearing 0 Percentage of weight can be transferred through limb 0 Typically 50 but directions given by doctor 0 Have patient step on TR foot to monitor weight bearing status 0 Nonweight bearing 0 No weight should transfer 0 Effected leg should not touch oor 0 Recreational therapy assessment skeletal impairments 0 First step chart review I Diagnosis I Contraindicators 0 Weight bearing status 0 Limitations 0 Independence with completion of leisure task 1 min mod max total I Type of verbal cuing required for patient 0 complete leisure task I Type of cuing o Verbal 0 Physical 0 Table top 0 Nontable top 0 Identify I Type of physical assistance cuing 0 Hand over hand 0 Prompting o Tolerances with completion of leisure tasks I Time in bed I Time bed side I Time seated I Time standing 0 Mobility to andor during completion of leisure task I Independence I Distance I Device 0 Community resources I Knowledge of I Access to I Pt will identify one community resources that they will use after discharge to improve or maintain their discharge level of functioning 0 Know for exam 0 Total assistance 400 0 Maximum assistance 775 0 Moderate assistance 750 0000 Exam 1 Minimum assistance 725 Independent 4 Cognitive IQs Domains of behavior I Cognitive I Affective I Psychomotoriphysical I leisure