| Question | Answer |
| What are we reviewing during a medical model eval? | Records sent by doctor or parents |
| Who are we interviewing during a medical model eval? | Child, parents, and family |
| Where are we observing during a medical model eval? | In the setting you will see the child |
| What assessment tools are we using during a medical model eval? | Standardized Assessments and Skilled Observation |
| Who are we interviewing during an education model eval? | Teacher, Psych, SLP/PT, other staff, parents |
| Where are you observing during an education model eval? | Students natural environment |
| What assessment tools are we using during an education model eval? | Standardized Assessments, Skilled observation, work sample collection |
| During an eval for a neuromotor impairment what are assessing? | -Tone
-Posture
-UE/LE asymmetries
-Abnormal reflexes |
| During an eval for developmental delays what are we assessing? | -Delayed milestones
-Neuromotor Impairment
-Time spend on a device
-Movement ability |
| What are the common features of movement issues in children with neuromotor impairments? | -Issues with muscle tone
-Issues with postural control
-Sensory processing issues |
| What are key factors using the biomechanical FOR? | -ROM
-Head control
-Trunk control
-Control of UE movement
-Mobility |
| What are key factors in the motor skill acquisition FOR? | -Provide match between person, task, environment
-Pretty much PEO model |
| How can we assess tone? | -PROM/AROM
-Traction response
-Laying down
-Hand positions |
| How can we assess motion? | -MMT and ROM
-Antigravity positions
-Protective/Righting responses
-Look at key points of posture |
| What are the different parts of praxis? | -Ideation
-Planning
-Movement execution |
| Should we wait to treat delay or address them early? | Address early |
| What is the OT role in neuromotor intervention? | -Develop programming
-Consult
-Advocate
-Educate |
| What are important aspects for coaching parents? | -Ask before helping
-Respect them saying no
-Provide limitations
-Model for the parent |
| What is the flow of a typical OT intervention session? | -Warm up activity
-Activity for postural control, BOS, joint stability, mobility that help to support performance of task
-Integration of Activities |
| What can we do for prep activities? | Prepare ROM, joint alignment, tone relaxation, positioning |
| What can we do for different activities to address neuromotor problems? | -Handling
-Inhibition and Facilitation
-Weight shifting and bearing |
| What is positioning? | Static movement of the child with assistance |
| What is handling? | Provide hands-on moving of the child from one place to another |
| What are the guidelines for positioning and handling? | -Complete movement pattern or change positions slowly
-Provide support to the involved joints
-Not pulling into a position using distal joints |
| How should we position for supine? | -Hips should be flexed with legs separated, abducted and flexed
-Head and arms in midline |
| How should we position for prone? | -Hips and legs should be extended and abducted
-Elbows below shoulders
-Encourage UE extension |
| What is a neutral position for decreasing reflex patterns and increasing postural organization? | Side-lying |
| Should we allow W sitting for long amounts of time? | No |
| How can we include weight shifting during intervention? | -Kneeling on rocker board
-Swings
-Stepping stones
-Balloon tap |
| How can we address hypotonia during intervention? | - Follow developmental sequences
-Grade input
-Promote proper alignment
-Decrease support over time |
| How can we address hypertonia during intervention? | -Tapping followed by pressure
-Vibration
-Brushing
-Thermal/Electrical PAMs
-WBing
-Joint compression
-Passive stretching
-PNF |
