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OTA 130 Final Exam

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Question
Answer
Increase in muscle tone, increase resistance to passive stretch   show
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Decrease in muscle tone   show
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show Spasticity  
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Voluntary motion is limited to total limb movements in flexion or extension. the pt is unable to isolate individual joint motion   show
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Pts with CVA, CP, other neurological disorders/diseases   show
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show Stage 1  
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show Stage 2  
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show Stage 3  
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Mass responses (synergistic) (patient is unable to isolate individual joint motion or deviate from stereotypical movement pattern)stage of Brunstrom's   show
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show Stage 5  
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show Stage 6  
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show Stage 7  
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Selected pattern with overlay (joint movement is isolated with voluntary control) stage of Brunstrom's   show
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Selective movement (normal) stage of Brunstrom's   show
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show Provides a framework for the anticipated motor recovery in stroke patients  
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Soft tissue shortening around a joint   show
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How does a contracture occur?   show
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Why are contractures a concern?   show
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show A patient with CVA or CP, any neurological condition  
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show Perform ROM. If contracture is already present, splinting to reduce further contractures  
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show MMT Grade 0  
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Trace, contraction can be felt but there is NO motion   show
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show MMT Grade 2  
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Fair, part moves through complete ROM against gravity   show
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Good, part moves through complete ROM against gravity and moderate resistance   show
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show MMT Grade 5  
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show Goniometer  
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show  
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understand that the ROM at the joint is the same ROM no matter what position the body may be in (supine, sit, prone)   show
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What do we compare a person’s joint ROM to?   show
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Functional ROM – how do we measure?   show
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show Substitution  
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show Heterotrophic ossification  
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show Active and passive stretching, resistive exercise, exercise using equipment, reaching, catching a ball, table top activities (washcloth on table and extend arm), throwing a bean bag, using clothespin to reach to something higher to clip it on to  
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What is the proper sequence of applying therapeutic interventions for a client during a treatment session with decreased ROM?   show
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List 20 pieces of adaptive equipment we have used or have seen in lab   show
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show Long handled reacher, long handled sponge, hand held shower head for shampooing hair, position adjustable hair dryer, place the affected arm in first while donning a shirt, adapt cabinets if possible, place food on bottom shelves, lower clothes rod  
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show Long Handled reacher, long handled sponge, lower closet poles, adapt cabinets to lower reach  
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What adaptations do we use for weak grasp?   show
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How do we teach a client to use adaptive equipment?   show
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show Adapt the clothing, add Velcro instead of buttons, elastic shoelaces, buttonhook, pants with Velcro flies, using pants with elastic waistband, don affected arm first when donning shirt, slip on shoes, sock aid  
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show Rocker knife, Dycem or shelf liner, plate guard or scoop dish, cutting board with nails or built up side  
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show Position adjustable hair dryer, suction brush to clean fingernails, electric razor,soap on a rope  
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sensation received through skin or hair receptors (allows you to feel the toothbrush)   show
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tactile sensation of force applied to the skin, EX. ischial tuberosities pressing into a seat(helps to grip the toothbrush)   show
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unpleasant or noxious tactile sensation (allows you to avoid brushing a sensitive area)   show
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tactile sensation of heat or cold ( is water too hot or too cold)   show
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show Proprioception  
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Which type of nerves supply sensation?   show
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show Stereognosis  
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A deficit in the ability to copy, draw, or construct a design., whether on command or spontaneously. You cannot assemble parts into a whole Would be seen in CVA or TBI. Patient will not know how to dress sequentially, stack a dishwasher or assemble a to   show
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show Dressing apraxia  
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show Cognition  
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Which diagnoses most likely have residual problems with cognition?   show
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How does the OTA assist with assessing cognition?   show
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show discussion of the OT eval results with other health care disciplines,testing environment will influence the results,optimal test battery involves a selection of tests,avoid a condescending attitude  
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active process (you have to be involved) that allows the individual to focus on the environmental information and sensations relevant at a particular time. It involves the simultaneous engagement of alertness, selectivity   show
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show Automatic Attention  
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when new information is considered   show
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Is the highest level of attention and it refers to the ability to respond simultaneously to multiple tasks or multiple task demands   show
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show Memory  
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corresponds approximately to the initial 200–500 milliseconds after an item is perceived. The ability to look at an item, and remember what it looked like with just a second of observation, or memorization   show
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show Long-term Memory  
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show Short-term Memory  
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memory for a skill or series of actions   show
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show Declaritive Memory  
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show Epsodic Memory  
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show Semantic Memory  
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Sensory Input – moves to a temporary storage location (working memory) – then moves to Long term memory location where encoding and consolidation occurs   show
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show executive functioning  
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An inclination of an individual to initiate behavior without adequate consideration as to the consequences of their actions. Someone who has just experienced a THP who moves around without thinking, possibly breaking their precautions   show
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show Perseveration  
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What pieces of adaptive equipment are in a “hip kit”?   show
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What are the primary rules of good body mechanics for therapists?   show
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assistive, adaptive, and rehabilitative devices for people with disabilities and also includes the process used in selecting, locating, and using them   show
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