Work in a quiet environment with minimal distracters
Maintain a predictable daily structure and routine
Be calm and confident in your approach with the patient
Maintain the activity despite agitation from patient
Infant with contractures
Agitated, arching infant
Infant with newly repaired abdominal defect
To promote midline orientation
Minor brain injury
Moderate brain injury
Severe brain injury
Contact supervisor to report suspicious elderly abuse and suggest that Adult Protective Services get involved
Continue with treatment session and see if abuse continued until next session
Call the local police station to report suspicious elderly abuse
Explain to the son-in-law the allegations and get his side of the story before doing anything
Teach energy conservation techniques
Order appropriate adaptive devices and train safe us
Remove throw rugs from floors
Arrange furniture for easy maneuverability
Cranial nerve II
Cranial nerve III
Cranial nerve VI
Cranial nerve VII
Simple ADL to promote automatic responses
Sensory stimulation such as tactile, visual, auditory, temperature, and proprioception
ROM to prevent contracture/tone and spasticity management
Multi-step command following
Identifying coins in his/her pocket
Finding the route back to his/her room
Identifying a familiar face
Determining the distance from the front of the sink to the facet
Manually manipulate the wrist and hand to increase ROM
Gentle active exercise and frequent massage
Protective sensory reeducation
Swan neck deformity
Anterior cerebral artery
Middle cerebral artery
Posterior cerebral artery
Limited extension at IP joints
Inability to assume intrinsic minus position
Inability to oppose thumb and 5th digit
Normalization of movement patterns
Increasing range of motion
Facilitation and inhibition of muscle groups
Increasing associated reactions
Upper extremity strengthening
Adaptive grooming techniques
75 and up
Beery VMI (Visual Motor Integration)
SIPT (Sensory Integration & Praxis Test)
Battelle Developmental Inventory, 2nd edition
Tilt board or trampoline in sitting
Swinging low to the ground
Moving backwards in space
Actively self-applied stimuli
Stimuli applied when unable to see the source of touch
Using a goniometer to measure AROM
Using the Semmes Winestein monofilaments to measure sensation
Having the patient perform Phalen’s test to check for positive symptoms
Using a dynamometer to measure grip strength
Having the patient dip his/her hand in a volumeter to analyze amount of edema
Providing resistive strengthening exercises to increase grip strength
Providing manual therapy to stretch the shortened muscle fibers and increase ROM
Providing ultrasound to the affected digit to decrease pain
Providing the patient with a compression garment and strategies to reduce edema at home
De Quervain’s disease
Carpal Tunnel syndrome
Cubital Tunnel syndrome
Direct the individual to hold a sewing needle while it is being threaded.
Observe the individual lift a tall glass filled with water
Have the individual hold a heavy handbag by the handles
Hand the individual a key to place in a lock.
Resting pan splint
Dynamic extension splint
Wrist cock-up splint
Provide the patient with a reacher.
Instruct the patient to raise the head of the bed 50 degrees so they can reach their feet prior to donning the TLSO.
Teach effective bed mobility techniques to assist in rolling.
Use leg straps to help pull legs into a circle sit.
Lean forward so their chest is resting on their thighs.
Tilt the back of the chair as far back as possible.
Lean to the right, then to the left.
Get back in bed and perform bed mobility to the left and right.
Monitor their blood pressure to make sure their systolic BP is above 100.
Wrapping legs with Ace wraps
Passive opening of the fingers when the wrist is flexed and closing of the fingers when the wrist is extended.
Passive closing of the fingers when the wrist is flexed and opening of the fingers when the wrist is extended.
Passive closing of the fingers when the wrist is flexed AND closing of the fingers then the wrist is extended
Impaired cognitive status
Notify nursing and patients physician
Consult the dietitian
Discontinue the exercise and activities portion of intervention and focus on discussion/observation.
All of the above
Slow and labored movements
Standing up from a wheelchair without locking the brakes
Information that seemed confabulated
All of the above
Discharge the patient and refuse to treat them.
Donn gloves, mask, and gown and continue treatment within the patient’s room. Wash hands and disinfect treatment tool upon conclusion of intervention.
Treat the patient in their room without precautions.
Donn gloves only, and wash hands after treating the patient.
Look for pain with resisted thumb extension or abduction
Thickening/swelling over first dorsal compartment
Hold the stretch for 15-30 seconds
Holding the stretch a few degrees beyond the point of discomfort
Quick, vigorous movements
Relief of discomfort immediately after release of stretch
Balance and core strengthening activities
Passive ROM, splinting, and positioning
Resistive activities for intrinsic hand strengthening
Stepping back from the individual
Keeping the knees bent
Keeping the back in a flexed position
Maintaining a narrow base of support
Minnesota Rate of Manipulation Test
Bay Area Functional Performance Eval.
9-hole Peg Test
Fair – (3-/5)
Fair + (3+/5)
Good - (4-/5)
No pushing, pulling, lifting more than 4 lbs for 6 weeks following surgery
No pulling or pushing up with arms when transferring
No shoulder elevation above 90 degrees
No driving for 4 weeks post-operative
Lie on your back while resting in bed with a pillow or foaming between thighs to prevent knees from touching
Sit on soft chairs to allow for greater comfort of the hip while sitting
Get up and move around every hour
Use a raised toilet seat
Do not cross legs or ankles
Do not bend knee
Do not lay on back
Do not lay on stomache
Wear a shoulder sling 24 hrs a day to avoid movement in the left shoulder
Rest the left arm across the patient’s lap while in bed and seated in a wheelchair
Position the arm to avoid traction of the left shoulder muscles while in bed and seated in a wheelchair
Rest let arm in should extension and adduction
18 x 18 x 20 and 90, 80, 90
18 x 16 x 20 and 90, 90, 90
18 x 20 x 16 and 90, 90, 90
18 x 16 x 20 and 80, 80, 120
Long handled reacher
To advise the patient to keep her shoulder extended and adducted
Have the patient perform AROM exercises
Do 15 mins of E-Stim on the shoulder 3 times a week
Participate in UE strengthening exercises
Exploration and education in coping skills
Involvement of client in goal setting and selecting interventions
Focus solely on the client’s inappropriate behaviors during therapy sessions
Socialization and support groups
Disorganized thinking, delusions, hallucinations, and social withdrawal with an onset early in life
Progressive mental deterioration consisting of memory loss, confusion, and disorientation
An inability to read at a level that correlates with the person’s overall intelligence
The inability to plan, to maintain goal orientation, and to make decisions
Education of family, caregivers, and home health aide regarding hip precautions
Environmental modifications, activity adaptations, and equipment that maintain independent functionality
Providing strategies to the client for entering/exiting vehicles
Incorporating a home exercise program that encourages hip flexion beyond 90 degrees
Is presently at Ranchos Level IV
Is presently at Ranchos Level III
Is presently at Ranchos Level V
Is presently at Ranchos Level VI
Is presently at Ranchos Level II
Right homonymous hemianopsia
Left homonymous hemianopsia
Pie in the sky syndrome
Pie on the floor syndrome
UBE (arm bike)
Standing tolerance activity
Making a simple meal in the kitchen
Abduct arm, stabilize humeral head in glenoid cavity
External rotation, stabilize humeral head
Internal rotation, stabilize humeral head and adduct arm
None of the above
Orientation, attention, memory.
Initiation and planning.
No bending, no twisting, log roll to get out of bed.
No bending, no twisting, log roll to get out of bed, do not carry more than 5 lbs., up 3x a day for a max of 15 min
No bending, no twisting, no carrying more than 5 lbs.
No bending, no twisting, no carrying more than 5 lbs, log roll to get out of bed.
Grooming at the edge of bed.
Grooming while standing at the sink.
Do not bend
Do not lift more than 5 pounds
Do not twist trunk
Do not dress without supervision
Klein-Bell activities of daily living scale
Constraint Induced Movement Therapy (CIMT)
Brunnstrom Movement Therapy Approach
Brunnstrom Movement Therapy Approach
Rood and Proprioceptive Neuromuscular Facilitation Techniques
Promote the client to breathe in when lifting legs into pants
Encourage the client to breathe out when pulling a shirt overhead
Reinforce a daily self care routine be performed in sitting
Emphasize the use of a pulse oximeter during lower body dressing
The walls between many of the air sacs are destroyed
The thoracic muscles have become weak
The alveoli do not exchange O2 and CO2 as efficiently
The air sacs have decreased in size and number
More oxygen will produce more CO2
It will cause their oxygen to increase too much
Turning up the oxygen will make the patient dependent on oxygen
Increasing the oxygen will slow the rate of breathing, slowing the rate they get rid of excess CO2
They are positive symptoms which can be reduced with medications
They are positive symptoms which can not be reduced with medications
They are negative symptoms which can be reduced with medications
They are negative symptoms which can not be reduced with medications
Panic Disorder without Agoraphobia
Panic Disorder with Agoraphobia
Sit in a high stool when working at the kitchen counter.
Remove all throw rugs.
Use a rolling basket or utility cart when doing laundry.
Place the most used kitchen items on bottom shelves and cabinets under the counter.
A patient with cancer.
A patient with severe arthritis.
A patient taking medication for high blood pressure.
A patient with a broken bone.
Your feet should be flat on the floor.
Your knees are positioned higher than your hips.
Work is placed directly in front of you.
Arms rested on armrests.
Checking the car’s blind spot while driving.
Lifting a 2-year-old child out of the swing at the playground.
Reaching down to tie one’s shoes.
Sitting with your hips above your knees and feet planted on the floor.
Low threshold vestibular processing
High threshold tactile processing
High threshold vestibular processing
Low threshold auditory processing
Handwriting tasks at a table/desk
Finding marbles in therapy putty
Finding the right pencil grip
Handwriting on a slanted or vertical surface
Complete the BOT-2
Ask her to complete a maze
Ask her to construct the same shape that you build out of blocks
Complete the visual subtest of the VMI
Decreased coordination (gross and fine)
Resistive strengthening exercises
AROM exercises hitting full ROM in all planes
Codman’s pendulum exercises
You will be able to regain the full function you experienced before your stroke.
You suffered a severe stroke and will never regain any function.
You will be a able to perform the tasks that you performed before the stroke, however you may need to use different methods and adapt your lifestyle.
Energy conservation/work simplification
Upper body strengthening
A and C
Bayley Scales of Infant Development-II
Sensory trans cortical aphasia
Motor trans cortical aphasia
Slight extension of the wrist, MCPs and IPs joints
Slight flexion of the wrist, MCPs and IPs joints
Slight extension of the wrist, MCPs and flexion of IPs
Slight flexion of the wrist, IPs and flexion of MCPs
Slight extension of the wrist, IPs, and flexion of MCPs
Something that begins after age 7
The process of turning sensation into perception
Primarily controlled by the cardiovascular system
Something that is an “all-or-nothing” response
Helping the child learn specific skills
Helping the child develop one strong sense that will overpower their other senses
Helping the child learn to reorganize their brain
Helping the child learn to accept that they are different
Shoulder internally rotated and depressed with a straight elbow, and the wrist rotated outward
Shoulder hiking and internal rotation, flexed elbow, and flexed wrist
Shoulder external rotation, extended elbow, extended wrist
Shoulder in neutral, elbow flexion, wrist in neutral
Skin that look pale or blue and is cold to touch
Shortness of breath or chest pain
Swollen or red areas that could be warm to touch in the groin, heel or calf
Shooting pain running up and down the body
Tell the nurse that you are from OT and are checking to see if you can see the patient and if there is anything you should know before going in.
Check to see if the patient is awake
Check all of the orders and verify that there is an activity order from the doctor. If not, page the doctor and ask them to put one in.
Do a thorough chart review.
Activity should be pain limited in the patients AROM.
Avoid manual muscle testing and resistance exercises on the involved extremity.
Patients are always on strict bedrest
If bone metastasis present in weightbearing bone, make sure there are orders re: weightbearing status in chart.
24 inches from the floor
33-36 inches from the floor of the bathtub
33-36 inches from the floor outside of the bathtub
At the patient’s waist level