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Rationales OT > AOTA PDF DRIVING, WC, AT, WORK > Flashcards

AOTA PDF DRIVING, WC, AT, WORK Flashcards

1
Q

Give examples of some visual perceptual assessments

A
  • Clock Drawing Test
  • Ishira Color Test
  • Optic Functional Visual Analyzer
  • Symbol Digit Modalities Test
  • Contrast Sensitivity
  • Glare Recovery
  • Depth Perception
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2
Q

What is the Cognitive Behavioral Driver’s Inventory?

A

computer-based for people with TBI to assess their driving skills

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3
Q

What is the Cognitive Linguistic Quick Test?

A

For adults with neurological impairment includes clock drawing

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4
Q

What is Drive ABLE?

A

Determine competence via cognitive tool and on-road evaluation.

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5
Q

What is the break reaction timer?

A

Time required to move the foot from the accelerator to the brakes in response to a stimulus such as red light.

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6
Q

What is an open road with fixed route?

A

Evaluate driving skills in neighborhood streets/intersection. Test under the same natural environment or infrastructures.

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7
Q

What is the naturalistic driving with instrumented vehicles?

A

under real world conditions with vehicle kinematics for data collection

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8
Q

What is Michon’s Hierarchy of Driving Behavior?

A

Strategic, tactical, and operational

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9
Q

What is strategic level?

A

Higher level of decision making like trip goals, mode of travel, and navigating routes.

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10
Q

What is tactical level?

A

Decisions made during driving maneuver like making left hand turns, slow to pass vehicle

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11
Q

What is operational level?

A

Decisions made while controlling the vehicle safely like visual motor coordination

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12
Q

Some interventions to do with a person with visual acuity problems?

A

Use corrective lens

at this point, client is slow to recognize signs and has a delayed environment response

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13
Q

Interventions to do with a person who has contrast sensitivity problems?

A

Avoid area, time of day, weather conditions with poor contrast

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14
Q

Interventions to do with a person who has field cut or scotoma problems?

A

Extra head turns, prism lens, restrict night driving

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15
Q

Interventions to do with a person who has stereopsis problems?

A

Learn to use environmental cues such as stopping lines or tires of the cars ahead

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16
Q

What is a stationary in-vehicle orientation assessment?

A

Client gets familiar wi tethst vehicle to assess ability to operate vehicle controls (like does he/she knows how to adjust seat, mirrors, put on seat belt)

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17
Q

What are some on-road/in-traffic eval?

A

Fixed Route (45-60 mins driving eval like driver’s test)

and Variable Route (more occupation centered, client’s community/typical routes)

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18
Q

Driving controls: Primary control does what? and what are some OT adaptations?

A

Engages when vehicle is in motion.
Affects direction/speed (steering wheel, gas pedal)

Adaptations include: extended pedal, L accelerator, hand controls, pedal guard (prevent leg from pressing much due to spasm)

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19
Q

Driving controls: Secondary control does what?

A

must be accessible when active vehicle is in motion. but do not affect direction or speed (turn on signals)

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20
Q

Driving controls: Tertiary control does what?

A

Do not need to be activated when vehicle is moving like ignition, gear, AC

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21
Q

What is fixed route as a form of public transportation?

A

Schedule routine in between suchas subway, train, light trail.

Good for clients who are able to read schedule, plan ahead, judge spatial relationships, budget for fair, ask directions, adjust emotions for unexpected events.

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22
Q

What is paratransit?

A

Transportation alternatives operate for clients with fx impairments limit ability to access fixed route services.

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23
Q

What is curb-to-curb?

A

pick up curb of origin to destination. May be assisted to get on/off

24
Q

What is door-to-door?

A

Assisted to doorway of pt from origin to entrance of destination. not assisted to enter

25
Q

What is door through door?

A

assisted from origin to destination to enter while carrying or with physical A

26
Q

How does a person qualify to paratransit?

A
  • Unable to navigate fixed route transportation system,
  • Unavailability of public transportation at time or place PWD needs to travel
  • Inability to board or disembark at a specific location due to impairment related
27
Q

What is the SAFETEA-LU Act?

A

Safe school routes to provide safe environment surrounding schools and encourager children to bike and walk

28
Q

What are some environmental considerations in community mobility?

A

Walkability and Livabilityy

Walkability- “the extent to which the built environment is walking friendly”

Livability is the extent to which a community fulfills six core principles: (1) provides affordable, appropriate, and accessible housing; (2) provides accessible, affordable, reliable, and safe trasportation; (3) adjusts the physical environment for inclusiveness and accessibility; (4) provides work, volunteer, and educational opportunities; (5) ensures access to key health and support services; and (6) encourages participation in civic, cultural, social and recreational activities.

29
Q

What are the functional goals for wc seating?

A

Postural control/stability, wheeled mobility, increased comfort, normalize tone, position head for visual input

30
Q

What should you observe during physical exam when determining wc seating?

A
  • Postural stability/control
  • Transfer/position, UE, head, neck control
  • Unsupported Seated position
  • Pelvic and Trunk
31
Q

What is the standard wc seating position?

A 
Head is in mid position
arms at side of trunk
Elbows 90
Hips, knees, ankles 90
NEUTRAL PELVIS
32
Q

What body function mainly provides BOS for stability and movement?

A

PELVIS and THIGHS

33
Q

What are the different cushion shapes?

A

Flat- good for minimal postural support needs. Does not fit body shape.

Standard Contoured Surface- fits typical body size. Distribute pressure across areas

Custom-contoured- Shaped to client’s body, expensive,

34
Q

What is the measurement guidelines for seat width?

A

+2

35
Q

What is the measurement guidelines for seat depth?

A

-2

36
Q

What is the measurement guidelines for seat height?

A

+2

37
Q

This type of mobility can walk short distances and may need wheelchair on occasion?

A

Marginal Ambulatory user

38
Q

This type of mobility can propel w/c with BUE or pushed by c/g?

A

Manual Wc User

39
Q

This type of mobility can propel w/c in short distances due to UE weakness or decreased endurance?

A

Marginal manual wc user

40
Q

This type of mobility is unable to self-propel

A

Total mobility impaired user

41
Q

What are some guidelines with pushing a wheelchair for client/cg training?

A

Ascend curbs-> tilt chair

Descend crabs-> move chair back and guide large wheels down

Ascend incline-> move forward

Descend incline-? move chair backwards in forward direction

42
Q

According to the MAE, what qualifies a person to be eligible for a manual wheelchair?

A

sufficient UE strength

43
Q

According to the MAE, what qualifies a person to be eligible for a scooter wheelchair?

A

sufficient UE strength and postural stability

44
Q

According to the MAE, what qualifies a person to be eligible for a power wheelchair?

A

requires features not available in standard wc to be able to aid in completing MRADLs.

45
Q

What is a work-related musculoskeletal disorder (WRMD)?

A

Soft tissue injury affecting ligaments, muscle, tendon like carpal tunnel, deQuervains due to heavy handling and poor work space.

46
Q

In work cases, what are some body mechanics education taught to clients by an OT?

A

Neutral spine, keep objects close to COG, avoid twisting through spine, use both sides equally

47
Q

What is a symptom magnification?

A

non-adaptiv static approach to manipulate society with display of sxs (faking sxs to avoid responsibility)

48
Q

What is symptom minimizer?

A

Pt who keeps sudden sxs hidden to return to normal activity.

49
Q

What is work tolerance screening?

A

Assess client’s cognitive and physical abilities to meet job demands. Typically does after client has received offer of employment.

50
Q

What is a typical FCE?

A

review medical records, interview, musculoskeletal screening. eval pf physical performance, recommendations.

51
Q

According to ADA guidelines, what is the max slope for ramps?

A

1:12

52
Q

What is the minimum door clear opening?

A

32”

53
Q

When turning, what is wheelchair space needed?

A

5” x 5” (60” x 60”)

54
Q

What is vocational evaluation?

A

Provides information about a person’s capacities/interests for work situations when he/she hasn’t worked before and looking for a new job.

55
Q

What is the focus of work conditioning?

A

Emphasis on exercise, aerobic conditioning, education/

Rationales OT (13 decks)

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