CTA Flashcards
(20 cards)
What are compensatory interventions aimed at?
Promoting optimal function using residual abilities
How is the activity adapted in compensatory interventions?
The activity (task) is changed to achieve function, targeting uninvolved or less involved segments
Give an example of a compensatory intervention for a patient with left hemiplegia.
Learning to dress using the right upper extremity (UE)
What is an example of an environmental adaptation for a patient with TBI?
Selecting clothing from color-coded drawers
When can compensatory interventions be used?
In conjunction with restorative interventions or when restorative interventions are unrealistic or unsuccessful
What does the Compensatory Approach focus on in sensory deficit?
Patient education to accommodate limitations imposed by the sensory deficit
What is the therapist’s role in the Compensatory Approach?
Assist the patient in achieving optimum functional capacity and creating environmental adaptations
List some practical strategies taught by therapists for patients with sensory deficits.
- Testing bath water with a thermometer
- Not going barefoot
- Regularly checking insensitive skin areas
- Substituting vision for absent tactile cues
- Wearing heat resistant gloves
- Using a rolling cart
- Arranging kitchen supplies for easier access
What compensatory training strategies are used to improve balance?
Shifting toward intact systems to monitor and adjust balance
How should patients with LE proprioceptive losses adjust their focus for balance?
They need to learn to shift focus to the visual system
What is a risk factor for loss of balance in patients with multiple sensory deficits?
High risk for falls due to pronounced balance deficits
What should patients with low vision practice while wearing?
Their eyeglasses
What should patients avoid wearing during balance activities?
Bifocal glasses
What does the therapist help a patient with cognitive and perceptual deficits to do?
Attend to cues from the environment to enhance skill performance
What should a therapist explain to a patient with a visual field cut?
The patient is seeing only one half of the environment
What compensatory technique can help during cerebellar dysfunction for gait?
Deliberately widening stance
What are general suggestions when teaching compensatory techniques?
- Use simple directions
- Establish and carry out a routine
- Do each activity in a consistent manner
- Employ repetition as needed
What is a major limitation of the Compensatory Techniques Approach (CTA)?
Methods learned in one task are not typically generalized to another task
What are undesirable compensatory patterns?
Patterns of function that rely on movements of the uninvolved arm and leg, leading to unsafe patterns
What might undesirable compensatory patterns contribute to?
Secondary impairments or strategies that may hinder future motor recovery
