Guide to PT Practice and Disablement Models

Question 1

Purpose of the PT Practice Guide

Answer 1

describe PT practice
describe pt/ptas roles across multiple settings
standardize terminology used in related to PT practice
Delineate clinical decision making process for patient/client management
describe examination and evaluation process with a focus on tests and measures
explain selection process for choosing interventions
review specific interventions that are a part of PT practice

Question 2

The PT Practice Guide does NOT

Answer 2

provide specific protocols for treatment

set or standard care for which a PT may be legally responsible in any specific case

Question 3

PT Practice in informed by the following constructs and concepts

Answer 3

ICF (international classification of functioning, disability and health)
Biopsychosocial model of health
EBP (evidence-based practice)
professional values
quality assessment

Question 4

3 domains of Biopsychosocial model

Answer 4

biology
psychology
social environment

Question 5

Disablement

Answer 5

refers to various impacts of chronic and acute conditions on the functioning of specific body systems, on basic human performance and on people’s functioning in necessary, usual, expected and personally desired roles in society

Question 6

What did the ICF replace in 2001

Answer 6

international classification of impairments, disabilities and handicaps

Question 7

Does ICF measure health and disability at individual or population levels

Answer 7

both

Question 8

Activities as defined by ICF

Answer 8

Daily things you do like housework, cleaning, walking

Question 9

Participation as defined by ICF

Answer 9

sports

Question 10

Capacity

Answer 10

what could be if everything is ideal (capability)

Question 11

Performance

Answer 11

What the person can actually do

Question 12

Personal Factors

Answer 12

age, sex, coping

Question 13

Environmental Factors

Answer 13

social environment, physical environment, psychological environment

Question 14

Functioning and Disability include

Answer 14

body functions (impairments) , activities, (limitations) participation (restrictions)

Question 15

Contextual Features include

Answer 15

personal factors, environmental factors

Question 16

Body Functions

Answer 16

physiological functions of body systems (including psychological functions)

Question 17

body structures

Answer 17

anatomical parts of the body such as organs, limbs and their components

Question 18

impairments

Answer 18

problems in body function or structure such as a significant deviation or loss

Question 19

activity

Answer 19

execution of a task or action by an individual

Question 20

participation

Answer 20

involvement in a life situation

Question 21

activity limiations

Answer 21

difficulties individuals might have in executing activities

Question 22

participation restrictions

Answer 22

problems an individual might experience in involvement of life situations

Question 23

environment factors

Answer 23

make up the physical, social and attitudinal environment in which people conduct their lives

Question 24

personal factors

Answer 24

age, gender, education, social/cultural background, coping style, character

Question 25

Nagi Disablment Model and Coresponding ICF terminology

Answer 25

pathology/pathophysiology = health condition impairment= body function and structure impairment activity limitation= functional limitation participation restriction= disability

Question 26

Health conditions are ____

Answer 26

usually medical diagnosis

Question 27

Impairments of body structure can be

Answer 27

permanent or temporary progressive, regressive or static intermittent (flares up) or continuous slight - severe

Question 28

Impairments of body structure include

Answer 28

``` impaired muscle strength abnormal ROM leg length discrepency abnormal gait pattern impaired balance impaired sensation pain ```

Question 29

Basic ADLs

Answer 29

daily fundemental patterns of behvior dressing, feeding, bathing, grooming

Question 30

Heavy ADLs (Insrumental ADLs)

Answer 30

more complex tasks associated with independent community living such as grocery shopping, housework, cooking, use of public transportation

Question 31

Participation Restrictions

Answer 31

inability or restricted abolity to perform actions, tasks and activities related to fulfilling life roles in the individuals socioculture and physical environment siuch as work, community involvement, leisure recreation roels characterized by a discordance between actual performance in a particular role and the expectation of the community/family regarding what are normal behaviors in that role

Question 32

Examples of Participation Restriction

Answer 32

mother with MS can no longer care for her kids professional football player sustains spinal cord injury and has to retire from work consturction worker with CVA with permanent hemiplegia can no longer perfrom job

Question 33

MCMRR National Center for Medical Rehabilitatoin Research

Answer 33

model gives special emphasis to outcome measures that reflect not only physical function but also such elements as social relationships normal life activities and community life and quality or life

Question 34

Quality Assessment

Answer 34

assessment of struvture of pt services provided process of care (adherence to standards of practice/ clinical decision rules) ,measurement of outcomes of care (data collection/anaylsis) continuous and systematic Focuses on review of care to be provided to patient client (level of indivudual) development of practice policies (level of group/institution) use of EBP