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Phys Dys Chapter 2

4 stages of treatment Stage I - Adjunctive Methods, Stage II - Enabling Activities, Stage III - Purposeful activities, Stage IV - Occupational Performance and Occupational Roles
Adjunctive Activities 1) Prepare the pt to engage in activity 2) Concerned with maintaining or remedying components of skills
Enabling Activities 1)Require more pt involvement 2)Pt participates activitely 3) Requires and elicits coordination of sensorimotor,psychosocial, and cognitive systems
Purposeful Activites 1)Inherent or autonomous goal and is relevant and meaningful to pt 2)Part of daily life routine and occurs in the context of occupational performance 3) Purposefulness determined by individual performing it and context in which it is performed
Occupational Performance and Occupational Goals 1)Pt resumes or assumes occupational roles in their environment and community 2) Appropriate tasks in ADLs,work, and productive activities and play and leisure are performed to the pt max level of Indpndce 3) Residual disblty remain, but pt compensates
Sensorimotor Approach *Used with CNS dysfnctn *Neurophysiological mechanisms to normalize muscle tone and elicit more N motor responses *Therapy drectd at incorporating primitive reflexes into purposeful activity & integrting them so that movmnt becomes more controld&volntary
Sensorimotor Approach (con't) addresses sequencing and motor learning NDT - neuromuscular developmental techniques (used to retrain - helps w high tone
Rehabilitative Approach 1)Uses measures that enable a person to live as Independently as possible despite residual disability 2) Goal is to help the pt learn to work around or compensate for physical limitations
Treatment methods for Rehabilitative Approach *Self care eval & training *training in assistive devices*adaptive clothing*W/C management*community transportation*architectural adaptations
Rehabilitation Approach Focuses on performance areas more than performance components Takes into consideration the influence of the environment & provides methods to adapt the environment to the individual
Biomechanical Approach Typical eval & tx techniques used are measuring ROM, muscle strength, therapeutic exercise & orthotics Goals are to eval specific physical limitations in ROM, strength, endurance, restore these functions& prevent or reduce deformity
biomechanical approach most appropriate for pt with orthopedic conditions such as RA, OA, fx,amputations, hand trauma, Guillian-Barre, spinal cord injury & possibly muscular dystrophy