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OT PEDS II-C
Perception
| Question | Answer |
|---|---|
| What is visual acuity? | the product of the integration of the optical systems of the eye and CNS processing |
| what is a visual field? | The field of view of the external world that is sseen by both eyes w/out turning the head. the area of the visual system that allows an individual to orient to specific spatial areas |
| what is ideomotor apraxia? | knows what to do, fully understands concept but cannot perform action successfully. most common form of apraxia |
| what is ideational apraxia? | inability to carry out complex sequential motor actions due to a disruption of the conception rather than execution of the motor act |
| OT treatments for acuity | larger print, increase contrast, solids, not patterns, decrease clutter, bright light |
| OT tx for visual filed | use color strip on side to cue field limit; worksheet to practice scanning; cues to scan visual field; reduce clutter; awareness of light & safety concerns |
| OT ideas for oculomotor control | practice tracking, provide vestibular movement such as swinging |
| restorative ideas for ideational/ideomotor apraxia | provide lots of sensory input - tactile, proprioception, auditory, guide, be consistent, educate family, offer cognitive cues like color |
| what is dressing apraxia? | inability to dress oneself due to a disorder in body scheme and or spatial relations |
| what kind of brian damage is associated with dressing apraxia? | posterior parietal lesions in the right hemisphere |
| what sort of brain damage is associated with ideomotor apraxia? | left hemisphere damage |
| Adaptive ideas for ideomotor/ideational apraxia | brief verbal cues, normal environment with alterations as necessary, cue cards, have ct visualize movements before attempting, educate fam/client, adapt ADLs for phys limitations |
| restorative approaches to dressing apraxia | verbal cues and guiding only as necessary, tactile-kinesthetic ct guiding as needed, NDT - weight bearing, shifting, handling prior to, during dressing, as needed |
| adaptive approach to dressing apraxia | Use labels or color dots to show front/back; observe ct to see what works best (one at a time, etc); start buttoning at bottom; pullover shirt if easier, velcro, educate fam, |
| what is finger agnosia, what kind of brain damage is associated with it? | doubt and hesitation concerning the fingers, associated with left parietal damage, fairly common - usually bilateral with 3 middle fingers |
| restorative approaches to finger agnosia | repeated sensory input for fingers to be used for desired task; repeated sensory stim with eyes open, then closed before ADL performance, to develop grip skills, use small lateral shearing movement stimulation |
| adaptive approaches to finger agnosia | education of client and family on how it affects function and dexterity, highlight safety, environmental adaptations - handles, hook & loop fasterner covered keys on computer |
Created by:
sherryama