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OT PEDS II-C

Perception

QuestionAnswer
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