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cognitive-perceptual approaches
chapter 13
68
Other
Post-Graduate
06/18/2014

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Term
Impaired alertness/arousal
Definition
decrease response to environment
Term
astereognosis
Definition
inability to recognize objects by touch alone
sensory testing is intact
Term
impaired attention
Definition
inability to attend or focus on stimuli
distractible
difficulty with sustained attention and selective attention
Term
ideational apraxia
Definition
breakdown in knowledge of what is to be done
lack of knowledge regarding object use
sensorimotor system may be in tact
Term
motor apraxia/ideomotor apraxia
Definition
loss of access to kinesthetic memory
ineffective motor planning
Term
long term memory loss
Definition
lack of storage, consolidation, and retention and retrieval of information
Term
short-term memory loss
Definition
lack of registration and temporary storing of information
includes loss of working memory
Term
impaired organization/sequencing
Definition
inability to organize thoughts with activity steps properly sequenced
Term
right-left indiscrimination
Definition
inability to discriminate between the right and left sides of the body or apply right/left in the environment
Term
Body scheme disorders
Definition
loss of awareness of body parts in relation to each other and objects
Term
asomatognosia
Definition
body scheme disorder in diminished awareness of body structure and recognize ones own body parts
Term
spatial relations impairment
Definition
difficulty relating objects to each other or to the self secondary to a loss of spatial concepts (up/down, front/back, under/over, etc.)
Term
topographical disorientation
Definition
difficulty finding one's way in space secondary to memory dysfunction or the inability to interpret sensory stimuli
Term
unilateral spatial neglect
Definition
neglect of the space contralateral to lesion
Term
unilateral body neglect
Definition
failure to respond to or report unilateral stimulus contralateral to lesion
Term
figure ground dysfunction
Definition
inability to distinguish foreground from background
Term
anosognosia
Definition
unaware of motor deficit
related to lack of insight of disability
Term
perseveration
Definition
continuation or repetition of a motor act or task
Term
acalculia
Definition
inability to perform calculations
Term
alexia
Definition
inability to read
Term
agraphia
Definition
inability to write
Term
impaired problem solving
Definition
inability to manipulate knowledge and apply information to new or unfamiliar tasks
Term
disorientation
Definition
lack of knowledge of person, place, and time.
Term
anomia
Definition
inability to name objects or retrieve names
Term
broca's aphasia
Definition
loss of expressive language
Term
wernicke's aphasia
Definition
deficit in auditory comprehension
Term
agnosia
Definition
inability to recognize objects persons, sounds, shapes, smells
Term
executive dysfunction or dysexecutive syndrom
Definition
related to multiple functions like decision making, problem solving, planning, task switching, modifying behavior self correction, etc.
Term
visual skills
Definition
acuity - clarity
fields - available vision everywhere
oculomotor function - control of eye movements
scanning - ability to observe and locate items in the environment
Term
observations during daily routine for cognitive and perceptual impairments
Definition
requires sensory cues to maintain alertness
appears clumsy, awkward movements
uses objects incorectly
repeats same motor act
cannot find food, balance check book, gets lost
does not incorporate body parts needed
difficulty with dressing, overshooting
cannot attend, cannot make toast
Term
Assessment of Motor and Process Skills
AMPS
Definition
ages 3 years and up
functional competence in BADL or IADL
individual chooses tasks
16 motor and 20 process skills are scored
Term
A-ONE Arnadottir OT Neurobehavioral Evaluation
Definition
used with adults
observations of BADL and mobility
error analysis is used
Term
Allen Cognitive level Test
Definition
screening tool used with psychiatric disorders, acquired brain injury, dementia
Lacing activities
Levels 1-6
Term
Revermead Perceptual Assessment Battery
Definition
16 years and older
pt's with BI or stroke who have v/p deficits
16 performance tests of perceptual tasks
Scoring based on accuracy of task completion
Term
Behavioral inattention Test
Definition
used with adults w/ unilateral neglect
examines impact of neglect on function
9 activity based subtests,
picture scanning, menu reading, map navigagion, address and sentence copying, telephone dialing, etc.
six pen/paper subtests
Term
LOTCA
Definition
used with people who have suffered a stroke, TBI or tumor measures cognitive functions
20 subtests in 5 areas
orientation
visual
spatial perceptin
visualmotor organization
thinking operations
Term
Rivermeade Behavioral memory tests
Definition
Used w/ pt.s with memory dysfunction
initial eval, tx. areas, monitors skill thru rehab program
11 subcategories with nine subtests
Term
Executive Function Performance Test
Definition
assess executive function during performance of real-world tasks
Term
Mini-mental state examination
Definition
30 point questionnaire test used to screen cognitive impairment
screen for dementia
Term
Cognistat Neurobehavioral Cognitive Status Examination
Definition
less than 45 minutes
level of consciousness
orientation
attention
language
constructional ability
memory
calculations
reasoning
Term
remedial/restorative/transfer of training approach
Definition
Restoration
Deficit specific
targets cause of symptoms
emphasizes performance components
assumes cerebral cortex can reorganize
utilizes table-top, computer activities, block designs
Term
Compensatory / Adaptive/Functional Approach
Definition
repetitive practice
emphasizes modification
emphasizes intact skill training
treats symptoms
utilizes techniques of environmental adaptation
treatment is task specific
utilizes functional
Term
Information Processing Approach
Definition
provides information on individual approaches
investigates how performance changes with cueing
cues are given
investigative questions are used
Term
Dynamic Interactional Approach
Definition
emphasizes transfer of information
utilizes varying treatment environments
practice of varied tasks
emphasizes metacognitive skills
transfer of learning occurs through a graded series of tasks that decrease similarity
pt's. processes abilities and self-monitoring techniques
therapist utilizes awareness questioning
Term
Quadraphonic Approach
Definition
based on remediation
information processing
micro-perspective includes evaluation of management
evaluation of real-life tasks
teaching/learning
Neurodevelopmental
biomechanical
Term
cognitive disabilities model
Definition
used for psychosocial dysfunction, neurologic and dementia
describes cognitive function from 1 to 6 (normal)
each level describes difficulty performing occupations
focus is placed on adaptive approaches strengthening residual abilities
Term
Intervention for impaired alertness or arousal
Definition
increase environmental stimuli
use gross motor activities
increase sensory stimuli
Term
Intervention for motor/ideomotor apraxia
Definition
utilize general verbal cues
decrease manipulation demands
provide tactile-kinesthetic input
use visual cues
Term
Intervention for ideational apraxia
Definition
Provide step by step instructions
use hand over hand guiding techniques
provide opportunities for motor planning and motor execution
Term
Intervention for perseveration
Definition
Train the person to inhibit behavior
redirect attention
engage in tasks that require repetition
Term
Intervention for spatial neglect
Definition
Provide graded scanning tasks
Simple to complex
Anchoring techniques to compensate
Utilize manipulative tasks w/ scanning
Use external cues
Term
Intervention for body neglect
Definition
bilateral activities
Guide affected side through the activity
Increase sensory stimulation to the affected side
Term
Intervention for aphasia
Definition
decrease external auditory sstimuli
give increased response time
use visual cues and gestures
use concise sentences
use aug. comm.
Term
Intervention strategies for sequencing and organization
Definition
use external cues
grade tasks increasingly complex
Term
Intervention for spatial relations problems
Definition
challenge spatial skills
use tasks that require r/l discrimination
Term
Intervention for memory loss
Definition
use rehearsal strategies
chunk information
memory aids
temporal tags
Term
cranial nerve 1 - olfactory
Definition
person should sniff various substances
Term
cranial nerve II - optic
Definition
eye chart and visual field testing
Term
cranial nerve III - oculomotor
Definition
compare pupil sizes for shape and equality, pupillary reflex is tested, visual tracking is tested
medial and vertical
Term
cranial nerve IV - trochlear
Definition
follow moving objects downward and inward
Term
cranial nerve V - Trigeminal
Definition
pain, touch, temperature, corneal reflex tested with cotton, move jaw through full ROM
Term
cranial verve VI - Abducens
Definition
moving eye laterally
Term
cranial nerve VII - facial
Definition
check symmetry of face, facial expressions, test sweet, salty, sour, bitter
Term
cranial nerve VIII - vestibulocochlear
Definition
use tuning fork to check hearing
equilibrium
Term
cranial nerve IX - glossopharyngeal
Definition
gag and swallow reflexes are tested
taste in posterior part of tongue
Term
cranial nerve X - vagus
Definition
sensory motor for larynx/pharynx
Term
cranial nerve XI - spinal accessory
Definition
movement of neck and shoulders, sternocleidomastoid and trapezius muscle testing
Term
cranial nerve XII - hypoglossal
Definition
movement of tongue
stick out tongue
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