MOHO
Occupations or actions produced in response to input received
What is output?
Structural stability, Passive Range of motion, Low level endurance, Edema, Strength, High level endurance.
What are problem areas addressed by the biomechanical FOR?
A return to ability, that is, the return to the fullest physical, mental, social, vocational, and economic usefulness that is possible for the individual.
What is rehabilitation?
Characteristic of the person or client (example: physiological, cognitive, psychological, spiritual)
What is an intrinsic factor?
An OTA uses a splint with a patient to maintain ROM following a stroke in this model/FOR.
What is the biomechanical FOR?
A person’s internal belief concerning what is good, right, and valuable.
What are valued goals?
Goniometer for ROM, dynamometer for grip strength, volumetry for edema, and manual muscle testing for strength.
What are assessment tools for the biomechanical FOR?
Standardized objective tests of occupational performance, evaluations to determine client's strengths, and evaluations of environmental and social contexts to determine supports and limitations.
What are assessments used in Rehabilitative FOR?
The persons situation, context, or environment.
What is an exrinsic factor?
In this frame of reference, and OTA might have a client use a shower chair to regain independence in bathing through compensation.
What is the rehabilitative FOR?
The subsystem consisting of the basic capacities (skills) for action.
What is performance?
ADL retraining, work hardening, orthoses, active ROM, active assistive ROM, passive ROM exercises, strengthening, nerve gliding, etc.
What are interventions related to the biomechanical FOR?
Adaptive devices/equipment, adaptive techniques and safety training, energy conservation, work simplification, orthotics/prosthetics training, environmental modification, wheelchair modification and management.
What are interventions used in the rehabilitative FOR?
The approach used by PEOP that requires the therapist to first consider the individual in context, identify the client's roles, occupations, and goals.
Top-Down approach
In this model/FOR, an individual is considered an open system, which develops and goes through different forms of growth, development, and changes through ongoing interaction with the external environment.
What is MOHO?
The internal subsystem of MOHO that is addressed in the following scenerio: A pediatric OT working with a child on dressing offers a super-hero costumes for practice to encourage participation because the child loves super-heros.
What is volition?
The pediatric FOR designed to enhance development of postural reactions by reducing the demands of gravity and aligning the body. The goal is to improve functional performance by providing external support for proximal stability to improve distal function.
What is the Biomechanical FOR for Positioning Children for Function?
Clients who have some level of disability that is not expected to remediate or who lack the motivation to participate in remediation.
What are people who benefit from the rehabilitative FOR?
An example of this aspect of environment includes the following: Shelly lives in rural town in a ranch style home.
What is physical environment?
This Model/FOR looks at the interaction between input, throughput, and output.
What is MOHO?
Model of Human Occupational Screening Tool (MOHOST), Occupational Questionnaire (OQ), Occupational Self-Assessment (OSA), Assessment of Motor Process Skills (AMPS), Child Occupational Self Assessment (COSA), Short Child Occupational Profile (SCOPE)
What are MOHO assessments?
First, the body must rest to heal itself. Then, the peripheral structure must be stressed to regain range, strength, and endurance.
What is the principle of rest and stress?
±The theoretical basis of this FOR is that the client must focus on the remaining abilities, despite of any disabilities, to attain his/her highest level of functioning in the desired occupational performance
±People can regain independence through compensation
±Motivation (values, roles, and interest) and environmental factors (economical status, family support, etc.) are important factors in successful rehabilitation
±A minimum of emotional and cognitive skill is necessary for independence
What are the basic assumptions of the rehabilitative FOR?
The process in which the therapist identifies occupational performance issues, examines PEOP relationships, and plans with the client or family.
What is intervention?
In this model/FOR the client identifies the most important occupational performance issues.
What is PEOP?