Frames of Reference
This FOR targets remediation of physical impairments like strength, ROM, and endurance.
What is the biomechanical frame of reference?
Occupational therapists provide this to clients and families to teach safe and effective ways to perform activities or use equipment.
(Type of intervention)
What is education and training?
A patient with moderate right-sided weakness after a stroke can bear weight through their left leg, follow instructions, and needs moderate assistance to stand. What is the safest transfer technique?
What is a stand pivot transfer?
This assessment is commonly used with the rehabilitative FOR to measure independence.
What is the Functional Independence Measure (FIM)?
A client recovering from a wrist fracture is referred to OT for exercises to increase range of motion and muscle strength.
What is the biomechanical frame of reference?
This type of feedback comes from the client’s own sensory experience during motor learning.
What is intrinsic feedback?
This type of assistive device is most appropriate for a patient with TTWB precautions to complete transfers and ambulation.
What is front-wheeled rolling walker or standard walker?
A patient is unable to assist with transfers due to severe weakness and confusion. Two staff are available to help. What is the safest transfer method?
What is a mechanical lift transfer?
When selecting a type of assessment, an occupational therapist must consider _____ and ______ to effectively measure the metric.
What is validity and reliability
A stroke survivor with permanent right-sided weakness is learning to use a one-handed dressing technique and adaptive equipment to increase independence.
What is the rehabilitative frame of reference?
This FOR assumes impairments are permanent and focuses on maximizing independence through compensatory strategies.
What is the rehabilitative frame of reference?
The purpose of assessing vital signs prior to initiating intervention.
What is to assess the patient's physiological readiness for activity?
A patient recovering from a lower limb fracture is non-weight bearing on both legs but has good upper body strength and cognition. What transfer is safest?
What is a sliding board transfer?
This score on a MMT indicates full ROM against gravity with no pressure.
What is 3/5?
An adult with multiple sclerosis is working with the OT to identify meaningful activities, set personal goals, and adapt tasks to maintain participation as symptoms fluctuate.
What is the Occupational Adaptation Model (OAM)?
This FOR uses repetition of meaningful tasks to promote permanent neural changes.
What is the motor learning frame of reference?
The use of ______ for the means of occupation provides psychosocial, physical, and cognitive benefits to patients as well as can restore identity.
What is Leisure?
A client with a recent hip replacement has hip precautions (no hip flexion past 90°, no adduction, no internal rotation). They can follow directions and have fair upper body strength. What transfer is safest?
What is a sit to stand transfer with emphasis on maintaining hip precautions?
This type of assessment is administered and scored in a consistent manner, allowing for comparison to normative data or established criteria.
What is a standardized assessment?
A client with arthritis is learning joint protection techniques and how to use built-up utensils to reduce pain during meal preparation.
What is the compensatory frame of reference?
This model considers the dynamic interaction between the person, their environment, and their occupations in promoting health and participation.
What is the PEOP model?
Before suggesting a built-up utensil or reacher, an OT would first try this approach to help a client regain the ability to perform a specific activity
What is therapeutic intervention/remediation to improve strength, coordination, or skill?
A 68-year-old patient recovering from a left total knee replacement is alert, follows instructions, and can bear weight through both legs. He needs minimal help to transfer from supine to sit at EOB. At EOB, he requires min A for balance. What is the safest transfer technique for this patient?
What is a stand pivot transfer?
A client recovering from a stroke has limited arm movement and difficulty with daily tasks. The occupational therapist uses this device to measure the degree of joint movement in the affected upper extremity to guide treatment planning.
What is a goniometer?
An older adult with Parkinson’s disease is practicing safe transfers and walking with a walker, while the OT modifies the home environment to reduce fall risk and support daily activities.
What is the PEOP model (Person-Environment-Occupation-Performance)?