Upper Extremity Amelia
A rare non-syndromic limb reduction birth defect resulting in the complete or near complete loss of one or both upper extremities
Osteogenesis Imperfecta
Brittle bone disease
Genetic bone disorder
Prevent deformities and fractures
Which position do you want to avoid when preventing contractures in someone with severe burns?
Positions of comfort
Becuase they are usually flexed positions that lead to contracture
Who is exempt from ADA WC specifications?
Religious organizations, private membership clubs, and native american businesses.
How do wrap-around armrests increase accessibility?
They reduce the WC width by 1 inch.
Principles of a Motor Relearning Program
Providing visual and verbal feedback to the client
Motor (ideomotor) apraxia
Loss of access to kinesthetic memory so that purposeful movement cannot be achieved, although sensation, movement, and coordination are intact.
Ideational apraxia
A breakdown in the knowledge of what is to be done or how to perform an action or use an object
Somatoagnosia
A diminished awareness of body structure and a failure to recognize body parts as one’s own
Tactile agnosia (astereognosis)
The inability to recognize objects, forms, shapes, and sizes by touch alone
Treating Duchenne Muscular Dystrophy
Adjusting to its progressive nature and providing options that maintain independence for as long as possible
Bed positioning for a client with shoulder subluxation and hemiplegia
Protracted, with the arm forward on a pillow and the elbow extended or slightly flexed
If a patient refuses treatment
Offer accommodations or strategies for them
Document refusal
Do no force treatment
Spastic vs non-spastic CP
Spastic- characterized by increased muscle tone, jerky movements, and stiff muscles
Non-spastic- characterized by decreased or fluctuating muscle tone and uncontrolled movement
Tethered cord
The spinal cord of the child with spina bifida is sometimes attached to the spinal column and becomes taut as the child grows.
Symptoms:
- losing bladder control
- decreased strength
- equinovarus position of the feet
Equinovarus position of the feet
(Clubfoot)
Foot points down and in
Shunt malfunction
A shunt, used to drain fluid from the CNF from the brain, malfunctions
- intermittent headaches
- shortened attention span
- increased paralysis
- decreased upper extremity strength
- noticeable decrease in school performance
- increased irritability
Arnold-Chiari formation
Occurs during development and involves the brain slipping through the foramen ovale
Focus during an exacerbation of RA in the wrist and hand
- Gentle stretching
- Avoiding positions of deformity
- Resting hand orthosis
Mobile arm supports
Can be used to compensate for upper extremity weakness
If a client presents with bruises in suspicious places
Follow facility procedures
An OTAs role in a mature group
Participate as a member
When having issues with a fellow employee
Go to your supervising therapist
Therapeutic handling to affect the central nervous system is characteristic of what approach
Neurodevelopmental
