The Environment:
- __________ – physical impediments that prevent individuals from functioning optimally (safety, access, design)
- ____________ – degree to which an environment affords use of its resources with respect to an individual’s level of function
- ________ __________ – structures that meet prescribed standards for accessibility
- Barriers
- Accessibility
- Accessible Design
What is universal design?
“The design of products and environments to be usable by all people, to the greatest extent possible, without the need for adaptation or specialized design”
What are some other names for universal design?
- Inclusive Design
- Design for All
- Accessible Design
- Aging in Place Design
- Sustainable and Transgenerational Design
Universal design is applied from the _________ - makes them invisible - such as stepless entrances, wide doorways, lever door handles, single hand faucets.
inception (makes it different from adaptation)
What are the principles of UD? (7)
- Equitable Use
- Flexibility in Use
- Simple and Intuitive
- Perceptible Information
- Tolerance for Error
- Low Physical Effort
- Size and Space for Approach and Use
Who benefits from UD?
Everyone
What are the (5) purposes of the examination of environment?
- Determine the degree of patient safety and level of function.
- Identify design barriers.
- Make realistic recommendations.
- Determine need for adaptive equipment or AT.
- Assist the patient and family for patients return and additional services needed.
With an _________ we can establish general characteristics of the environment (number of levels, stairs, railings), identify special problems previously encountered, alert the PT to potential safety hazards, determine need for further tests and measures
interview
- Examination strategies can be ____-_______ and _______-_____ measures of function.
- To improve accuracy, have patient focus on a recent time interval (last week) and focus on actual versus perceived performance.
- self-report
- performance-based
What are some measures of environmental impact on function?
- The Physical Activity Resource Assessment (PARA) – documents and examines resources that promote physical activity within a neighborhood or community
- Home and Community Environment (HACE) – identifies aspects of the patient’s home or community that may affect level of function
- Safety Assessment of Function and the Environment for Rehabilitation Tool (SAFER) - designed for elderly - home and functional assessment
- Usability in My Home (UIMH) – BADL, IADL
- Housing Enabler – home accessibility
- Environmental Analysis of Mobility Questionnaire (EAMQ) – impact of environment on community mobility
- Craig Handicap Assessment and Reporting Technique (CHART)- documents functioning within societal context
- Craig Hospital Inventory of Environmental Factors (CHIEF) – environmental barriers in home and community
- ADL-Staircase – IADL, BADL
If a on site visit is not possible, what can be done?
Have patient take measures, videos, live stream.
If we are able to do a home visit, what should be done in preperation?
- Current level of function
- Expected progress
- Current equipment
- Future plans
- Ownership vs rental
- Insurance coverage, financial resources, other funding resources
On Site Visit- Exterior Accessibility:
- Route of entry – most accessible, shelter from weather, package shelf
- Driveway, walking surfaces
- Stairs – height, number, condition – not greater than __ inches high with minimum depth of __ inches, nosings?
- Handrails
- Are ramps needed? Is there space for a ramp?
- Doorway
- Width (__-__ inches works for most wheelchairs), locks, door handle, thresholds
- 7 inches, 11 inches
- 32-34 inches
On Site Visit- Interior Accessibility:
- _________ arrangement and features
- Clearance
- Stuffing
- Electrical controls, floors, doors, windows, stairs, heating units.
furniture
On Site Visit- Bedroom:
- _________ bed, ample space for transfers
- Height of ____
- Mattress, night stand,
- Closet – clothes bar
- stationary
- bed
On Site Visit- Bathroom:
- Width of door
- Height of ______ _____
- Grab bars
- Tub height/shower thresholds, hand spray attachment, antiscald valves
- Floor – non skid adhesive strips
- Sinks – room under for wheelchair? height
toilet seat
On Site Visit- Kitchen:
- Height of countertops/work space, depth of work space
- Type of faucet (single lever?), scald guards, electronic sensors for hands free operation? Spray hose?
- Height of tables?
- Frequently used items within easy reach?
- _________ preferable to gas for safety
- Remote controlled smoke and carbon monoxide detector, portable fire extinguisher
electric
With an examination of the workplace, we want to determine the feasibility to return to former job and reasonable ___________.
accommodations
What are the 2 categories of tests and measures used by PTs to examine the workspace?
- Ergonomics – the application of scientific and engineering principles to the worker-job-environment relationship to improve safety, efficiency, and quality of movement.
- Body Mechanics – the interaction of muscles and joints in response to forces placed on or generated by the body.
What 2 things are included in a Job Analysis Interview?
- functional requirements of the job
2. characteristics of the physical space
What are the 5 things included in a Job Analysis?
- Essential functions
- Physical environment in which essential functions are performed
- Physical requirements
- Skills
- Social context
_________ _________ ________ is used to measure performance in specific components of work-related tasks.
Functional Capacity Evaluation
With community access it is important to consider _____________ and access to community facilities.
transportation
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Week 1- Intro to Motor Control and Motor Learning54
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Week 2- Setting the Stage for ML, Organizing the Practice Environment, Advanced ML Concepts40
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Week 2- Motor Learning46
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Week 3- Neuroplasticity16
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Week 3- Accessing the Environment23
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Week 4- Normal Development Introduction77
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Week 4- Gross Motor Development: Beyond Walking5
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Week 5- Reach, Grasp, and Manipulation/ Developmental Assessment/MSK Development84
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Week 6- PDMS-20
