OTAS 2425 - Advanced Physical Rehabilitation-Lab

1. Clinical reasoning analysis and competent application of occupational therapy screening and assessment tools for the purpose of delivering evidence-based practice.
   1. Explain the purpose and demonstrate competent application of ADL screening and evaluation.
   2. Explain the purpose and demonstrate competent application of screening and evaluation of feeding/eating.
   3. Explain the purpose and demonstrate competent application of functional range of motion screening.
   4. Explain the purpose and demonstrate competent application of range of motion screening and evaluation, utilizing goniometric measurement tools.
   5. Explain the purpose and demonstrate competent application of manual muscle testing and functional muscle testing.
   6. Explain the purpose and demonstrate competent application of evaluating grip and pinch strength, utilizing pinch gauge and dynamometer as assessment measurement tools.
   7. Explain the purpose and demonstrate competent application for the screening and evaluation of muscle tone.
   8. Explain the purpose and demonstrate competent application for the screening and evaluation of activity tolerance.
   9. Explain the purpose and demonstrate competent application for the screening and evaluation of balance, utilizing a variety of evaluation methods.
   10. Explain the purpose and demonstrate competent application for the screening and evaluation of coordination.
   11. Explain the purpose and demonstrate competent application for screening and evaluation of sensation.
   12. Explain the purpose and demonstrate competent application for screening and evaluation of cognition.
   13. Explain the purpose and demonstrate competent application for screening and evaluation of perception.
   14. Explain the purpose and demonstrate competent application for screening and evaluation of IADL, and the use of assistive devices and adaptive methods.
   15. Explain the purpose and demonstrate competent application for screening and evaluation of work, leisure, and social participation.
   16. Describe the role of the OT and OTA in occupational therapy screening and evaluation, along with the importance of, and the rationale for supervision and collaborative work with physical dysfunction clients.
2. Clinical reasoning, analysis and appreciation of skill, planning and safe selection of preparatory, purposeful, and occupation-based interventions with adult clients in physical dysfunction settings.
   1. Apply skill in the application of the OT process, frames of reference and clinical reasoning to various interventions.
   2. Apply competent skill, planning, and the selection of diagnostic specific methods for bed positioning and mobility.
   3. Apply competent skill in ADL intervention, including the utilization of assistive devices and adaptive techniques, for outcome results and the promotion of health and wellness.
   4. Apply competent skill, planning, and activity selection for range of motion interventions for outcome results and the promotion of health and wellness.
   5. Apply competent skill, planning, and activity selection for muscle strengthening interventions for outcome results and the promotion of health and wellness.
   6. Apply competent skill, planning, and activity selection of muscle re-education techniques for outcome results and the promotion of health and wellness.
   7. Apply competent skill, planning, and activity selection of activity tolerance for outcome results and the promotion of health and wellness.
   8. Apply competent skill, planning, and activity selection of balance intervention to promote outcome results and the promotion of health and wellness.
   9. Apply competent skill, planning, and activity selection of fine and gross motor coordination for outcome results and the promotion of health and wellness.
   10. Apply competent skill, planning, and selection of activities for remediation and compensation of sensory deficits for outcome results and the promotion of health and wellness.
   11. Apply competent skill, planning, and activity selection of cognitive retraining and intervention for outcome results and the promotion of health and wellness.
   12. Apply competent skill, planning, and activity selection of perceptual deficits for outcome results and the promotion of health and wellness.
   13. Apply competent skill, planning, and activity selection in IADL performance, utilizing assistive devices and adaptive techniques for outcome results and the promotion of health and wellness.
   14. Apply competent skill, planning, and activity selection in work performance for outcome results and the promotion of health and wellness.
   15. Apply competent skill, planning, and activity selection in leisure and social participation performance for outcomes and the promotion of health and wellness.
   16. Model the role of the OTA in a collaborative partnership with the OT in physical dysfunction interventions.

1. Occupation Therapy Process
   1. Evaluation
      1. Occupational profile
      2. Occupational analysis
   2. Intervention
      1. Planning
      2. Implementation
      3. Re-evaluation
   3. Outcomes
2. Application of OT Practice Framework
   1. Areas of occupation
   2. Client factors
   3. Activity demands
   4. Performance skills
   5. Performance patterns
   6. Context
3. Application of Models of Practice
   1. Biomechanical approach
   2. Sensorimotor approach
   3. Rehabilitative approach
4. Safety
   1. Environment
   2. Medical complications and precautions
   3. Diagnosis specific considerations
      1. Orthopedic diagnoses
         1. Attention to incision site
         2. Attention to hip precautions
         3. Attention to weight bearing status
         4. Attention to pain tolerance
         5. Attention to braces
      2. Neurological diagnoses
         1. Attention to indwelling catheter
         2. Attention to safety precautions
         3. Attention to pain tolerance
         4. Attention to orthostatic hypotension
         5. Attention to visual neglect/hemianopsia
         6. Attention to cognitive deficits
5. Screening and Evaluation Methods (Standardized and Non-Standardized)
   1. Activities of daily living (ADL)
   2. Range of motion
   3. Manual muscle testing and functional muscle testing
   4. Motor control
   5. Activity tolerance
   6. Balance
   7. Coordination
   8. Sensation
   9. Cognition
   10. Perception
   11. Instrumental activities of daily living (IADL)
   12. Work
   13. Leisure
   14. Social participation
   15. Re-evaluation utilizing OTA and OT collaboration
   16. Discharge planning applying outcome-based interventions and criteria utilized for appropriate termination of occupational therapy services
6. Evaluation and Activity Selection in Positioning and Bed Mobility
   1. Positioning techniques to prevent deformities, contractures, and pressure ulcers
   2. Bed mobility and positioning
   3. Application to occupation-based intervention
   4. Expected clinical outcomes
7. Evaluation and Activity Selection for Activities of Daily Living (ADL) Intervention
   1. ADL adaptive techniques
      1. Application of one-handed dressing techniques
      2. Adaptive self-care techniques interventions
   2. Assistive devices
      1. Dressing
      2. Bathing
      3. Grooming
      4. Feeding
         1. Swallowing problems
         2. Assistive devices, compensatory techniques, facilitation/ inhibition techniques
         3. Precautions and contraindications
         4. Interprofessional/caregiver instruction
         5. Role of OT/OTA
   3. Expected clinical outcomes
8. Evaluation and Activity Selection for Range of Motion Intervention
   1. Evaluation utilizing a variety of goniometers
   2. Functional screening
   3. Active range of motion techniques from bedside, wheelchair, and mat
   4. Passive range of motion techniques from bedside, wheelchair, and mat
   5. Active assist range of motion techniques from bedside, wheelchair, and mat
   6. Self-range of motion techniques from bed, wheelchair, and mat
   7. Application to preparatory, purposeful, and occupation-based intervention
   8. Expected clinical outcomes
9. Evaluation and Activity Selection for Muscle Strengthening Intervention
   1. Use of muscle grades
   2. Grading resistive activities and exercises
   3. Types of exercise
      1. Isotonic
      2. Isometric
   4. Application to preparatory, purposeful, and occupation-based intervention utilizing interpretation of muscle grade measurement
   5. Expected clinical outcomes
10. Evaluation and Activity Selection for Neuromuscular Re-education Intervention Approaches
    1. Neurodevelopmental approach (NDT)
    2. Rood approach
    3. Proprioceptive neuromuscular facilitation (PNF)
    4. Constraint-induced movement therapy
    5. Expected clinical outcomes
11. Evaluation and Activity Selection for Activity Tolerance Intervention
    1. Screening
    2. Grades of activity tolerance
12. Evaluation and Activity Selection for Balance Intervention
    1. Screening and evaluation
    2. Protocols and procedure application of assessment tools
    3. Application to preparatory, purposeful, and occupation-based intervention
    4. Expected clinical outcomes
13. Evaluation and Activity Selection for Gross and Fine Motor Coordination Intervention
    1. Screening and evaluation
       1. Gross motor
       2. Fine motor
    2. Protocols and procedure application with standardized assessment tools
    3. Application to preparatory, purposeful, and occupation-based intervention
    4. Expected clinical outcomes
14. Evaluation and Activity Selection for Sensory Deficits
    1. Screening and evaluation
    2. Sensory retraining activities
    3. Compensatory strategies
    4. Application to preparatory, purposeful, and occupation-based intervention
    5. Expected clinical outcomes
15. Evaluation and Activity Selection for Cognitive Deficits
    1. Retraining techniques
    2. Compensatory strategies
    3. Expected clinical outcomes
16. Evaluation and Activity Selection for Perceptual Deficits
    1. Visual acuity
    2. Visual conditions
    3. Retraining techniques
    4. Compensatory strategies
    5. Expected clinical outcomes
17. Evaluation and Activity Selection for IADL Interventions
    1. Screening and evaluation
    2. Interventions utilizing assistive devices and adaptive techniques
    3. Expected clinical outcomes