By Glen Gillen EdD OTR FAOTA
Reflecting present perform with a renewed specialize in function-based exams and evidence-based interventions, Cognitive and Perceptual Rehabilitation: Optimizing functionality contains the entire instruments you want to make a good impression in your sufferers’ lives. This scientific source summarizes, highlights, and constructively evaluations the kingdom of cognitive and perceptual rehabilitation. this article is helping you improve your sufferers’ caliber of existence by means of selling more suitable functionality of invaluable and significant actions, and reducing participation restrictions.
- Evidence-based intervention tables concentrate on enhancing day-by-day functionality via confirmed methods.
- Summary tables spotlight every one assessment’s medical software and pyschometric homes to supply you with the instruments you must opt for the simplest evaluation for every patient.
- An complete bankruptcy on software of suggestions gains 5 case experiences, every one discussing history information and scientific checklist evaluate, overview findings, checks, long term objectives, non permanent targets, and interventions/functional actions that can assist you observe the theories and ideas from the ebook to real-world situations.
- Handy studying aids together with key words, studying goals, and assessment Questions assist you have in mind vital information.
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Additional info for Cognitive and Perceptual Rehabilitation. Optimizing Function
Box 2-1 reviews types of validity and reliability. A particular emphasis should be placed on the ecologic validity of an instrument. This term refers to the degree to which the cognitive demands of the test theoretically resemble the cognitive demands in the everyday environment, sometimes termed functional cognition. A test with high ecologic validity identifies difficulty in performing real-world functional and meaningful tasks. 11 34 cognitive and perceptual rehabilitation: Optimizing function Box 2-1 Quick Review of Validity and Reliability Validity Face validity: Does the instrument appear to measure what it’s supposed to measure?
Does not assume that the underlying impairment is even affected by the intervention Chapter 2 General Considerations: Evaluations and Interventions ing an intervention plan. 1,2 In a study comparing remedial and compensatory interventions for those living with brain injury, it was found that 80% of the participants used compensatory strategies regardless of intervention (remediation or compensatory). 14 An intervention study for apraxia40 illustrates this point. The focus of the intervention was a strategy-training approach to improve functional performance despite the presence of apraxia (see Chapter 5).
Neistadt has suggested, based on her research and review of the literature, that only those individuals Chapter 2 General Considerations: Evaluations and Interventions 41 Possible behavioral deficits interfering with function Premotor perseveration: pulling up sleeve Spatial-relation difficulties: differentiating front from back on shirt Spatial-relation difficulties: getting an arm into the right armhole Unilateral spatial neglect: not seeing shirt located on neglected side (or a part of the shirt) Unilateral body neglect: not dressing the neglected side or not completing the dressing on that side Comprehension problem: not understanding verbal information related to performance Ideational apraxia: not knowing what to do to get shirt on or not knowing what the shirt is for Ideomotor apraxia: having problems with the planning of finger movements in order to perform Tactile agnosia (astereognosis): having trouble buttoning shirt without watching the performance Organization and sequencing: dressing the unaffected arm first and getting into trouble with dressing the affected arm; inability to continue the activity without being reminded Lack of motivation to perform Distraction: becomes interrupted by other things Attention deficit: difficulty attending to task and quality of performance Irritated or frustrated when having trouble performing or when not getting the desired assistance Aggressive when therapist touches client in order to assist (tactile defensiveness) Difficulties recognizing foreground from background or a sleeve of a unicolor shirt from the rest of the shirt Figure 2-1 Putting on a shirt.