During the lecture today, we learned about the AOTA Vision 2025 and how we can relate it to public health. The AOTA Vision 2025 is designed for occupational therapy to maximize health, well- being and a client’s quality of life through communication that facilitates participation in everyday living. There are multiple important terms and concepts regarding this vision, with some of the concepts being health promotion, public health, social determinants, etc. I found the lecture very interesting today because it informed me about what exactly the vision entails. One thing I was shocked about was the video profession Flick showed regarding the clients that had a low reading level. I could not believe that clients go through with operations and sign documents without knowing what they are signing or doing to their body. I think it is very important to go over documents beforehand with our clients so that they are aware of everything that is about to happen to their bodies. Overall, I am grateful for the lecture and feel more informed about how to help my clients live their best quality of life possible.
Friday, April 19, 2019
AOTA vision 2025
During the lecture today, we learned about the AOTA Vision 2025 and how we can relate it to public health. The AOTA Vision 2025 is designed for occupational therapy to maximize health, well- being and a client’s quality of life through communication that facilitates participation in everyday living. There are multiple important terms and concepts regarding this vision, with some of the concepts being health promotion, public health, social determinants, etc. I found the lecture very interesting today because it informed me about what exactly the vision entails. One thing I was shocked about was the video profession Flick showed regarding the clients that had a low reading level. I could not believe that clients go through with operations and sign documents without knowing what they are signing or doing to their body. I think it is very important to go over documents beforehand with our clients so that they are aware of everything that is about to happen to their bodies. Overall, I am grateful for the lecture and feel more informed about how to help my clients live their best quality of life possible.
Saturday, April 13, 2019
blog post 3
The scapulohumeral rhythm permits
good length-tension relationships. It affects the ROM measurements of the
shoulder by every 3 degree of shoulder movement, there is a 1 degree at the
scapulothoracic joint and 2 degree at the glenohumeral joint. For example, for
full 180 degree of motion there would need to be 60 degrees at the scapulothoracic
joint and 120 degrees at the glenohumeral joint. This ratio is defined as a 2:1
movement between the glenohumeral joint and the scapulothoracic joint. If the
individual has a properly coordinated scapulothoracic rhythm, there will be
about 120 degrees of glenohumeral abduction and 60 degrees of shoulder upward
rotation.
Friday, April 12, 2019
blog post 1 revised
Each night before I go to bed, I
attempt to do 20 squats. The start position for doing a squat is with my knee, hips,
and ankles fully extended and the end position is with my knee, hips and ankles
ending in a flexed position. The knee joint for doing a squat is in the sagittal
plane about a frontal axis. The orthokinematics of the knee joint are flexion
to extension in a closed kinematic chain.
The arthokinematics is the convex moving femur rolling anteriorly and
gliding posteriorly on the concave stable tibial plateau. The tibiofemoral
joint is a hinge joint. The primary mover for knee flexion is the quadriceps,
which performs an eccentric contraction to lower down. When standing back up, the
quadriceps act as the primary movers and concentrically contract to extend the
knee.
Thursday, April 4, 2019
blog post 2
It is important to use bony
landmarks and proper positioning for measuring ROM because of intrarater and
interrater reliability. We need to be able to know where to place the axis of
the goniometer on the client each time so that we measure movement with the
best reliability. Intrarater reliability is when only one therapist is measuring
the ROM of the client. Interrater reliability is when multiple therapist test
the same clients ROM. Increased reliability for ROM occurs in interrater reliability
if each therapist uses the same goniometer. However, intrarater reliability is
better than interrater reliability. Increasing reliability of MMT should be
conducted at the same time of day to avoid carrying levels of fatigue, by the
same therapist, in the same environment, using the same patient positions, and following
a standard testing protocol.
The purpose
of an MMT test is to test muscle weakness and for data collection. Some factors
that effect muscle strength are client factors, environmental factors,
physiological factors, and motivational factors. The break test is the most
common type of MMT test and is used when the client is placed in optimal position
for contraction. The client can either be tested against gravity or in a gravity
eliminated position. When the client is testing their ROM against gravity then
resistance is being applied. However, if the client has a 3 out of 5 or lower on
the MMT scale, they will be tested in gravity eliminated position. Gravity
eliminated position is where the client is positioned parallel to the ground. In
this position no resistance is being applied. When the client is tested against
gravity, they are positioned perpendicular to the ground. “Test position” for
MMT is the position in which the muscle is placed for optimal muscle
contraction and proximal stabilization.
Wednesday, April 3, 2019
biomechanics of doing a squat
Each night before I go to bed, I attempt to do 20 squats. Doing
a squat is an example of osteokinematics of a closed-kinematic chain because my
feet are remaining stationary while my quadriceps are doing the work. When I
start doing a squat, I place my feet hip distance apart and extend my arms
directly in front of me. Next, I bend down to where my knees are parallel to my
hips and repeat these steps. My legs begin in a flexed position when my legs are
hip distance apart and when I squat my knees forward parallel to my hips. My
legs then become extended when rising back up to a standing position to finish
the squat cycle (backwards motion). The gluteus maximus is responsible for hip
extension and the quadriceps are responsible for knee extension. The movements of flexion and extension occur at
the hip, knee and ankle joints in the sagittal plane about a frontal axis. As
for arthrokinematics, the moving femur rolls anteriorly and glides posteriorly
on the tibial plateau. The moving femur is the concave segment and the tibial plateau
is the convex segment. Also, the hip joint is the convex segment and the femur
is the concave segment. The hip is a ball and socket joint because the hip
glides in a posterior direction. Dorsiflexion is another important movement in
the ankle joint to perform a proper squat. Dorsiflexion occurs when the top of
the foot is brought closer to the shin. The primary movers of a squat are the
quadriceps and the gluteus maximus which forms a concentric contraction. However,
the eccentric contraction occurs during the downward phase of the squat when I
am lowering my body. The concentric contraction occurs during the lifting part
of the phase when I rise to stand up.
Tuesday, April 2, 2019
Nature-based therapy
The topic I chose to listen to the
podcast over was nature-based therapy. I chose this topic because before
listening to the podcast I did not know anything about what goes into
occupational therapy in a nature setting. The speaker informed that the major
clients she uses nature-based therapy with are children with sensory, attention
deficit, and handwriting problems. The reason she specializes in nature therapy
is because it seems to be very motivating to children.
The
speaker uses nature-based therapy with children with sensory disorders because there
are a variety of activities for the child to play with. Some of the activities
the children do while in nature is play in water, climb in trees, play in the
mud, and hang upside down from objects.
The
children that have problems with their handwriting also benefit from being
outside. The speaker informed that for children with this specific problem, she
looks at fundamental issues like grip strength and going from near point to far
point. Looking at ants is another therapeutic activity because it focuses on
the child’s visual perception.
Lastly, the
speaker uses this therapy on children with attention deficit disorders. The
reason this therapy is beneficial is because it focuses on unstructured play. Children
with attention deficit disorders tend to not like to do activities that have a
structured purpose. Therefore, nature helps prolong their attention span with a
play task.
After listening
to this podcast, I learned a lot about nature-based therapy and I think it has
many beneficial factors. Generally, families are skeptical about this therapy because
there are safety concerns associated with being in nature. However, the speaker
counters those fears by expressing that there are safety concerns of staying indoors
as well. Some of those fears are television, internet, and cyber bullying.
Overall, I feel informed on this topic and would love to experience nature-based
therapy at some point in my occupational therapy career.
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