NOTCE flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Corticospinal tract decussation

The corticospinal tract crosses at the medullary pyramids, so a lesion above the decussation produces contralateral motor deficits, whereas a lesion below it produces ipsilateral deficits.

Upper motor neuron signs

Hyperreflexia, spasticity, positive Babinski sign, and clonus. These indicate central nervous system lesions rather than peripheral nerve or muscle pathology.

Lower motor neuron signs

Flaccidity, muscle atrophy, fasciculations, and areflexia. These reflect damage to the anterior horn cell, peripheral nerve, or neuromuscular junction.

Type I muscle fibers

Slow-twitch, oxidative fibers that resist fatigue and support postural endurance. They are recruited first during low-intensity sustained activity.

Rancho Los Amigos levels

An eight-level scale of cognitive recovery after brain injury, from Level I no response through Level VIII purposeful and appropriate responses.

C6 tetraplegia function

Spinal cord injury at C6 preserves wrist extension and biceps function, allowing tenodesis grasp and feeding with adaptive equipment and setup assistance.

Pressure injury staging

Stage I is nonblanchable erythema, Stage II partial-thickness loss, Stage III full-thickness loss, and Stage IV full-thickness loss exposing muscle, bone, or tendon.

OTPF performance areas

Activities of daily living, instrumental activities of daily living, rest and sleep, education, work, play, leisure, and social participation.

Performance patterns

Habits, routines, roles, and rituals that shape how occupations are performed and organized in daily life.

Contexts and environments

Cultural, personal, physical, social, temporal, and virtual conditions that surround and influence occupational performance.

PEO model

Person-Environment-Occupation model, in which occupational performance results from the overlap among the person, the environment, and the occupation.

MOHO components

Model of Human Occupation components are volition, habituation, performance capacity, and environment, which interact to shape occupational engagement.

CMOP-E components

Canadian Model of Occupational Performance and Engagement, comprising person with spirituality at the core, environment, and occupation across cognitive, affective, and physical domains.

Activity limitation versus participation restriction

Activity limitation concerns difficulty executing a task, whereas participation restriction concerns difficulty involvement in life situations such as work or community life.

FIM scoring range

Functional Independence Measure scores range from 1 (total assistance) to 7 (complete independence); a score of 6 indicates modified independence with a device.

Intervention approaches

Establish or restore, modify or adapt, maintain, prevent, and create or promote. Each approach addresses a different relationship between client capacity and occupational demand.

Grading an activity

Adjusting task demands by changing time, distance, resistance, complexity, number of steps, or amount of assistance to match the client's current capacity.

Dynamic tripod grasp

A mature grasp developing around ages 4.5 to 7 years, with the thumb and index finger opposing the pencil and the ring finger supporting it.

Resting hand splint

A splint that positions the wrist in slight extension and the fingers in slight flexion, used to rest and protect joints in rheumatoid arthritis.

Tenodesis splint

A wrist-driven orthosis for C6 tetraplegia that converts wrist extension into finger grasp, enabling clients to hold objects during functional tasks.

Stand-pivot transfer

A transfer technique for clients who can bear weight through the lower extremities, using a forward lean and pivot to move between surfaces.

Sensory re-education sequence

Graded progression from protective sensation to discriminative tasks, using texture, vibration, and localization before advancing to fine discrimination.

Informed consent elements

Capacity, disclosure of risks and benefits, comprehension of the information, and voluntariness of the decision.

Skilled maintenance therapy

Covered services that require a therapist's skill to maintain function and prevent decline, documented with measurable goals and skilled rationale.

Medicare Part B recertification

Outpatient therapy plans of care must be certified by a physician and recertified at least every 90 days to support continued coverage.

HIPAA minimum necessary

Protected health information disclosure should be limited to the minimum needed for treatment, payment, or operations, unless otherwise permitted.

Documentation elements

Objective measurable functional data, skilled rationale, progress toward goals, and the plan for the next visit.

Autonomy principle

Respect for the client's right to self-determination and informed choice, including the right to refuse or withdraw from treatment.

Beneficence and nonmaleficence

Beneficence is acting in the client's best interest; nonmaleficence is avoiding actions that cause harm.

Confidentiality exceptions

Disclosure may be permitted or required for imminent risk to self or others, suspected abuse or neglect, and valid court orders.

Informed refusal

Documenting the client's decision to decline treatment, the risks explained, alternatives offered, and the client's understanding.

Dual relationship risk

A secondary relationship with a client, such as a business or personal tie, that could impair professional judgment or exploit the client.