COTA EXAM practice/review - pediatrics intervention/implementing
Intervention for proprioception input - ANS-Pulling on a rope against the resistance of
... [Show More] another person
(i.e., playing tug-of-war affords alternating pushing and pulling and tasks provide deep proprioceptive
feedback to facilitate increased arousal
Improve Power grasp technique intervention/activity - ANS-- creating designs using paint in a squeeze
bottle;
A power grasp is "used to control tools or other objects. . . . The object is held obliquely in the hand,
ulnar fingers are flexed; radial fingers are less flexed. Thumb is in extension and adduction. The child
stabilizes the object with the ulnar side of the hand and controls the object using the radial side of the
hand." Gripping a squeeze bottle tight enough to get paint out of it requires a power grip
W sitting position indicates - ANS-child with poor trunk stability may sit in a "W" sitting position because
the lower extremities are positioned to provide a wide base of support
Sitting in W may produce - ANS-Orthopedic problems including risk for hip dislocation, joint deformities
and the aggravation of muscle tightness
Ayres Sensory Integration - ANS-child-directed activities, implemented where the clinician engages the
child in a playful environment with ramps, ladders, manipulative, and vibrating toys
child with hypertonicity is unable to bring hands into midline to reach a toy while in supine and sitting
position; what is the BEST position to use to reduce the effects of abnormal patterns and facilitate
midline grasp? - ANS-"The side-lying position [answer C] encourages children to maintain their head at
midline; this promotes hands being placed in the line of vision and towards the midline of the body
which is important for gaining an understanding of the overall body scheme. . . . Body scheme
awareness promotes successful engagement in functional activities, such as bringing hands to the
mouth and manipulating a toy bilaterally.
what to do when child is experiencing tactile defensiveness? - ANS-Use deep firm pressure while
dressing the child
visual tracking - ANS-ability to visually follow a moving object;
Improving play behavior with children who have behavioral challenges - ANS-consider activities,
routines, and environments within the setting, recognizing that the activity should be consistent with
the child's development level and environment where the intervention will take place. EX: soccer game
during recess
Treatment for child with visual discrimination - ANS-high contrast and defined borders; makes it easier
to identify objects and provides
symbolic play - ANS-typically imaginative in nature, thus making any activity that involves pretending
that dolls and stuffed animals are real is appropriate.
Treatment activities for child with POSTURAL INSTABILITY - [Show Less]