AAROM
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Active Assisted Range of Motion
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Ability
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Aspect of performance described between Level 1 and current capacity
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ACL
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Allen Cognitive Level
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ACLS
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Allen Cognitive Level Screen - A screening tool consisting of 3
leather lacing stitches The range of the scores is from 3.0 to 5.8, also called the
leather lacing kit.
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Actions
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Voluntary responses to sensory cues that are consciously willed by the
mind.
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Activities
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Collections of actions combined to achieve an intended purpose. An
activity is a definite task, project, job or chore assigned, expected, or selected by a
person.
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ADL
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Activity of Daily Living
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ADM
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Allen Diagnostic Module
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AE
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Adaptive Equipment
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Allen Battery
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Consists of: ACL Screens - The ACLS and the LACLS; ADM manual and the
related projects from S&S; Sensory Stim Kits for low ACLs; Safety Series for high
ACLs; The two books: Occupational Therapy Treatment Goals for the Physically and
Cognitively Disabled, Allen, Earhart & Blue, AOTA, 1992; Understanding Cognitive
Performance Modes, Allen Earhart & Blue, 1995; and ACL Documentation Computer Program.
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Allen’s Cognitive Disability
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A global incapacity to do universal human activities. A biologically
determined lack of attention impairs awareness of environmental cues but may spare
memories of prior knowledge.
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Allen’s Cognitive Levels of Function
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A sequence if innate motor and speech performances that result from
mental constructions formed to give meaning to an ever changing reality. Six cognitive
levels describe a person coming out of a coma (1) to functioning within universal
capabilities(6).
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Allen Diagnostic Module (ADM)
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A collection of craft projects designed to verify scores on the ACL,
ranging from 3.0 to 5.8. New information is presented to investigate ability to function
in a reality that is always changing. The ADM is standardized for similar actions, on
similar material objects, requiring the formation of similar cognitive constructions, for
similar reasons.
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AROM
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Active Range of Motion
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Attention
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Directs the mind to preferred information and opens the door to the
information processing system. Information that is not attended to is not processed.
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BATF
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Best Ability to Function
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Biological Givens
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Limit the number of ways that people make sense out of their
experience.
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BUE
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Bi-Lateral Upper Extremity
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CNA
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Certified Nursing Assistant
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Communication Disabilities
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Affect a localized part of speech performance that is caused by a
localized injury (dysarthia, damage to Brocca’s or Wernick’s area for linguistic
comprehension and production).
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Compensations
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Design activities to avoid confrontations with limitations and tap
into remaining abilities.
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Constructionism
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The realization that reality has surface manifestations that are in
flux or disarray.
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COPD
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Congestive Obstructive Pulmonary Disorder
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Cultural Diversity
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Learned by paying attention to sensory cues, and constrained by the
historical and ecological conditions that exist for the social group.
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CVA
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Cardio Vascular Accident- Stroke Patient
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Demonstrated actions
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Display a cause and effect relationship between action and a material
object that can be learned through imitation.
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Diagnosis
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is a classification of a problematic solution, in this case a health
problem.
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Diagrams
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Line drawings that show the relationship between parts for assembly.
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Disabled activity performance
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A combination of impairments and remaining abilities; the whole person
does the activity.
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Disability
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The lack of universal human capacity to use energy for motor and
speech performance.
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Diversified activities
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Characterize the human condition and explain successful living in
different historical and ecological conditions. A limited ability to pay attention can
restrict cultural diversity.
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DON
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Director of Nursing
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Equifinality
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The recognition that the same assessment and treatment can be
accomplished in multiple ways.
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FMP
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Functional Maintenance Program
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Foundationlessness
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The recognition the human knowledge is the outcome of human
interpretation of experience. Objectivity is not a possible because the human processes
the information.
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Fragmentariness
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The realization that there is no single, united system. Context-free,
general modes of performance do not exist.
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Function
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What people do.
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Functional ability
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The capacity to use mental energy to guide motor and speech
performance. A person has to have a working brain to be able to function.
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Functional diagnosis
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Identifies the psychological and social consequences of the health
problem and determines psychological and social answers or solutions whenever possible.
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Global Ability to function
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Must be present before a focal deficit can be accurately evaluated.
(Can Do). Example: Aphasia can’t be evaluated before the patient has the ability to
talk
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HCFA
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Health Care Financing Agency
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Impairments
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Isolated and observable alterations in body functions that indicate
the presence of a disease. Impairments and symptoms are used interchangeably.
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Independent roles
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Occur is social context but rely more on motor performance. The
disabled have a right to reasonable accommodation in fulfilling customary roles.
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Individual differences
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Learned by paying attention to sensory cues, but are constrained by
the inborn talents
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Information processing speed
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An inborn rate of individual differences in acquiring intelligence.
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Intelligence
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An internal process of understanding , evaluating, storing, and
retrieving information that is applied to motor and speech performance.
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Just right challenges
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Occur when the individual’s energy is fully engaged in using
remaining abilities without being frustrated by encountering limitations.
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LACLS
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Large Allen Cognitive Level Screen
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LB
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Lower Body
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LE
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Lower Extremity
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Long Term Goals
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Estimate the person’s ability to function in a designated period
of time.
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LTG
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Long Term Goals
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Medical Diagnosis
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determines or analyzes the biological cause and nature of the problem
and corrects biological conditions wherever possible.
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Modes of Performance
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Patterns of motor and speech performance that are subdivisions of the
six cognitive levels, designated by a decimal system. The modes range from 0.8 to 6.0
providing a more sensitive scale for 52 modes of performance.
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Motor performance
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Carried out by the neuromuscular system through conscious control of
the head, neck, trunk, and extremities. Movements of self others, and material objects are
included.
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Neopragmatism
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The realization that human beings make choices to carry out actions
that produce intended results in individual situations.
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NWB
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Non Weight Bearing
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OOB
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Out of Bed
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ORIF
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Open Reduction Internal Fixation
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OTR/L
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Occupational Therapist Registered/Licensed
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PLF
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Previous Level of Function
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Performance
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A pattern of acting or responding to a problem in a regular,
methodical or predictable manner.
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Physical disabilities
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Affect a localized part of motor performance that is caused by
localized injury (hand injury, spinal cord injury, etc.)
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Practical knowledge
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Successful in guiding human actions to fulfill intended purposes.
Whenever possible, practical knowledge is retrieved from long-term memory.
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Prior Knowledge
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Information stored in long-term memory that is retrieved and applied
to current actions, steps, or activities. People are conservative and draw on prior
knowledge for how to do things and acquire new knowledge when prior knowledge does not
work as expected.
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Prompts
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Point out information from the next mode of performance that have
failed to capture or sustain attention.
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Prompted actions
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Are done after another person points out missed cues. Errors that are
recognized and corrected in response to a verbal cue
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Reality
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A process of continuous change that is interpreted by human awareness.
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Rhythmic movements
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Walk, rock, march
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ROM
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Range of Motion
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RTI
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Routine Task Inventory
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Samples
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A representation of a completed project using the same material
objects given to an individual.
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Secondary Consequences
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The effects of an action, not readily identifiable. Example: Run a
stop sign and the secondary consequence could be a car accident.
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Sensory Cues
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The external bits of information that capture and sustain attention.
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Simple sensory cues
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Stimulate one of the five senses to produce an associated action.;
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Short term goals
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match the activity to the person’s current capacity to function.
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Social roles
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Interactions with other people primarily communicated through speech.
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Spatial Properties
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Depth
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Speech performance
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Uses verbal and non-verbal patterns of communication to convey and
understand the internal state of self and others. Included in speech performance are
reading, writing, talking, and listening.
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Spontaneous actions
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Self initiates and arising from internal forces or causes.
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Step
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A collection of actions, but the purpose is not completed in doing
step, as in 5 steps to successfully completing the activity.
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SNF
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Skilled Nursing Facility
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STG
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Short Term Goals
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Surface Properties
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Sheen, texture, shine
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Therapeutic Interventions
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Functional disabilities change the activity, ass opposed to the
biological condition of the patient. The activity is changed to match the
individual’s remaining functional abilities.
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UE
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Upper Extremity
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Verbal and written directions
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Tells a person what to do in an action, step, or activity.
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Verbal Cues
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Ask people to form mental constructs to guide their actions on their
own.
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WFL
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Within Functional Limits
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Rosemary Andrews
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A therapist who works with Claudia at UCLA-Harbour. She did the
documentation for the handouts.
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Tina Blue
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Co written several books with Claudia, Used to work with her in CA but
now works in Orlando at a SNF. Documented positioning w/cognitive level improvement
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Carol Bertrand
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OT in FL who puts pt. names in gray book so nursing can check it out.
Wrote Starting ACL in SNF book.
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Cathy Earhart
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Co written several books with Claudia, Used to work with her in CA.
Designs most of the projects in the ADM. Invented "EARHART TIME" - the speed at
which projects can be completed
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Kathy Kehrberg
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Designed the LACLS, Lives in MN, has great rockers on her porch.
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Terri Thompson
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OT in TN who uses the ACL to test driving
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