Cognitive

Neurological Determinants

CENTRAL NERVOUS SYSTEM

COGNITIVE FUNCTION: Attention, executive function, memory, plasticity, attention

Assessments: Montreal Cognitive Assessment, Mini-Mental State Exam, RIvermead Behavioural Memory
Test

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Interventions: Cognitive remediation tasks and games, Home adaptations, technology assistive devices,
medication reminders/dosettes, Recipe lists, To-do Lists

COORDINATION: Balance

Assessments: Observation, Berg Balance Test

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 Interventions: Mobility aids and devices, Falls Prevention Education, Balance exercises

MOTOR PLANNING (Eg: planning and executing movements, coordination of movements)

Assessments: Observation

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Interventions: Home adaptations, Occupational adaptations, ADL retraining

AROUSAL

Assessments: Observation, Semi-structured Interviews

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 Interventions: Medication Management

PERCEPTION: Sensory perception (auditory, visual, touch), Pain, Proprioception, Spinal Reflex Arcs

Assessments: Observation, Semi-structured Interviews

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Interventions: Sensory retraining, Technological Assistive aids, Home Adaptations, Safety Education, Pain
Management

PERIPHERAL NERVOUS SYSTEM

MUSCLE TONE ( hypertonous, hypotnous, flaccidity)

Assessments: Observation

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Interventions: Stretching, occupational adaptations, ADL retraining

PERIPHERAL SENSORY SYSTEM (touch, visual, auditory), pain, proprioception

Assessments: Observation, Semi-structured Interviews

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Interventions: Occupational and environmental adaptation, Safety Education