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KNOWLEDGE INTERCHANGE
“Cognitive Rehabilitation”
“Occupational
Therapist
from 14 States
in Malaysia
shared their
Cognitive
Rehabilitation
Program
Organized by:
MALAYSIA
COGNITIVE REHABILITATION
2021
This is a compilation of presentations from Occupational Therapist
representative their states during the National Level Webinar
INTRODUCTION
Unit of Occupational Therapy, Hospital Rehabilitasi Cheras organized the
webinar entitle “Knowledge Interchange – Cognitive Rehabilitation”. There
are 5 series of webinar started on March till May 2021.
The objective is to allow Occupational Therapist from 14 states in Malaysia
share their knowledge & experience in Cognitive Rehabilitation Program.
Hopefully our effort will help to improve Occupational Therapy Service in
future.
WEBINAR’s
COMMITTEE
Azizah Mohd Isa
Head of Unit of Occupational Therapy
Noor Fathimah Mazani
Webinar Project Manager
Ayu Aneza Izahar
Protocol Manager
Mohd Harfizie Hassan
Technical Manager I
Muhammad Syazwan Mohd Yusof
Technical Manager II
Ahmad Azhar Shaharudin
Participant Manager I
Ayunni Nazihah Zakaria
Participant Manager II
Mohd Hazwan Anor Basri
Moderator I
Nor Nadira Ideris Shah
Moderator II
HOSPITAL REHABILITASI CHERAS
SITI ZULAIKHA BT MOHD NOOR
The most
important aspect
of administration
of cognitive and
neuropsychologic
al tests is
selection of the
appropriate tests
to be administered
HOSPITAL REHABILITASI CHERAS
SITI ZULAIKHA BT MOHD NOOR
HOSPITAL TENGKU AMPUAN RAHIMAH KLANG
NURUL JANNAH BT RAHIM
HOSPITAL TENGKU AMPUAN RAHIMAH KLANG
NURUL JANNAH BT RAHIM
COGNITIVE REHABILITATION INTERVENTION
EXECUTIVE FUNCTIONING
HOSPITAL BAHAGIA ULU KINTA
MUHAMAD ZAMRI BIN AHMAD SHAARI
SCHIZOPHRENIA
Penyakit mental yang diakibatkan
oleh ketidakseimbangan bahan
kimia dalam otak (dopamine). Ia
adalah suatu gangguan psikosis
fungsional berupa gangguan
mental secara berulang dengan
gejala-gejala psikotik seperti
kemunduran fungsi sosial, kerja
dan penjagaan diri.
HOSPITAL BAHAGIA ULU KINTA
MUHAMAD ZAMRI BIN AHMAD SHAARI
BORANG PENILAIAN
TAG Domain 6 : Psychological,
Problem with thinking, feeling or
behavior
FAA Item B. Task Organization :
Attention Span, Problem Solving,
Decision Making, Frustration
Tolerance, Memory Functioning,
Verbal Instruction, Learning Ability
LOTCA
HOSPITAL PULAU PINANG
OOI SIEW CHEN, MOHAMED MUNZIR B. KHAIRUDIN,
NUR HANISAH
COGNITIVE REHABILITATION FOR PEDIATRICS PATIENTS
HOSPITAL PULAU PINANG
OOI SIEW CHEN, MOHAMED MUNZIR B. KHAIRUDIN,
NUR HANISAH
Cognitive Rehabilitation for Geriatrics Patients
HOSPITAL SULTANAH BAHIYAH
ARMAH BT YAN
HOSPITAL SULTANAH BAHIYAH
ARMAH BT YAN
INTERVENTION
HOSPITAL TUANKU FAUZIAH
MOHD FADIL B. MOHD ZIN
PERCEPTION & VISION DISORDER (ADULT)
HOSPITAL TUANKU FAUZIAH
MOHD FADIL B. MOHD ZIN
TREATMENT - SENSORY
1. Spatial Relations
2. Figure Ground
3. Visualization
4. Visual recognition
5. Visual discrimination
6. Position in space
7. Topographic Disorientation
TREATMENT – EYE MOTILITY
1. VISUAL NEGLECT - Teach pt to look to the left to check
the objects in the left field. (visual scanning). Ex: food
on the left side of the plate or differences between the
two sides.
2. HEMIANOPIA - Place object within the field of vision
where pt is most likely to see them, such eating
utensils, a telephone, or a pencil. The progressively
move the items toward and across the midline.
3. VISUAL TRACKING
4. VISUAL SCANNING
TREATMENT – EYE TEAMING : Provide matching task
TREATMENT - MOTOR
1. Samatagnosia or body
scheme training to
increase awareness of
the relationship
between body
segments.
2. Eye-hand or eye-foot
coordination or visual
motor coordination
HOSPITAL TENGKU AMPUAN AFZAN
NORAIDAH BT JELANI
HOSPITAL TENGKU AMPUAN AFZAN
NORAIDAH BT JELANI
COMPUTER BASED INTERVENTION
TASK SPECIFIC INTERVENTION
HOSPITAL RAJA PEREMPUAN ZAINAB II
NORDIANA BT IBRAHIM, ZURIANA BT MOHAMED NOOR
Hospital Umum Kota Bharu mula beroperasi pada tahun 1920an
Hospital ini diiktiraf dengan namanya yang baru iaitu Hospital Raja Perempuan Zainab II pada 5 September
2005.
Terletak di kawasan bangunan baru dan bangunan lama Jumlah Keseluruhan Wad ialah 35 yang terdiri dari
Multidisplin dan menempatkan sebanyak 920 katil.
COGNITIVE ASSESSMENT
COGNITIVE INTERVENTION
HOSPITAL RAJA PEREMPUAN ZAINAB II
NORDIANA BT IBRAHIM, ZURIANA BT MOHAMED NOOR
HOSPITAL SULTANAH NURZAHIRAH
NURHAZIYAH BT KAMARUDIN
The term cognition generally refers to the product of many integrated processes carried out by the brain
that allow humans to be aware, think, learn, judge, plan, and execute behavior (National Institutes of
Health [NIH]).
The term cognitive rehabilitation generally describes a multidisciplinary field and the application of
“therapeutic interventions designed to improve cognitive functioning and participation in activities that
may be affected by difficulties in one or more cognitive domains” (Brain InjuryAssociation of America,
n.d., p. 1).
HOSPITAL SULTANAH NURZAHIRAH
NURHAZIYAH BT KAMARUDIN
INTERVENTION
HOSPITAL TENGKU JAAFAR
REJINA A/P MANIAM
HOSPITAL TENGKU JAAFAR
REJINA A/P MANIAM
PUSAT REHABILITASI PERKESO MELAKA
NURUL FAASIHAH BT GHAZALI
PUSAT REHABILITASI PERKESO MELAKA
NURUL FAASIHAH BT GHAZALI
TYPES OF MEMORY
STRATEGY
TRAINING
ASSOCIATION TECHNIQUES
 One of the most common
strategies, where two or more
items to be learned are linked
or associated together.
 Visual-verbal and visual
imagery have been used to
learn and recall people’s
names.
 Visual imagery has been
demonstrated to assist with
the delayed recall of everyday
relevant verbal material such
as stories and appointments.
ORGANIZATIONAL TECHNIQUES
 One of the most frequently
used organizational
techniques is to use the first
letter of each of a series of
words to form a single word
or pseudo-word, simplifying
the storage and retrieval of
the information represented
by that word.
 Patient can also be taught to
use semantic clustering
strategies to group
information into clusters in
order to enhance encoding
and retrieval.
 Example: a patient may use
verbal clustering to remember
shopping items in each
section of a grocery store. To
purchase eggs, lettuce, milk,
pancake mix, butter,
hamburger, blueberries, and
onion, the patient may use
the categories “fruits and
vegetables,” and “ingredients
to make pancakes,” as the
“clusters” of items.
HOSPITAL SULTANAH AMINAH
PEREMALATHA SUNDRAM
COGNITIVE REHABILITATION IN TBI
HSAJB SHARING EXPERIENCE
GENERAL GOAL :
To return patient to functional
independence and improve
community participation in
person’s lifetime following TBI
HOSPITAL SULTANAH AMINAH
PEREMALATHA SUNDRAM
OT HSAJB assessment
Perceptual And Cognitive
Dysfunction In The Adults Stroke
Patient - Barbara Zoltan
HOSPITAL QUEEN ELIZEBETH I
SIN NYEN YAU
PROBLEMS THAT ASSOCIATE WITH BRAIN DISTURBANCE
ROLES OT IN COGNITIVE REHABILITATION:
To help individuals achieve health, wellbeing & participation in life through engagement in occupations
(American Occupational Therapy Association [Aota], 2014.)
Collaborate with clients & their family members/caregivers to determine what activities are necessary,
meaningful, and/or relevant to them.
HOSPITAL QUEEN ELIZEBETH I
SIN NYEN YAU
HOSPITAL JANTUNG SARAWAK
NORA BT HAMID
HOSPITAL JANTUNG SARAWAK
NORA BT HAMID
STRUCTURE OF THE PROGRAM
ReGen REHAB HOSPITAL
LIM SIN PEI
ReGen REHAB HOSPITAL
LIM SIN PEI
SCREENING TOOLS &
ASSESSMENT BATTERY
 Westmead PTA Scale
 LOTCA
 Rivermead Perceptual
Assessment Battery
 Montreal Cognitive
Assessment (MoCA)
 Mini Mental State
Examination (MMSE)
LIST OF COGNITIVE ASSESSMENT
1. Abbreviated Mental Test Score (AMTS)
2. BEERY VMI
3. Catherine Bergego Scale (CBS)
4. Canadian Occupational Performance Measure (COPM)
5. CAPTAIN LOG (Computerized Program)
6. Chessington Occupational Therapy Neurological Battery (COTNAB)
7. Clock Drawing Test (CDT)
8. Disability Rating Scale (DRS)
9. Digit Span Test
10. Developmental test of visual perception (DTVP)
11. Developmental Test Of Visual Perceptual (DTVP-2)
12. Dynamic Occupational Therapy Cognitive Assessment (DOTCA-Ch)
13. Functional Abilities Assessment (FAA)
14. Frontal Assessment Battery (FAB)
15. Kessler Foundation Neglect Assessment Process
16. Location Learning Test (LLT)
17. Loewenstein Occupational Therapy Cognitive Assessment (LOTCA/G)
18. Mini Mental State Examination (MMSE)
19. Montreal Cognitive Assessment (MoCA)
20. Malay version of Auditory Verbal Learning Test (MAVLT)
21. Motor Free Visual Perception Test (MVPT)
22. Perceive, Recall, Plan, Perform (PRPP) System
23. PORTAGE
24. Rappaport Coma / Near Coma Scale
25. Rivermead Perceptual Assessment Battery (RPAB)
26. The Saint Louis University Mental Status (SLUMS)
27. Stroke Driver Screening Assessment (SDSA)
28. Self Administered Gerocognitive Examination (SAGE)
29. Trail Making Test (TMT)
30. Test of visual perceptual skills (TVPS)
31. The Threshold Assessment Grid (TAG)
32. The Ontario Society of Occupational Therapy (OSOT) Perceptual
Evaluation
33. Visual Attention Stroke
34. Vienna Test System (VTS): COGBAT & DRIVEPLUS
35. Westmead Post Traumatic Amnesia (PTA) Scale
36. Work Assessment T-PAL

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Webinar compilation book: Knowledge Interchange in Cognitive Rehabilitation 2021

  • 1. KNOWLEDGE INTERCHANGE “Cognitive Rehabilitation” “Occupational Therapist from 14 States in Malaysia shared their Cognitive Rehabilitation Program Organized by: MALAYSIA COGNITIVE REHABILITATION 2021 This is a compilation of presentations from Occupational Therapist representative their states during the National Level Webinar
  • 2. INTRODUCTION Unit of Occupational Therapy, Hospital Rehabilitasi Cheras organized the webinar entitle “Knowledge Interchange – Cognitive Rehabilitation”. There are 5 series of webinar started on March till May 2021. The objective is to allow Occupational Therapist from 14 states in Malaysia share their knowledge & experience in Cognitive Rehabilitation Program. Hopefully our effort will help to improve Occupational Therapy Service in future. WEBINAR’s COMMITTEE Azizah Mohd Isa Head of Unit of Occupational Therapy Noor Fathimah Mazani Webinar Project Manager Ayu Aneza Izahar Protocol Manager Mohd Harfizie Hassan Technical Manager I Muhammad Syazwan Mohd Yusof Technical Manager II Ahmad Azhar Shaharudin Participant Manager I Ayunni Nazihah Zakaria Participant Manager II Mohd Hazwan Anor Basri Moderator I Nor Nadira Ideris Shah Moderator II
  • 3. HOSPITAL REHABILITASI CHERAS SITI ZULAIKHA BT MOHD NOOR The most important aspect of administration of cognitive and neuropsychologic al tests is selection of the appropriate tests to be administered
  • 4. HOSPITAL REHABILITASI CHERAS SITI ZULAIKHA BT MOHD NOOR
  • 5. HOSPITAL TENGKU AMPUAN RAHIMAH KLANG NURUL JANNAH BT RAHIM
  • 6. HOSPITAL TENGKU AMPUAN RAHIMAH KLANG NURUL JANNAH BT RAHIM COGNITIVE REHABILITATION INTERVENTION EXECUTIVE FUNCTIONING
  • 7. HOSPITAL BAHAGIA ULU KINTA MUHAMAD ZAMRI BIN AHMAD SHAARI SCHIZOPHRENIA Penyakit mental yang diakibatkan oleh ketidakseimbangan bahan kimia dalam otak (dopamine). Ia adalah suatu gangguan psikosis fungsional berupa gangguan mental secara berulang dengan gejala-gejala psikotik seperti kemunduran fungsi sosial, kerja dan penjagaan diri.
  • 8. HOSPITAL BAHAGIA ULU KINTA MUHAMAD ZAMRI BIN AHMAD SHAARI BORANG PENILAIAN TAG Domain 6 : Psychological, Problem with thinking, feeling or behavior FAA Item B. Task Organization : Attention Span, Problem Solving, Decision Making, Frustration Tolerance, Memory Functioning, Verbal Instruction, Learning Ability LOTCA
  • 9. HOSPITAL PULAU PINANG OOI SIEW CHEN, MOHAMED MUNZIR B. KHAIRUDIN, NUR HANISAH COGNITIVE REHABILITATION FOR PEDIATRICS PATIENTS
  • 10. HOSPITAL PULAU PINANG OOI SIEW CHEN, MOHAMED MUNZIR B. KHAIRUDIN, NUR HANISAH Cognitive Rehabilitation for Geriatrics Patients
  • 12. HOSPITAL SULTANAH BAHIYAH ARMAH BT YAN INTERVENTION
  • 13. HOSPITAL TUANKU FAUZIAH MOHD FADIL B. MOHD ZIN PERCEPTION & VISION DISORDER (ADULT)
  • 14. HOSPITAL TUANKU FAUZIAH MOHD FADIL B. MOHD ZIN TREATMENT - SENSORY 1. Spatial Relations 2. Figure Ground 3. Visualization 4. Visual recognition 5. Visual discrimination 6. Position in space 7. Topographic Disorientation TREATMENT – EYE MOTILITY 1. VISUAL NEGLECT - Teach pt to look to the left to check the objects in the left field. (visual scanning). Ex: food on the left side of the plate or differences between the two sides. 2. HEMIANOPIA - Place object within the field of vision where pt is most likely to see them, such eating utensils, a telephone, or a pencil. The progressively move the items toward and across the midline. 3. VISUAL TRACKING 4. VISUAL SCANNING TREATMENT – EYE TEAMING : Provide matching task TREATMENT - MOTOR 1. Samatagnosia or body scheme training to increase awareness of the relationship between body segments. 2. Eye-hand or eye-foot coordination or visual motor coordination
  • 15. HOSPITAL TENGKU AMPUAN AFZAN NORAIDAH BT JELANI
  • 16. HOSPITAL TENGKU AMPUAN AFZAN NORAIDAH BT JELANI COMPUTER BASED INTERVENTION TASK SPECIFIC INTERVENTION
  • 17. HOSPITAL RAJA PEREMPUAN ZAINAB II NORDIANA BT IBRAHIM, ZURIANA BT MOHAMED NOOR Hospital Umum Kota Bharu mula beroperasi pada tahun 1920an Hospital ini diiktiraf dengan namanya yang baru iaitu Hospital Raja Perempuan Zainab II pada 5 September 2005. Terletak di kawasan bangunan baru dan bangunan lama Jumlah Keseluruhan Wad ialah 35 yang terdiri dari Multidisplin dan menempatkan sebanyak 920 katil. COGNITIVE ASSESSMENT COGNITIVE INTERVENTION
  • 18. HOSPITAL RAJA PEREMPUAN ZAINAB II NORDIANA BT IBRAHIM, ZURIANA BT MOHAMED NOOR
  • 19. HOSPITAL SULTANAH NURZAHIRAH NURHAZIYAH BT KAMARUDIN The term cognition generally refers to the product of many integrated processes carried out by the brain that allow humans to be aware, think, learn, judge, plan, and execute behavior (National Institutes of Health [NIH]). The term cognitive rehabilitation generally describes a multidisciplinary field and the application of “therapeutic interventions designed to improve cognitive functioning and participation in activities that may be affected by difficulties in one or more cognitive domains” (Brain InjuryAssociation of America, n.d., p. 1).
  • 20. HOSPITAL SULTANAH NURZAHIRAH NURHAZIYAH BT KAMARUDIN INTERVENTION
  • 23. PUSAT REHABILITASI PERKESO MELAKA NURUL FAASIHAH BT GHAZALI
  • 24. PUSAT REHABILITASI PERKESO MELAKA NURUL FAASIHAH BT GHAZALI TYPES OF MEMORY STRATEGY TRAINING ASSOCIATION TECHNIQUES  One of the most common strategies, where two or more items to be learned are linked or associated together.  Visual-verbal and visual imagery have been used to learn and recall people’s names.  Visual imagery has been demonstrated to assist with the delayed recall of everyday relevant verbal material such as stories and appointments. ORGANIZATIONAL TECHNIQUES  One of the most frequently used organizational techniques is to use the first letter of each of a series of words to form a single word or pseudo-word, simplifying the storage and retrieval of the information represented by that word.  Patient can also be taught to use semantic clustering strategies to group information into clusters in order to enhance encoding and retrieval.  Example: a patient may use verbal clustering to remember shopping items in each section of a grocery store. To purchase eggs, lettuce, milk, pancake mix, butter, hamburger, blueberries, and onion, the patient may use the categories “fruits and vegetables,” and “ingredients to make pancakes,” as the “clusters” of items.
  • 25. HOSPITAL SULTANAH AMINAH PEREMALATHA SUNDRAM COGNITIVE REHABILITATION IN TBI HSAJB SHARING EXPERIENCE GENERAL GOAL : To return patient to functional independence and improve community participation in person’s lifetime following TBI
  • 26. HOSPITAL SULTANAH AMINAH PEREMALATHA SUNDRAM OT HSAJB assessment Perceptual And Cognitive Dysfunction In The Adults Stroke Patient - Barbara Zoltan
  • 27. HOSPITAL QUEEN ELIZEBETH I SIN NYEN YAU PROBLEMS THAT ASSOCIATE WITH BRAIN DISTURBANCE ROLES OT IN COGNITIVE REHABILITATION: To help individuals achieve health, wellbeing & participation in life through engagement in occupations (American Occupational Therapy Association [Aota], 2014.) Collaborate with clients & their family members/caregivers to determine what activities are necessary, meaningful, and/or relevant to them.
  • 28. HOSPITAL QUEEN ELIZEBETH I SIN NYEN YAU
  • 30. HOSPITAL JANTUNG SARAWAK NORA BT HAMID STRUCTURE OF THE PROGRAM
  • 32. ReGen REHAB HOSPITAL LIM SIN PEI SCREENING TOOLS & ASSESSMENT BATTERY  Westmead PTA Scale  LOTCA  Rivermead Perceptual Assessment Battery  Montreal Cognitive Assessment (MoCA)  Mini Mental State Examination (MMSE)
  • 33. LIST OF COGNITIVE ASSESSMENT 1. Abbreviated Mental Test Score (AMTS) 2. BEERY VMI 3. Catherine Bergego Scale (CBS) 4. Canadian Occupational Performance Measure (COPM) 5. CAPTAIN LOG (Computerized Program) 6. Chessington Occupational Therapy Neurological Battery (COTNAB) 7. Clock Drawing Test (CDT) 8. Disability Rating Scale (DRS) 9. Digit Span Test 10. Developmental test of visual perception (DTVP) 11. Developmental Test Of Visual Perceptual (DTVP-2) 12. Dynamic Occupational Therapy Cognitive Assessment (DOTCA-Ch) 13. Functional Abilities Assessment (FAA) 14. Frontal Assessment Battery (FAB) 15. Kessler Foundation Neglect Assessment Process 16. Location Learning Test (LLT) 17. Loewenstein Occupational Therapy Cognitive Assessment (LOTCA/G) 18. Mini Mental State Examination (MMSE) 19. Montreal Cognitive Assessment (MoCA) 20. Malay version of Auditory Verbal Learning Test (MAVLT) 21. Motor Free Visual Perception Test (MVPT) 22. Perceive, Recall, Plan, Perform (PRPP) System 23. PORTAGE 24. Rappaport Coma / Near Coma Scale 25. Rivermead Perceptual Assessment Battery (RPAB) 26. The Saint Louis University Mental Status (SLUMS) 27. Stroke Driver Screening Assessment (SDSA) 28. Self Administered Gerocognitive Examination (SAGE) 29. Trail Making Test (TMT) 30. Test of visual perceptual skills (TVPS) 31. The Threshold Assessment Grid (TAG) 32. The Ontario Society of Occupational Therapy (OSOT) Perceptual Evaluation 33. Visual Attention Stroke 34. Vienna Test System (VTS): COGBAT & DRIVEPLUS 35. Westmead Post Traumatic Amnesia (PTA) Scale 36. Work Assessment T-PAL