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Loewenstein Occupational Therapy Cognitive Assessment

Kathleen Matthews

on 14 November 2012

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Transcript of LOTCA

Lowenstein Occupational Therapy Cognitive Assessment (LOTCA-G) Alicia Geurts & Kathleen Matthews Clients Clients Not Suitable For LOTCA-G Purpose of the LOTCA-G To assess the basic cognitive skills of geriatric clients in the following areas:
* Orientation
* Perception & Praxis
* Visuomotor Organization
* Thinking Operations & Memory * Clients with extreme visual impairment
* Clients under the age of 70
Other versions of this assessment are available for use with different age populations:
-LOTCA and DLOTCA (ages 18-69 years)
-DOTCA-Ch (ages 6-12 years) Clients designed for:
Geriatric clients, aged 70 to 91, with brain injury (TBI, CVA, or Brain Tumor)

Can also be used with:
Geriatric clients who have dementia, mental illness or intellectual disabilities. Scoring Orientation subtests: 1-8 scale

All other subtests: 1-4 scale (1 indicating severe deficits & 4 indicating average performance)

Scores are not compared to normative data Case Study Betty is a 81 year old female currently in acute care at the hospital after suffering a Right CVA (Left Hemiplegia) 2 weeks ago. She is oriented to herself, place and time, is right handed, independent in toileting, but is having some left side neglect issues. Before her stroke, she lived by herself in an apartment in a retirement complex, needed very little assistance in maintaining her health and home, and was visited by her daughter and granddaughter every Sunday. She no longer drives her car, but takes a community bus to the grocery store and other appointments. She enjoys knitting, bingo, gardening, and cooking. She has a few close friends in her apartment complex and a few she socializes with during the weekly community bingo night. Her LOTCA-G assessment showed deficits in spatial perception on her own body, motor imitation, visuomotor organization, and thinking operations. Interventions for Case Study Cooking: simply recipes written out in large print

Bilateral coordination:
dressing techniques, eating, and cooking skills
gardening and knitting.
Virtual Interactive Therapy

Mirror Therapy OTPF Areas ADLs: bathing, toileting, dressing, eating and feeding, functional mobility, personal hygiene

IADLs: meal preparation, safety, shopping

Body Functions and Structures

Performance Skills: motor and praxis, sensory-perceptual, and cognitive skills

Performance Patterns: habits and routines Issues Unclear instructions: manual states the examiner should ask the client if the task is finished. Some of the subtest instructions could be more detailed .

Score sheet does contain all of the subtests (missing 2 from visual perception & 1 from visuomotor organization).

The Categorization subtest has misprint in the scoring and indicates someone could receive 5 pts when they actually mean 4 pts. Type of Assessment Performance
Observation How Assessment is Used Used during initial evaluation
Scoring results are used as a starting point to guide treatment
Measure changes over time Interview
Criterion-referenced Reliability and Validity Reliability

Validity: Construct and predictive validity are good to excellent Overall reliability is high
Excellent interrater reliability of .82 to .97 Other Features Theoretical Framework: Cost: ~ $250, online Time: 30 minutes Special User Qualifications: No formal qualifications
Familiarity with instructions and scoring Source: None http://www.maddak.com/ LOTCA-G Orientation Orientation for Place
Orientation for Time Visual Perception Visual Identification of Objects
Visual Identification of Shapes
Overlapping Figures
Object Constancy Praxis Motor Imitation
Utilization of Objects
Symbolic Actions Visuomotor Organization Copy Geometric Forms
Two Dimensional Model
Pegboard Construction
Block Design
Reproduction of a Puzzle
Drawing a Clock Thinking Operations Categorization
Pictorial Sequence Memory A Famous Personality
A Personal Possession
Everyday Objects Spatial Perception 7 Cognitive Skill Areas
23 Subtests Directions on body
Directions in front
Spatial Relations in surroundings Who is this? A Famous Personality Erez, A. B., & Katz, N. (2003). Cognitive profiles of
individuals with dementia and healthy elderly: The Loewenstein occupational therapy cognitive assessment (LOTCA-G). Physical & Occupational Therapy in Geriatrics, 22(2), 29-42.
Itzkovich, M., Elazar, B., & Katz, N. (1996). Geriatric version:
Lowenstein Occupational Therapy Cognitive Assessment (LOTCA-G) battery. Pequannock, NJ: Maddak Inc.
Katz, N., Elazar, B., & Itzkovich, M. (1995). Construct validity of
a geriatric version of the Loewenstein occupational therapy cognitive assessment (LOTCA) battery. Physical & Occupational Therapy in Geriatrics, 13(3), 31-46.
Katz, N., Itzkovich, M., Averbuch, S., & Elazar, B. (1989).
Loewenstein occupational therapy cognitive assessment (LOTCA) battery for brain-injured patients: Reliability and validity. American Journal of Occupational Therapy, 43(3), 184-192.
Kynan, E., Siekierka, E., Pyk, P., Chevrier, E., Hauser, Y.,
Cameirao, M., Holper, L., Hägni, K., Zimmerli, L., Duff, A., Schuster, C., Bassetti, C., Verschure, P., Kiper, D. (2007). Interactive visuo-motor therapy system for stroke rehabilitation. Medical & Biological Engineering & Computing, 45, 901-907. doi: 10.1007/s11517-007-0239-1
Yavuzer, G., Selles, R., Sezer, N., Sütbeyaz, S., Bussmann, J. B.,
Köseoglu, F., Atay, M. B., Stam, H. J. (2008). Archives of Physical Medicine and Rehabilitation, 89, 393-398. References
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