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Assessment review
LOTCA – Assessment review
Georgina Wrack
University of the Sunshine Coast
LOTCA Summary Page
The Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) is a series of tests designed for occupational therapists to look at a person’s cognitive processing ability and to determine whether a person is able to carry out everyday functional tasks (LOTCA Manual, 2000). The battery can also be used to determine where to begin in intervention, to help set goals for intervention and as a follow up tool to check for improvement during intervention. It was originally designed by Katz, Elazar, Everbach and Itzkovich to be used on brain injured clients, but can be used with many different clients such as: patients following stroke, spinal cord injured, individuals with dementia or brain degeneration, traumatic brain injury patients, brain tumour patients, individuals with CNS dysfunction, individual’s with intellectual disability, mental illness patients, and children with learning difficulties. The LOTCA can be used on persons above age 6 through to age 70 years. There is a geriatric version called the LOTCA-G suitable for age 71-90years, and an adapted version can be used for children or adults with intellectual impairment and language difficulties (LOTCA Manual, 2000).
The original LOTCA was developed in 1990 and consists of 20 sub-tests within 4 areas; orientation, perception, visuomotor organization and thinking operations, however, the revised edition LOTCA-II consists of 26 sub-tests within 6 areas: Orientation (2 items); Visual Perception (4 items); Spatial Perception (3 items); Motor Praxis (3 items); Visuomotor Organization (7 items); and Thinking Operations (7 items) . It is scored on a scale from 1-4 (1 being poor performance, through to 4, being optimal performance), except for 3 categorizing tests, which score on a 1-5 scale and 2 orientation sub-tests which score on a 1-8 scale. At the end, the scores are tallied to give a possible score between 26 and 115. The LOTCA and LOTCA-II take approximately 45 minutes to administer. The LOTCA-G takes approximately 30-45 minutes to administer. There are specific instructions and specifications to consider when administering the LOTCA, these are all located in the administration section of the manual.
1Assessment review LOTCA – Assessment reviewGeorgina WrackUniversity of the Sunshine Coast LOTCA Summary PageThe Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) is a series of tests designed for occupational therapists to look at a person’s cognitive processing ability and to determine whether a person is able to carry out everyday functional tasks (LOTCA Manual, 2000). The battery can also be used to determine where to begin in intervention, to help set goals for intervention and as a follow up tool to check for improvement during intervention. It was originally designed by Katz, Elazar, Everbach and Itzkovich to be used on brain injured clients, but can be used with many different clients such as: patients following stroke, spinal cord injured, individuals with dementia or brain degeneration, traumatic brain injury patients, brain tumour patients, individuals with CNS dysfunction, individual’s with intellectual disability, mental illness patients, and children with learning difficulties. The LOTCA can be used on persons above age 6 through to age 70 years. There is a geriatric version called the LOTCA-G suitable for age 71-90years, and an adapted version can be used for children or adults with intellectual impairment and language difficulties (LOTCA Manual, 2000).The original LOTCA was developed in 1990 and consists of 20 sub-tests within 4 areas; orientation, perception, visuomotor organization and thinking operations, however, the revised edition LOTCA-II consists of 26 sub-tests within 6 areas: Orientation (2 items); Visual Perception (4 items); Spatial Perception (3 items); Motor Praxis (3 items); Visuomotor Organization (7 items); and Thinking Operations (7 items) . It is scored on a scale from 1-4 (1 being poor performance, through to 4, being optimal performance), except for 3 categorizing tests, which score on a 1-5 scale and 2 orientation sub-tests which score on a 1-8 scale. At the end, the scores are tallied to give a possible score between 26 and 115. The LOTCA and LOTCA-II take approximately 45 minutes to administer. The LOTCA-G takes approximately 30-45 minutes to administer. There are specific instructions and specifications to consider when administering the LOTCA, these are all located in the administration section of the manual.
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