Deck 7: Range of Motion: Assessment and Intervention

Question 1

A 45-year-old client comes to OT after receiving a burn to her upper extremity. The client has had multiple skin grafts and is having difficulty with full elbow flexion and extension. What would most likely be causing this issue?

A) Muscle weakness
B) Scar tissue
C) Orthopedic issues
D) Fear of pain

Answer 1

Scar tissue

Question 2

An OT practitioner is setting up a self ROM program for an adult with hemiplegic cerebral palsy and high tone in his upper extremity. How should the OT practitioner instruct the client regarding elbow flexion/extension?

A) "Grab the wrist of your affected arm and slowly lean forward to bring the elbow into extension; then bring it back into flexion."
B) "Place your arms next to your trunk, support the back of your hand with your nonaffected side, and bring it into flexion and then extension while supported."
C) Place the client in supine, and then instruct client, "Grab the wrist of your affected arm, and reach both arms up toward the ceiling."
D) Place the client in supine, and then instruct client, "Grab the wrist of your affected arm, and rapidly bring both arms up over your head."

Answer 2

"Grab the wrist of your affected arm and slowly lean forward to bring the elbow into extension; then bring it back into flexion."

Question 3

An OTA is working with a client who had a shoulder replacement several weeks ago and has been cleared for OT services by the physician. While measuring shoulder flexion, the client winces as he approaches 90 degrees of flexion and then stops. What should the OTA inquire about and then document as a part of the assessment?

A) Client's level of pain
B) Orthopedic issues causing lack of ROM
C) Changes in muscle movement
D) Quality of movement

Answer 3

Client's level of pain

Question 4

An OTA is measuring joint ROM on a client. The client has been placed in a good position for measurement, and the OTA is conducting measurements. What should be the last step in this process?

A) Read and record the numbers on the goniometer.
B) Move the movable arm of the goniometer and line it up with the body part.
C) Hold the arms of the goniometer in place while the joint is moved.
D) Have the client return the body part being measured to a relaxed position.

Question 5

As a part of a strengthening program after a CVA, a client is instructed to hold his affected limb with his stronger limb to take it through the full ROM. Which category would best describe this action?

A) Active assistive ROM
B) Self ROM
C) Functional ROM
D) Active ROM

Question 6

An elderly client with general deconditioning after a heart attack is being evaluated by the OT practitioner for ROM deficits. What would be the first step in this process?

A) Have the client lay supine for the assessment.
B) Center the fulcrum of the goniometer with the center of the joint to be measured.
C) Align the stationary arm of the goniometer with the joint being measured.
D) Place the client in a comfortable position with the extremity accessible for measurement.

Question 7

An OTA is working with an elderly client who has been diagnosed with dementia and is having shoulder problems. The client is having a difficult time following directions and cannot follow directions for ROM assessment. What can the OTA do to determine functional ROM?

A) Ask the client's caregiver to assist with the ROM assessment.
B) Provide passive ROM and record the results.
C) Observe the client performing various daily living tasks.
D) Provide pictures for the client to mimic the needed positions.

Question 8

An OTA is measuring shoulder extension on a client. Once the client is positioned, how should the OTA instruct the client?

A) "Keep your elbow straight and reach your arm up toward the ceiling."
B) "With your elbow straight, move your arm straight back behind you as far as possible."
C) "Move your arm away from the side of your body, with the palm facing forward."
D) "With your elbow straight, bring your arm across the front of your body."

Question 9

An OT practitioner is instructing a client with cerebral palsy in the use of a mobile arm support to promote shoulder movement for self-feeding. Which category would this action best fall under?

A) Active assistive ROM
B) Functional ROM
C) Passive ROM
D) Self ROM

Question 10

An OT practitioner is setting up a passive ROM program for a client who has had a CVA and does not have functional use of her right upper extremity. When preparing this program, what should the OT practitioner do first?

A) Train the client to be aware of the position of the right upper extremity while rolling in bed.
B) Place the affected limb on a pillow to reduce swelling.
C) Place the affected limb on a tray to keep it in the client's vision.
D) Educate the client and all members involved in her care.

Question 11

Which of the following clients would be contraindicated for ROM assessment?

A) An elderly client who dislocated his shoulder during a recent fall
B) A client who had skin grafts to treat a burn 3 months ago
C) An adult with arthritis in both upper extremities
D) A client history of a CVA

Question 12

An OTA is measuring wrist ulnar deviation on a client. Once the client is positioned, how should the OTA instruct the client?

A) "Move your wrist toward the pinky side of the hand."
B) "Extend your wrist back and away from the body."
C) "Bend your wrist down toward your body."
D) "Move your wrist toward your thumb side."