Deck 33: Functional Activity Intervention in Upper Extremity Tasks

Question 1

When examining an upper extremity,it is important to understand the interaction of the humerus and scapula during normal reach.You note that your patient has limitations in active shoulder flexion and can only achieve 95 degrees.Your clinical reasoning directs you to examine scapula mobility and scapulohumeral rhythm.It is well established that the ratio indicates that for every ___ degrees of movement of the humerus,the scapula moves ___ degrees.

A)3,1
B)2,1
C)1,3
D)1,2

Answer 1

B

Question 2

Which of the items below is NOT a component of a Constraint Induced Transfer Package?

A)Constraint mitt
B)Stretching
C)Behavioral contract
D)Motor activity log

Answer 2

B

Question 3

An adult client new to your caseload has been referred for evaluation of progress through the recovery stages in his upper extremity after a CVA.You are also interested in his perception of the use of his upper extremity.You select the _____ and the _____ as the most appropriate assessment tools to obtain the information.

A)Box and Block Test and Fugl Meyer Assessment
B)Bruininks-Oseretsky Test of Motor Proficiency 2 (BOT-2) and Jebsen-Taylor Hand Function Test
C)Disabilities of the Arm,Shoulder,and Hand Questionnaire and Miller Fun
D)Fugl-Meyer Assessment and Disabilities of the Arm,Shoulder,and Hand Questionnaire

Answer 3

D

Question 4

Mr.FT incurred a spinal cord injury at the C6 level resulting in loss of gross grasp.You consider a variety of options for facilitating active grasp in extension below,EXCEPT?

A)Facilitate enhancement of grasp through wrist extension strengthening.
B)Adaptive cuffs to insert an item into the pocket of a cuff wrapped around the hand at the metacarpal level.
C)Intentional shortening of the finger flexors in order to take advantage of the passive finger flexion that results from active wrist extension.
D)Use of biofeedback or electric stimulation to facilitate wrist extension.

Question 5

A child gains ______ as they develop the ability to keep an object,within the hand,from moving.

A)Hand dominance
B)In-hand manipulation
C)In-hand stabilization
D)Precision grasp

Question 6

Ms.AFL was somewhat debilitated prior to her neurological insult and has very poor endurance.As her treating therapist you suggest she do all of the following EXCEPT ____.

A)Do demanding activities last,and easier activities first
B)Sit more than stand during tasks
C)Rest elbows on table tops when it does not interfere with task performance
D)Place items on shelves and countertops between head and hip heights.

Question 7

You are working with a spinal cord injury patient at the C6 level.Your patient has achieved some active wrist extension against gravity.You know the key principal of tenodesis.Knowing this you realize you should now have your patient extend the wrist and ______

A)Radially deviate the hand
B)Extend fingers
C)Flex fingers
D)Abduct the fingers

Question 8

As the treating therapist,you are aware that your next client,who is status post right cerebral vascular accident (CVA),is experiencing decreased sensation in the left upper extremity.You plan to include bilateral activities in your session and realize that the client may experience during the activity.

A)Difficulty with upper extremity control and decreased awareness of the environment
B)Spasms with local pain and limited active movement of the antagonistic muscles
C)Decreased or absent voluntary movement and decreased awareness of the environment
D)Abnormal synergies,either flexor or extensor pattern and spasms with local pain

Question 9

Mr.PB is in the early stages of recovery from a traumatic brain injury.He presents with hypotonicity in all four limbs.Which statement below does not apply to this patient?

A)Exaggerated joint range and decreased joint stability will be present
B)Abnormal synergies,either flexor or extensor pattern,will be present
C)Excessive range of motion may be present with associated with weakness
D)Joints need to be guarded at end range,during weight-bearing,and during distraction movements

Question 10

A client new to your caseload has been referred for evaluation of gross and fine motor skills.The patient is 12 years old and has mild cerebral palsy.You select the _____ as the most appropriate assessment tool.

A)Box and Block Test
B)Bruininks-Oseretsky Test of Motor Proficiency 2 (BOT-2)
C)Disabilities of the Arm,Shoulder and Hand Questionnaire
D)Fugl-Meyer Assessment