Deck 21: Occupation-Based Functional Motion Assessment

Question 1

The advantage of an occupation-based assessment over a functional motion assessment is that the occupation-based assessment affords the therapist the opportunity to do which of the following?

A) Observe movement patterns.
B) Observe compensatory motions.
C) Observe the effect of added resistance unto body structures.
D) Observe muscle strength and muscle imbalance.

Answer 1

C
The functional motion assessment has the client simulating the movement pattern involved in ADL and IADL activities,such as reaching overhead as if to get a plate from a cabinet.The occupation-based assessment has the client actually placing or retrieving a plate from an overhead cabinet,thus requiring that the client deal with the weight,shape,and texture of the plate.

Question 2

Which of the following is most important for the practitioner to keep in mind during the clinical observation when administering the occupation-based motion assessment?

A) The role that scapulohumeral rhythm will play in the client's success in completing these tasks
B) The possibility that loss of ROM and pain may be the greatest contributors to the client's inability to complete tasks successfully
C) The fact that people perform the same activity in a variety of ways depending on habits and learned experiences
D) The fact that the client may be using compensatory movements to complete tasks because of poor endurance and muscle weakness

Answer 2

C
Although C is the correct answer,the therapist must be mindful of the information presented in answers A,B,and D.The practitioner must not be influenced by what he or she may perceive to be the best way to move to complete the tasks during this assessment.The practitioner will have to distinguish between movement patterns occurring as the result of pathology versus those that result from to the client's habits and learned experience.As a result of this assessment,the practitioner may use intervention strategies to direct the client to more effective and efficient methods to complete tasks.

Question 3

A 75-year-old woman with rheumatoid arthritis reports having some difficulty managing in her kitchen during meal preparation and cleanup.The client lives alone,is fiercely protective of her independence,and works 3 days a week at the local library's reading program for children.The OT practitioner arranges a home visit and decides the best sequencing of assessments to determine the problems would be which of the following?

A) Occupation-based functional motion; manual muscle testing; functional ROM
B) Functional motion; ROM; manual muscle testing; occupation-based functional motion
C) Functional motion; occupation-based functional motion; manual muscle testing
D) ROM; occupation-based functional motion; functional motion

Answer 3

C
The functional motion assessment is a quick assessment that will give general information about ROM and muscle strength.The occupation-based functional motion assessment,which takes a bit longer to administer,gives additional information about the client's ability to integrate those systems needed to manipulate objects,as well as provide additional resistance onto the body parts,and the client's ability to manage in a meaningful environmental context.Muscle testing is the most time-intensive assessment and would be administered only if the practitioner determines a specific need.

Question 4

Which of the following cannot be assessed using the occupation-based functional motion assessment?

A) Motor control
B) Sensation
C) Range of motion (ROM)
D) Muscle strength

Question 5

A client who is able to perform most basic activities of daily living and instrumental activities of daily living independently but who experiences low endurance and fatigue somewhat easily during upper extremity tasks will most likely have which of the following?

A) Poor muscle strength
B) Good muscle strength
C) Fair plus muscle strength
D) Normal muscle strength

Question 6

Which of the following is a reason that assumptions can be made regarding lower extremity strength during functional activities?

A) The dependency of the distal joints on the more proximal joints for positioning
B) The complexity of motor patterns requiring gross and fine motor skill
C) The stereotypical movement patterns that occur due to the joints and relative arrangement of the muscle
D) The variety of patterns of movement that can be assumed

Question 7

Which of the following is an advantage of the occupation-based functional motion assessment?

A) The client will perform these tasks in contexts that are meaningful.
B) The occupational therapy (OT) practitioner can guide the movement patterns of the client to enhance performance.
C) The OT practitioner will provide a structured environment in which the assessment will occur.
D) The OT practitioner can provide verbal cues to direct the client in completion of the task.

Question 8

An advantage of the occupation-based functional motion assessment is that the OT practitioner as the opportunity to do which of the following?

A) Measure muscle strength.
B) Observe complex motor patterns required to fully engage in occupations.
C) Gain information about movement of a specific limb.
D) Measure flexibility of joint components.

Question 9

Which of the following is not an expected outcome of an occupation-based functional motion assessment?

A) The OT practitioner conducting interviews with the client to determine the problems encountered during performance of functional activities
B) The OT practitioner having the client perform other tasks associated with his or her habits while interacting in varied environmental contexts
C) The OT practitioner making the decision to conduct formal assessments of performance skills or body function
D) Meaningful intervention goals relative to improving occupational performance will be selected

Question 10

While observing the client at work in her kitchen retrieving items to make a sandwich,cutting bread,reaching for dishes,loading the dishwasher,and opening and closing drawers,the therapist noticed that the client often grimaced when applying pressure to knives,lifting dishes,and opening the refrigerator.The therapist also observed that the client sometimes appeared confused,left out ingredients,and put dirty dishes in the cabinet instead of the clean ones she had set aside.When the client noticed some of her mistakes,she said,"Oh well,I live alone; who cares if the dish is a little dirty?" The occupation-based functional motion assessment allowed the practitioner to assess which of the following?

A) ROM, muscle strength, pain, endurance
B) Cognitive deficits, pain, perceptual deficits, endurance
C) Muscle strength, task importance, endurance
D) Task importance, cognitive deficits, pain, perceptual deficits