Deck 10: Evaluation and Interventions to Develop Hand Skills

Question 1

Which progression reflects the sequence of grasp patterns?

A) Radial palmar, raking, lateral pinch, tip pinch
B) Tip pinch, raking, radial palmar, lateral pinch
C) Raking, tip pinch, radial palmar, lateral pinch
D) Raking, radial palmar, lateral pinch, tip pinch

Answer 1

A

Question 2

By what age do children generally learn to use a spoon?

A) 5 months
B) 18 months
C) 2.5 years
D) 6 years

Answer 2

B

Question 3

Which grasp involves thumb opposition?

A) Hook
B) Power
C) Lateral pinch
D) Tip pinch

Answer 3

D

Question 4

Which of the following goals is the most difficult for a 6-year-old boy with hemiplegia?

A) Complete a puzzle with large pieces
B) Open a door with a key
C) Use a knife to cut meat
D) Pick up a medium-sized Lego™ toy

Question 5

Which sequence reflects the development (earliest to latest) of reaching?

A) Visual regard of object, swipe, reach with extended arm, bilateral reach
B) Bilateral reach, visual regard of object, swipe, reach with extended arm
C) Visual regard of object, reach with extended arm, bilateral reach, swipe
D) Visual regard of object, bilateral reach, swipe, reach with extended arm

Question 6

Overall, what does the research evidence suggest concerning occupational therapy intervention for hand skills?

A) It is not effective; more research is needed.
B) It is effective; trials that include long-term follow-up would be beneficial.
C) It depends on the therapist and the school setting.
D) It is not cost effective; qualitative research is needed.

Question 7

Scott is able to move the penny from his palm to his fingertips without using his other hand. What hand skill pattern does this represent?

A) Reach
B) Grasp
C) In-hand manipulation
D) Bilateral hand use

Question 8

Which of the following activities is the most difficult for a 5-year-old with increased muscle tone in both upper extremities?

A) Pick up toys off floor
B) Put toys into large container on floor
C) Put toys in bins on table
D) Put toys into desk drawers

Question 9

Robert is an 8-year-old boy with cerebral palsy. He has difficulty picking up a cup and frequently spills its contents because he picks it up too quickly and slams it on the table when putting it down. What type of hand skill difficulty is this?

A) Poor timing of movements
B) Regulation of force
C) Inadequate isolation of movements
D) Limitation in trunk control

Question 10

What type of in-hand manipulation skill is required to twirl a pencil?

A) Finger-to-palm translation
B) Palm-to-finger translation
C) Complex rotation skills
D) Shift skills

Question 11

What type of splint is designed to enhance thumb control for children with mildly increased muscle tone?

A) Volar
B) Resting pan
C) Spasticity reduction
D) McKie

Question 12

What does the research suggest concerning constraint-induced therapy in children with cerebral palsy (hemiplegia)?

A) Hand and arm function improve.
B) Children do not like this approach.
C) Hand and arm function do not change.
D) Children have no hand difficulties after the intervention.

Question 13

Gray is able to touch items with his hand. What is the next step in reaching and carrying that he could achieve?

A) Pick up objects from all around the house
B) Carry large objects in a variety of locations
C) Obtain items from cabinet and closets
D) Pick up objects at midline and close to body

Question 14

Frank is a 6-month-old infant whose mother excitedly says to the occupational therapist, "Frank is left-handed, just like his father." How does the occupational therapist interpret this data?

A) This is worrisome; Frank should be evaluated further.
B) Frank shows advanced development.
C) Frank has inherited his father's handedness.
D) This is not a problem; Frank may change over time.

Question 15

Which statement reflects the best position to promote hand skills in children?

A) Seated at a large table; chair with no back support
B) Side-lying position with a tray for writing utensils
C) Seated at a child-sized table and child-sized chair
D) Standing in a child-sized prone stander at a regular table