An OT Practitioner Is Setting Up a Self ROM Program

Multiple Choice

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."