Deck 40: Disorders of the Motor Unit

Question 1

What interventions are appropriate for an occupational therapist to use with clients who have postpolio syndrome (PPS)?

A) Psychological counseling
B) Pain management
C) Exercise designed to work the muscles at maximum capacity with frequent, intermittent periods of rest
D) Diet recommendations and cooking groups

Answer 1

B

Question 2

Juanita suffered a blunt force trauma to her axillary nerve that resulted in paralysis of the left deltoid muscle.The injury caused limitations in left shoulder movements and atrophy of the deltoid muscle.She is dealing with issues regarding her body image,and because of the asymmetry of her shoulders,she refuses to go out with her husband.She has come back into OT for a follow-up session.What intervention could the OT practitioner provide to address this body image problem?

A) Passive shoulder ROM to the left shoulder performed by the husband daily
B) Fabrication of a foam or thermoplastic pad to be worn under her clothing
C) Provide her with an arm sling to be worn at least 10 hours a day
D) Order a custom-fit Jobst garment to reduce edema

Answer 2

B

Question 3

Which is the most commonly injured peripheral nerve injury,and which activity could be used by an occupational therapist as an intervention?

A) Long thoracic nerve; application of a variety of textures to the forearm
B) Brachial plexus; passive range of motion (ROM) with traction to the shoulder.
C) Axillary nerve; graded long, sweeping shoulder movements, such as wiping a table.
D) Musculocutaneous nerve; activities to strengthen forearm pronators

Answer 3

C

Question 4

An occupational therapist is treating an 18-year-old man who has Duchenne muscular dystrophy.He has expressed fear and anxiety over his declining bodily functions.How might the therapist respond?

A) Help him and his family find meaningful activities in which to participate as individuals or as a family.
B) Encourage the use of humor and to play and laugh together.
C) Refer him for psychological counseling.
D) Refer him to a spiritual advisor.
E) All of the above.

Question 5

During a Backpack Awareness Day event,occupational therapy (OT)students educated middle school-aged children about carrying the correct amount of weight and wearing their backpacks correctly to prevent injury of which peripheral nerve?

A) Brachial plexus
B) Axillary nerve
C) Median
D) Long thoracic