Biomechanical FOR
This is the specific goal when an OT uses resistive bands or hand therapy putty to increase a client's force production.
What is improving muscle strength?
This modality uses high-frequency sound waves to produce thermal or non-thermal effects in deep tissue.
What is Ultrasound?
The following is the symptoms for what UE injury: Pain/tingling of median forearm/hand due to swelling or thickening of tendons leads to pressure on the nerve
What is Carpal Tunnel Syndrome?
This is the recommended angle for the elbows and knees when sitting at a desk to minimize joint strain.
What is 90 degrees?
This device is used to bridge the gap between two surfaces (like a bed and a wheelchair) for a client who cannot stand.
What is a sliding board (or transfer board)?
This biomechanical concept refers to the body's ability to maintain a physical activity over a long duration.
What is endurance?
This electrotherapeutic agent is not billable used for pain management.
What is TENS?
This deformity is characterized by PIP flexion and DIP hyperextension, often seen in Rheumatoid Arthritis.
What is a Boutonniere deformity?
This is the definition for what Ergonomic term: Comprehensive assessment to evaluate a person's potential to do any type of work; Especially useful for people who have never worked, don't have a job to return to, or cannot return to previous job because of disability
What is General Vocational Evaluation?
This is the "Gold Standard" device for safety when an OT is assisting a client with poor balance during a standing transfer.
What is a gait belt?
This type of exercise involves the client moving their limb through the full available range without any outside assistance.
What is Active Range of Motion (AROM)?
This modality is strictly contraindicated for patients with metal implants, such as pacemakers or IUDs, due to its strong electromagnetic field.
What is Short Wave Diathermy
This nerve is likely compressed if a client complains of numbness in the small finger and the ulnar half of the ring finger.
What is the ulnar nerve?
What is Perceptible Info?
What is Communicates uniform info to all
When fitting a wheelchair, you should add this many inches to the client's hip measurement to determine the correct seat width.
What is 2 inches?
This is the order for which class of lever?
Fulcrum (axis) — Effort (applied force) — Resistance (load)
BONUS: Give me 2 examples of this type of lever
What is Third Class Lever?
Ex: bicep curls, tweezers, fishing rods, brooms, shovels, baseball bats
These are contraindications for what PAM: Moderate to severe edema, open wounds, infections, absent sensation, skin lesions
What is Paraffin?
The following is treatments for what UE injury?: Tendon gliding, blocking exercises (slowly move tendon through A1 pulley without it getting stuck), paddle orthotic, PAMs, RICE, education/occupation modification, AROM, graded resistive therex, built up foam for (I)ADLs
What is Trigger finger (stenosing tenosynovitis)?
What is the difference between work hardening vs work conditioning?
Work Conditioning: Physical conditioning alone (strength, aerobic, flexibility) generally involving a single discipline
Work hardening: Formal, multidisciplinary programs for rehabilitating an injured worker
What type of wheelchair is best for individuals who have significant physical impairments that affect their ability to maintain an upright posture or shift their own weight.
What is Tilt-in-space wheelchair?
Question: A client with a C6 spinal cord injury is being seen in outpatient OT to improve independence in self-feeding. The OT decides to use a Biomechanical approach to address the client's lack of active finger flexion. Which intervention is the BEST example of this FOR?
A) Using gravity-eliminated active-assisted range of motion (AAROM) to strengthen wrist extensors to a Grade 3+.
B) Teaching the client to use a universal cuff to hold a fork.
C) Fabricating a tenodesis splint to facilitate a pinch during wrist extension.
D) Providing a weighted plate guard to prevent food from slipping off the dish.
Answer: A. The Biomechanical FOR focuses on remediation of physical skills (strength, ROM, endurance). A, B, and D are all examples of the Rehabilitative/Compensatory FOR.
Question: An OT is treating a client with chronic back pain who has an implanted cardiac pacemaker and a history of gastric ulcers. The physician orders "thermal modalities for pain relief." Which of the following modalities is the MOST appropriate for the OT to select?
A) Shortwave Diathermy applied to the lumbar region.
B) Continuous Ultrasound at 1.0 MHz to the paraspinal muscles.
C) Moist hot packs for 15–20 minutes with 6–8 layers of toweling.
D) TENS unit set to conventional mode for 30 minutes.
Answer: C. Moist hot packs are the only safe option here. A, B, and D are all strictly contraindicated due to the cardiac pacemaker.
Question: A client presents with a "drop hand" appearance, characterized by an inability to actively extend the wrist and MCP joints. Based on your study guide's description of nerve lesions, which nerve is affected, and what is the BEST splinting intervention to prioritize functional use of the hand?
A) Median nerve; a thumb spica splint to facilitate opposition.
B) Radial nerve; a dynamic extension splint to support the wrist and MCPs.
C) Ulnar nerve; a dorsal block splint to prevent hyperextension of the small fingers.
D) Musculocutaneous nerve; a custom elbow orthosis at 90 degrees.
Answer: B. A Radial Nerve lesion results in the loss of extensors ("wrist drop"). A dynamic extension splint provides the necessary support to keep the wrist in neutral/extension, allowing the flexors to function so the client can perform grasp and release.
Question: An OT is performing a workplace evaluation for a data entry clerk who reports chronic Medial Epicondylitis symptoms. Which ergonomic adjustment would be the MOST effective in reducing the strain on the client's flexor-pronator muscle group?
A) Lowering the chair height so the elbows are flexed to 110 degrees.
B) Adding a padded wrist rest to the front of the keyboard.
C) Moving the monitor closer to the user to reduce forward trunk lean.
D) Adjusting the keyboard tray to a slight negative tilt (tilted away from the user).
Answer: D. A negative tilt helps keep the wrists in a neutral or slightly extended position, which reduces the constant tension and "over-firing" of the wrist flexors that originates at the medial epicondyle.
An OT is training a caregiver on how to safely assist a client in a manual wheelchair to descend a steep outdoor ramp. Which of the following is the BEST method for the caregiver to use?
A) Move the wheelchair forward while tilting it slightly backward to keep the client's weight over the large wheels.
B) Move the wheelchair backward down the ramp while the caregiver maintains control and the client leans forward.
C) Allow the client to go forward independently while the caregiver lightly holds the push handles for speed control.
D) Move the wheelchair forward with all four wheels on the ground, using the wheel locks intermittently to slow down.
Answer: A. Wheelchair safety on ramps requires tilting the chair back to keep the user's center of gravity over the large rear wheels for maximum stability and control.