Ch36 &25

For the person with C6 quadriplegia, it is desirable to develop some tightness in the long finger flexors because __.

• the tightness of the finger flexors, combined with active wrist flexion, can produce some functional grasp through tenodesis action

• the tightness of the finger flexors, combined with active wrist extension, can produce some functional grasp through tenodesis action

• the tightness of the finger flexors combined with weak but active wrist flexion can produce a functional hook grasp

The person with C6 quadriplegia may be able to assist in transfers by locking the elbows in extension and performing shoulder __.

• depression, extension, and adduction

• depression, external rotation, and adduction

• adduction and elbow flexion

• horizontal abduction and humeral adduction

The patient has a C6 quadriplegia. We can anticipate that he or she has innervation of which of the following?

• Deltoids, latissimus, biceps, radial wrist extensors

• Latissimus, serratus, biceps, triceps

• Deltoids, biceps, triceps, hand intrinsics

• All of the above.

The occupational therapist can help achieve the desired flexor tightness necessary for tenodesis grasp by doing which of the following?

• Ranging finger flexion with the wrist extended and finger extension with the wrist flexed

• Ranging finger flexion with wrist flexed and finger extension with wrist extended

• Ranging finger flexion with wrist at neutral and extension with wrist extended

The patient has a C5 quadriplegia. We can anticipate that he or she has innervation of which of the following?

• Upper trapezius, deltoids, biceps, levator scapulae, wrist flexors

• Latissimus, deltoids, biceps, supinators, pronators

• Upper trapezius, diaphragm, levator scapulae, biceps, and supinators

• Both A and B

Which of the following describe the term perception?

• Interpretation of sensory information

• Mechanoreceptor activation in the fingertips

• Use of multiple types of sensation by the brain to create a body scheme

• Both A and C

Apraxia is a deficit related to the ability to plan and perform purposeful movement. Which of the following statements is false regarding apraxia?

• May be attributable to muscle weakness, loss of coordination, or sensory loss

• Symptoms may be stable or progressive in nature depending on the underlying pathology.

• May occur after CVA or TBI

• Contributes to significant deficits in many areas of occupation

Which of the following is necessary for an individual with perceptual dysfunction to benefit from occupational therapy assessment and intervention?

• Appropriate health insurance to cover perceptual interventions

• Adequate self-awareness to recognize the deficit exists

• Intact receptive and expressive communication skills

• Supportive family or caregiver to reinforce techniques in the home environment