Physical Rehabilitation & Musculoskeletal OT Flashcards
7 cards from real OT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Physical Rehabilitation & Musculoskeletal OT flashcards as text
Which splint is MOST appropriate for a patient diagnosed with de Quervain's tenosynovitis?
Answer: Thumb spica splint immobilizing the CMC and MCP joints of the thumb
A thumb spica splint immobilizes the first CMC and MCP joints to rest the abductor pollicis longus and extensor pollicis brevis tendons that are inflamed in de Quervain's tenosynovitis.
In trigger finger (stenosing tenosynovitis), which structure is primarily involved?
Answer: Flexor digitorum superficialis or profundus tendon catching at the A1 pulley
Trigger finger occurs when the flexor digitorum superficialis or profundus tendon catches on the thickened A1 annular pulley, causing locking or triggering during active flexion.
In sensory re-education following peripheral nerve injury, what is the RECOMMENDED sequence?
Answer: Begin with protective sensation, then progress to discriminative sensation
Sensory re-education follows a hierarchical sequence: first restoring protective sensation (pain, temperature, moving touch) before progressing to discriminative sensation (static two-point discrimination).
Which approach is MOST appropriate for treating complex regional pain syndrome (CRPS) in occupational therapy?
Answer: Desensitization, stress loading, and graded active movement
CRPS treatment emphasizes desensitization to normalize sensory processing, stress loading (weight-bearing/carrying) to stimulate normal limb use, and active movement to reduce sympathetic hypersensitivity.
What is the normal range of MCP joint flexion measured with a goniometer?
Answer: 85–90°
Normal MCP joint flexion ranges from approximately 85–90°, with full fist formation requiring adequate ROM at the MCP, PIP, and DIP joints together.
Which splint is the STANDARD treatment for an acute mallet finger injury in OT?
Answer: DIP extension splint worn continuously for 6–8 weeks
A DIP extension splint (Stack splint or custom thermoplastic) worn continuously for 6–8 weeks allows the disrupted extensor mechanism to heal with the joint in full extension.
A patient with a C6 spinal cord injury is expected to achieve which hand function?
Answer: Tenodesis grasp using active wrist extension to passively flex the fingers
At C6 level, wrist extensors (ECRL/ECRB) are innervated, allowing a tenodesis grasp where extending the wrist passively closes the fingers into a functional grip pattern.