OTR Adaptive Equipment & Assistive Technology Flashcards

When recommending a raised toilet seat for a client post-total knee arthroplasty, the optimal seat height allows the client's hips to be positioned at:

Answer: Exactly 90° hip flexion

A raised toilet seat that positions the hips at 90° allows a comfortable sit-to-stand transfer while respecting weight-bearing precautions after total knee arthroplasty.

Which seating feature is MOST important for a client with cerebral palsy who demonstrates extensor tone with posterior pelvic tilt?

Answer: High seat back with headrest

A high seat back with a headrest provides posterior support that controls extensor thrust and supports the trunk and head in clients with significant extensor tone.

A client with multiple sclerosis reports fatigue during meal preparation. Which kitchen adaptation addresses fatigue management MOST directly?

Answer: Providing a perching stool at the counter

A perching stool allows the client to perform counter-height kitchen tasks in a supported semi-seated position, directly reducing standing fatigue.

Which type of environmental control unit (ECU) is MOST appropriate for a client with C4 complete spinal cord injury who has no functional hand movement?

Answer: Voice-activated ECU

A voice-activated ECU requires no physical motor control and allows a client with C4 complete SCI to independently operate household electronics using speech.

When evaluating whether a client needs a dynamic or static splint for boutonnière deformity, the OTR's primary consideration is:

Answer: Whether the deformity is correctable (flexible) or fixed

A dynamic splint is appropriate for flexible boutonnière deformity to progressively correct the PIP flexion contracture, while a static splint is used for fixed deformity or post-surgical immobilization.

A client with dysphagia requires adaptive equipment for safe eating. Which combination is MOST appropriate for a client with poor lip closure and difficulty managing thin liquids?

Answer: Cut-out cup and thickened liquids

A cut-out (nosey) cup allows drinking without neck extension, and thickened liquids slow bolus flow to compensate for poor lip closure and delayed swallow.