Rehabilitation and Therapy Occupational Therapy 2 — Questions and Answers
Question 1: What is the primary purpose of a resting hand splint (orthosis) in OT?
- Maintain the hand in a functional or protective position to prevent contracture (Correct answer)
- Strengthen intrinsic hand muscles
- Increase pinch strength
- Facilitate active range of motion
Correct answer: Maintain the hand in a functional or protective position to prevent contracture
A resting hand splint holds the wrist and fingers in a functional position to prevent flexion contractures in patients with neurological conditions or inflammatory arthritis.
Question 2: Which standardized assessment evaluates an individual's perceived performance and satisfaction in occupational performance?
- Canadian Occupational Performance Measure (COPM) (Correct answer)
- Functional Independence Measure (FIM)
- Barthel Index
- Mini-Mental State Examination
Correct answer: Canadian Occupational Performance Measure (COPM)
The COPM is a client-centered outcome measure where patients rate their own performance and satisfaction in self-identified problem areas using a 1–10 scale.
Question 3: In sensory re-education following nerve repair, which phase begins with training light moving touch?
- Early phase sensory re-education (Correct answer)
- Late phase sensory re-education
- Desensitization phase
- Mirror therapy phase
Correct answer: Early phase sensory re-education
Early phase sensory re-education begins with training perception of moving touch and vibration as the nerve regenerates, before progressing to discriminative sensation.
Question 4: What is the purpose of a dynamic splint for a patient with finger extensor tendon repair?
- Allow controlled tendon gliding while protecting the repair from rupture (Correct answer)
- Immobilize the finger completely during healing
- Strengthen flexor muscles
- Reduce edema in the hand
Correct answer: Allow controlled tendon gliding while protecting the repair from rupture
Dynamic splints for extensor tendon repairs allow early controlled motion via rubber band traction, preventing adhesion formation while protecting the tendon.
Question 5: Which model in occupational therapy emphasizes the interaction between volition, habituation, and performance capacity?
- Model of Human Occupation (MOHO) (Correct answer)
- Person-Environment-Occupation (PEO) model
- Occupational Adaptation model
- Biomechanical frame of reference
Correct answer: Model of Human Occupation (MOHO)
MOHO, developed by Gary Kielhofner, explains occupational participation through the interplay of volition (motivation), habituation (roles/routines), and performance capacity.
Question 6: A patient reports difficulty buttoning shirts due to fine motor deficits. Which adaptive strategy is MOST appropriate?
- Button hook device or magnetic/hook-and-loop button replacements (Correct answer)
- Advise the patient to wear only pullover shirts
- Recommend full-time caregiver assistance
- Prescribe strengthening exercises only
Correct answer: Button hook device or magnetic/hook-and-loop button replacements
A button hook compensates for fine motor deficits by extending the user's reach and reducing the dexterity required, while modified fasteners eliminate the task barrier entirely.
Rehabilitation and Therapy Occupational Therapy 2
What is the primary purpose of a resting hand splint (orthosis) in OT?