Question 1

An OT practitioner is evaluating a client who has just received an upper extremity prosthesis.The therapist should instruct the client to begin wearing the prosthesis:

Accepted Answer

The prosthesis-wearing schedule begins with the client wearing the prosthesis three times a day for 15- to 30-minute periods,with wearing periods increasing by 30 minutes each day if the skin remains in good condition.

Question 2

An OT practitioner is working with a client who had a unilateral below-knee amputation 2 weeks ago and wants to be able to resume living alone as soon as possible.To meet this goal,the therapist should:

Accepted Answer

Neuromuscular and movement-related functions will be altered by lower extremity amputation.Performance skills such as posture,mobility,strength,effort,and energy may be affected.Option (D)is correct because adapting the client's activity demands to meet his current clinical status should be done to facilitate the client's successful reengagement in occupations.Option (A)is incorrect because a client's preexisting performance patterns (e.g.,useful habits,routines,roles)can be built on to facilitate return to occupational performance.Option (B)is incorrect with regard to the limb loss; the therapy team should help the client adapt to the amputation and create a new sense of self.Option (C)is incorrect because the client's problem-solving ability should be encouraged as approaches to task completion are explored.

Question 3

An OT practitioner is doing functional unilateral myoelectric prosthetic training with a client who wants to be able to cut vegetables for meal preparation.What should the therapist teach the client?

Accepted Answer

Functional training involves the client learning to use the prosthesis as a functional assist for meaningful activities.If adapted or modified unilateral tasks are presented to the client,the need to operate the prosthesis will be minimized.For this activity,having the client hold the knife in the sound hand is preferable because the sound hand will have improved sensation and dexterity,allowing the client to maintain a grip on the knife more effectively.

Question 4

An occupational therapy (OT)practitioner is training a client in how to lock and unlock the elbow of an above-elbow body-powered prosthesis.The therapist should teach the client to do which of the following?

Accepted Answer

The motion to lock and unlock the elbow of a body-powered above-elbow prosthesis is a combination of shoulder hyperextension,shoulder abduction,and scapular depression.

Question 5

An OT practitioner is working with a client who had a unilateral below-knee amputation 4 days ago.With regard to wheelchair and positioning,what should be the therapist's priority?

Accepted Answer

A client with a below-knee amputation is at risk for developing a flexion contracture of the knee.A residual limb support can facilitate extension of the knee joint while sitting in the wheelchair to help prevent edema in the residual limb and contracture of the knee.Relocating the large wheels is not necessary with a unilateral below-knee amputation,but it may be necessary with bilateral below- or above-knee amputations.

Quiz 49: Amputations and Prosthetics

An OT practitioner is evaluating a client who has just received an upper extremity prosthesis.The therapist should instruct the client to begin wearing the prosthesis:

An OT practitioner is working with a client who had a unilateral below-knee amputation 2 weeks ago and wants to be able to resume living alone as soon as possible.To meet this goal,the therapist should:

An OT practitioner is doing functional unilateral myoelectric prosthetic training with a client who wants to be able to cut vegetables for meal preparation.What should the therapist teach the client?

An occupational therapy (OT) practitioner is training a client in how to lock and unlock the elbow of an above-elbow body-powered prosthesis.The therapist should teach the client to do which of the following?

An OT practitioner is working with a client who had a unilateral below-knee amputation 4 days ago.With regard to wheelchair and positioning,what should be the therapist's priority?