Question 1

Which progression reflects the sequence of grasp patterns?
A) Radial palmar, raking, lateral pinch, tip pinch
B) Tip pinch, raking, radial palmar, lateral pinch
C) Raking, tip pinch, radial palmar, lateral pinch
D) Raking, radial palmar, lateral pinch, tip pinch

Accepted Answer

Radial palmar grasp is the first grasp pattern to develop, followed by raking, lateral pinch, and tip pinch.

Question 2

By what age do children generally learn to use a spoon?
A) 5 months
B) 18 months
C) 2.5 years
D) 6 years

Accepted Answer

Children generally learn to use a spoon around 18 months of age. While some children may develop this skill earlier or later, 18 months is a common age for this milestone. Option A is too early, option C is a bit late, and option D is far too late.

Question 3

Which grasp involves thumb opposition?
A) Hook
B) Power
C) Lateral pinch
D) Tip pinch

Accepted Answer

Tip pinch involves thumb opposition, where the thumb and index finger come together to hold small objects.

Question 4

Which of the following goals is the most difficult for a 6-year-old boy with hemiplegia?
A) Complete a puzzle with large pieces
B) Open a door with a key
C) Use a knife to cut meat
D) Pick up a medium-sized Lego™ toy

Accepted Answer

Using a knife to cut meat requires fine motor skills and strength that may be challenging for a 6-year-old boy with hemiplegia, especially if the affected side is the dominant one. Completing a puzzle with large pieces, opening a door with a key, and picking up a medium-sized Lego™ toy are likely to be more feasible goals for a child with hemiplegia.

Question 5

Which sequence reflects the development (earliest to latest) of reaching?
A) Visual regard of object, swipe, reach with extended arm, bilateral reach
B) Bilateral reach, visual regard of object, swipe, reach with extended arm
C) Visual regard of object, reach with extended arm, bilateral reach, swipe
D) Visual regard of object, bilateral reach, swipe, reach with extended arm

Accepted Answer

The development of reaching in infants typically starts with visual regard of an object, where the infant first notices something they want. This is followed by swiping at the object as they attempt to make contact but lack the coordination to grasp it. Next, they develop the ability to reach with an extended arm, showing improved motor control. Finally, bilateral reach develops, where they can use both hands in a coordinated manner to grasp larger objects or to support their initial hand in holding or manipulating the object.

Question 6

Overall, what does the research evidence suggest concerning occupational therapy intervention for hand skills?
A) It is not effective; more research is needed.
B) It is effective; trials that include long-term follow-up would be beneficial.
C) It depends on the therapist and the school setting.
D) It is not cost effective; qualitative research is needed.

Accepted Answer

The research evidence suggests that occupational therapy intervention for hand skills is effective, but trials that include long-term follow-up would be beneficial.

Question 7

Scott is able to move the penny from his palm to his fingertips without using his other hand. What hand skill pattern does this represent?
A) Reach
B) Grasp
C) In-hand manipulation
D) Bilateral hand use

Accepted Answer

Moving the penny from palm to fingertips without using the other hand involves manipulation of the object within the hand, which is an example of in-hand manipulation.

Question 8

Which of the following activities is the most difficult for a 5-year-old with increased muscle tone in both upper extremities?
A) Pick up toys off floor
B) Put toys into large container on floor
C) Put toys in bins on table
D) Put toys into desk drawers

Accepted Answer

Putting toys into desk drawers would require greater use of fine motor control and precision, which may be more challenging for a 5-year-old with increased muscle tone in both upper extremities. The other activities listed involve larger movements and may be more manageable.

Question 9

Robert is an 8-year-old boy with cerebral palsy. He has difficulty picking up a cup and frequently spills its contents because he picks it up too quickly and slams it on the table when putting it down. What type of hand skill difficulty is this?
A) Poor timing of movements
B) Regulation of force
C) Inadequate isolation of movements
D) Limitation in trunk control

Accepted Answer

Robert's difficulty with picking up and putting down the cup too quickly and slamming it on the table suggests a regulation of force difficulty.

Question 10

What type of in-hand manipulation skill is required to twirl a pencil?
A) Finger-to-palm translation
B) Palm-to-finger translation
C) Complex rotation skills
D) Shift skills

Accepted Answer

Twirling a pencil requires complex rotation skills, as the pencil is being rotated around its longitudinal axis while being held in the hand. Finger-to-palm translation involves moving an object from the fingers to the palm, whereas palm-to-finger translation involves moving an object from the palm to the fingers. Shift skills involve moving an object from one location to another without manipulating it, which is not relevant to twirling a pencil.

Question 11

What type of splint is designed to enhance thumb control for children with mildly increased muscle tone?
A) Volar
B) Resting pan
C) Spasticity reduction
D) McKie

Accepted Answer

The McKie splint is specifically designed to enhance thumb control, particularly beneficial for children with mildly increased muscle tone. It provides support and positioning to improve hand function.

Question 12

What does the research suggest concerning constraint-induced therapy in children with cerebral palsy (hemiplegia)?
A) Hand and arm function improve.
B) Children do not like this approach.
C) Hand and arm function do not change.
D) Children have no hand difficulties after the intervention.

Accepted Answer

The research suggests that constraint-induced therapy improves hand and arm function in children with cerebral palsy (hemiplegia).

Question 13

Gray is able to touch items with his hand. What is the next step in reaching and carrying that he could achieve?
A) Pick up objects from all around the house
B) Carry large objects in a variety of locations
C) Obtain items from cabinet and closets
D) Pick up objects at midline and close to body

Accepted Answer

The next step would be for Gray to start picking up objects at midline and close to his body. This will help him develop further control and stability in his hand movements, which is necessary for carrying objects in a variety of locations and obtaining items from cabinets and closets. Once he has mastered close-up picking up, he can then progress to larger objects and more complex environments.

Question 14

Frank is a 6-month-old infant whose mother excitedly says to the occupational therapist, "Frank is left-handed, just like his father." How does the occupational therapist interpret this data?
A) This is worrisome; Frank should be evaluated further.
B) Frank shows advanced development.
C) Frank has inherited his father's handedness.
D) This is not a problem; Frank may change over time.

Accepted Answer

The answer of Frank is a 6-month-old infant whose mother...

Question 15

Which statement reflects the best position to promote hand skills in children?
A) Seated at a large table; chair with no back support
B) Side-lying position with a tray for writing utensils
C) Seated at a child-sized table and child-sized chair
D) Standing in a child-sized prone stander at a regular table

Accepted Answer

Seating at a child-sized table and chair allows for proper support and ergonomics for the child's developing body. This helps promote good posture and proper hand positioning for writing and other fine motor tasks.

Quiz 10: Evaluation and Interventions to Develop Hand Skills

Which progression reflects the sequence of grasp patterns?

By what age do children generally learn to use a spoon?

Which grasp involves thumb opposition?

Which of the following goals is the most difficult for a 6-year-old boy with hemiplegia?

Which sequence reflects the development (earliest to latest) of reaching?

Overall, what does the research evidence suggest concerning occupational therapy intervention for hand skills?

Scott is able to move the penny from his palm to his fingertips without using his other hand. What hand skill pattern does this represent?

Which of the following activities is the most difficult for a 5-year-old with increased muscle tone in both upper extremities?

Robert is an 8-year-old boy with cerebral palsy. He has difficulty picking up a cup and frequently spills its contents because he picks it up too quickly and slams it on the table when putting it down. What type of hand skill difficulty is this?

What type of in-hand manipulation skill is required to twirl a pencil?

What type of splint is designed to enhance thumb control for children with mildly increased muscle tone?

What does the research suggest concerning constraint-induced therapy in children with cerebral palsy (hemiplegia) ?

Gray is able to touch items with his hand. What is the next step in reaching and carrying that he could achieve?

Frank is a 6-month-old infant whose mother excitedly says to the occupational therapist, "Frank is left-handed, just like his father." How does the occupational therapist interpret this data?

Which statement reflects the best position to promote hand skills in children?