Deck 14: Mobility

Question 1

You are an occupational therapist,and your client is a 69-year-old man with left hemiplegia from a cerebrovascular accident.Your client has normal movement on his right side.He has a little movement in his left leg but none in his left arm.He has fair sitting balance but needs significant assistance to maintain a standing position.Which of the following is the most appropriate type of transfer to use to maintain safety and maximize your client's independence in functional mobility?

A) Bent pivot transfer
B) Sliding board transfer
C) Stand pivot transfer
D) Two-person dependent transfer

Answer 1

A
216: The standing pivot transfer requires the client to be able to come to a standing position and pivot on one or both feet.It is most commonly used with clients who have hemiplegia,hemiparesis,or a general loss of strength or balance.
218: The bent pivot transfer is used when the client cannot initiate or maintain a standing position.

Question 2

You are an occupational therapist with advanced training in driving evaluation.You are working with a client with paraplegia.After completion of a thorough predriving assessment,you determine that your client can safely drive with appropriate vehicle modifications.Which of the following are appropriate modifications for the individual with paraplegia?

A) Left foot accelerator, spinner knob
B) Hand controls for accelerator and brake, hand-operated parking brake
C) Pedal extensions
D) High-technology electronic controls and power equipment

Answer 2

B

Question 3

You are an occupational therapist working with an individual with T1 spinal cord injury.Your client has paralysis of both legs.Upper extremity function is fully intact,but your client has limited upper trunk stability.Which of the following is the most appropriate type of transfer to use to maintain safety and maximize your client's independence in functional mobility?

A) Bent pivot transfer
B) Sliding board transfer
C) Stand pivot transfer
D) Transfer with mechanical lift

Answer 3

B
Sliding board transfers are best used with those who cannot bear weight on the lower extremities and who have paralysis,weakness,or poor endurance in their upper extremities.