An OTA Is Working with a Client Who Had a Shoulder

An OTA is working with a client who had a shoulder replacement several weeks ago and has been cleared for OT services by the physician. While measuring shoulder flexion, the client winces as he approaches 90 degrees of flexion and then stops. What should the OTA inquire about and then document as a part of the assessment?

A) Client's level of pain
B) Orthopedic issues causing lack of ROM
C) Changes in muscle movement
D) Quality of movement