Occupational Therapy Assistant

Category - Implementing Interventions

Ford is a 33-year-old rehabilitation patient with a C5-C6 spinal cord injury. He would like to work on pulley exercises to strengthen his upper extremities, but he cannot hold on to the pulley handles. How can you adapt the pulleys, so Ford can exercise?
  1. Have Ford slide his hand through the pulley handle opening, and pull on the pulleys with his wrists.
  2. Have Ford wear holding mitts that will strap his fingers onto the pulley handles while he exercises.
  3. Have Ford do an alternate exercise since he cannot hang on to the pulleys.
  4. Tell Ford that it is too soon after his injury to worry about exercising.
Explanation
Answer: B. You have Ford wear holding mitts that will strap his fingers onto the pulley handles while he is exercising. Holding mitts are designed for people with limited hand function. They fit over a person’s hands like gloves. They use a VELCRO strap to strap the fingers around a handle, allowing the person to hold on to the handle while participating in the activity.
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