Practice Quiz

Occupational Therapy Assistant

Category - Implementing Interventions

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Your patient Iva, who has a diagnosis of left cerebrovascular accident with right hemiplegia, has partial shoulder movement with grade 2+ strength. What modality could you use to facilitate shoulder flexion during a reaching activity?
  1. Ultrasound
  2. Transcutaneous Electrical Nerve Stimulation (TENS)
  3. Neuromuscular Electrical Stimulation (NMES)
  4. Diathermy
Explanation
Answer: C. To facilitate shoulder flexion during a reaching activity, you could use NMES. Since Iva’s shoulder strength is grade 2+, she has some active movement in the shoulder flexor muscles. By placing the pads for the NMES unit near the tendon insertions of the shoulder flexor muscles, you can stimulate contraction in these muscles and assist flexion during reaching.
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