An OT practitioner is evaluating a 58-year-old client who sustained a stroke that resulted in hemiplegia of his right arm 3 months ago
While beginning to assess ROM, the therapist observes that the client's right wrist and hand are swollen and tender. The client reports having fallen in his bedroom the previous day. With regard to the wrist and hand, the therapist should do which of the following?
A. Measure active ROM and passive ROM.
B. Measure passive ROM only.
C. Measure active ROM only.
D. Defer measurements until a later time.
ANS: D
Although swelling may be a consequence of hemiplegia, the most important thing for the thera-pist to consider is the client's history of a recent fall. Because there are signs of a possible acute injury, the therapist should be prudent and defer ROM measurements until the client can be evaluated by a physician to rule out an injury such as a fracture or dislocation. Measuring joint ROM is contraindicated in the presence of an unhealed fracture or dislocation.
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