A clinician is evaluating a client with rheumatoid arthritis. In addition to the client-centered in-terview, occupational profile, and occupational performance evaluation, the therapist wishes to document the clinical status
goniometric measurements difficult. How should the therapist go about documenting digit flex-ion?
A. The therapist will be unable to measure the joint flexion because of the deformi-ties.
B. The therapist should measure the distance from the fingertips to the distal palmar crease with a ruler.
C. The therapist should measure over the joint enlargements at each joint.
D. The therapist should account and subtract for the enlarged joint in determining the joint flexion.
ANS: B
Assessing composite flexion can provide more functional information in the presence of deformi-ties. This is measured from the fingertip to the distal palmar crease while the patient flexes each digit.
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