A 75-year-old woman with rheumatoid arthritis reports having some difficulty managing in her kitchen during meal preparation and cleanup

Question

The client lives alone, is fiercely protective of her independence, and works 3 days a week at the local library's reading program for children. The OT practitioner arranges a home visit and de-cides the best sequencing of assessments to determine the problems would be which of the fol-lowing?
A. Occupation-based functional motion; manual muscle testing; functional ROM
B. Functional motion; ROM; manual muscle testing; occupation-based functional motion
C. Functional motion; occupation-based functional motion; manual muscle testing
D. ROM; occupation-based functional motion; functional motion

Answer 1

ANS: C
The functional motion assessment is a quick assessment that will give general information about ROM and muscle strength. The occupation-based functional motion assessment, which takes a bit longer to administer, gives additional information about the client's ability to integrate those systems needed to manipulate objects, as well as provide additional resistance onto the body parts, and the client's ability to manage in a meaningful environmental context. Muscle testing is the most time-intensive assessment and would be administered only if the practitioner determines a specific need.