An occupational therapy (OT) practitioner is evaluating a 14-year-old client who sustained meta-carpal fractures of her left ring and small fingers during a gymnastics competition
The fractures were treated with cast immobilization that ended last week. The OT practitioner should establish what normal range of motion (ROM) is for this client by doing which of the fol-lowing?
A. Looking up published normative data
B. Measuring the client's right hand
C. Comparing the client with other clients who had similar injuries
D. Asking the physician what the expected ROM is
ANS: B
Because normal ROM varies from person to person, the best way to determine what is normal for a particular client is to measure analogous uninvolved joints. If that is not possible, the therapist can use published norms as a guide. Comparing the client with other clients and asking the physi-cian about expected ROM can help the therapist set reasonable therapy goals but will not reflect what normal ROM is for this client.
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