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Module 3: Carl is a 78-year-old man recovering from systemic sepsis in the skilled nursing facility. Two weeks after his initial evaluation, the OT uses manual muscle testing to check Carl’s upper arm strength and determines that Carl’s strength has increased to grade 3+. What therapeutic activity should the OT introduce to help Carl continue to regain his upper arm strength?

A. Shoulder exercises using a wall mounted finger ladder.
B. Bilateral sanding on a table top with light resistance.
C. Range of motion arc with half pound wrist weights.
D. Overhead nut and bolt board.

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Posted by (Questions: 14, Answers: 14)
Asked on February 8, 2018 6:50 am
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Range of motion arc with half pound wrist weights. At grade 3+ the man will be able to move his arms through full range of motion against gravity and will be able to tolerate gradual increases in resistance. He should be able to tolerate sliding rings across the range of motion arc with light resistance, provided by the half pound wrist weights. Exercises using a wall mounted finger ladder or table top sanding are designed for people who have less than grade 3 shoulder strength, so these activities will not be challenging enough for the man. Working against gravity for prolonged periods of time is difficult for people with grade 3+ arm strength, so the man will probably not be able to sustain shoulder flexion against gravity to work overhead on the nut and bolt board.

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Posted by (Questions: 14, Answers: 14)
Answered on February 8, 2018 6:51 am
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