NBCOT Burn Question with Verified Answers (Guaranteed Pass)

An OTR® is working with a client who has had a cerebrovascular accident (CVA). One of the client's goals is independence in baking activities. Which modality intervention is BEST used to decrease shoulder subluxation of the nonpainful hemiparetic arm during this task? A. Ultrasound B. Fluidotherapy C. Neuromuscular electrical stimulation (NMES) D. Conventional transcutaneous nerve stimulation (TENS) - Answer-The right answer is C NMES can be used during an activity to decrease shoulder subluxation post CVA. Bracciano, A. (2008). Therapeutic ultrasound and phonophoresis. In A. Bracciano (Ed.), Physical agent modalities: Theory and application for the occupational therapist (2nd ed., pp. 125-156). Thorofare, NJ: Slack; p. 188. Explanations of Incorrect Answers A, B: Ultrasound and fluidotherapy cannot be used during an activity and do not increase functional control of muscles. D: TENS can be used during an activity but is typically used for pain and edema control. A client sustained a burn injury to the hand 1 year ago and has returned to occupational therapy for scar management. The client has been wearing a compression glove as originally prescribed and asks the OTR® if the glove is still necessary. Which factor is MOST IMPORTANT for the OTR® to consider prior to advising the client to discontinue glove wear? A. Documented changes in volumetric measurements since beginning therapy B. Physical characteristics of the scar and the stage of wound healing C. Client's overall psychological adjustment to the burn scars D. Improvements in composite finger ROM and scar sensitivity - Answer-The right answer is B The primary outcome when using a compression glove is to decrease scar tissue formation and improve the appearance of a scar, and this is assessed through physical characteristics of the scar. Once the appearance of the scar along with the stage of wound healing are considered, the determination of continued compression glove use can be made.