537 Exam 2

The fundamentals of biomechanical taping include crossing a joint or joints, applying tape in the elongated position, getting a good purchase on the levers

• True

• FALSE

Answer explanation

This is incorrect for two reasons:

1) If we are referring to dynamic tape, you tape when the limb is shortened

2) If we are referring to kinesiotape, essentially none of the conditions of the statement is required to use it effectively.

What areas should an OT focus on with lymphedema? (Choose all that apply)

• ROM

• Socioeconomic issues

• Psychosocial issues

A client is presenting with lower extremity limb swelling. What are some warning signs that it may be lymphedema? (Choose all that apply)

• Been present for 3 or more months

• The extremities feel achy and tingly

• The skin feels cool to the touch

• Symptoms worsen as the day progresses

Which of the following are considered cumulative trauma disorders? (choose all that apply)

• Carpal Tunnel syndrome

• Tennis elbow

• Dupuytren’s Contracture

• Rheumatoid Arthritis

A client with acute edema of the foot requests a hot pack to be applied. Why would this be a poor choice and what would you suggest as an alternative?

• This is a great choice, A+
• Heat is a vasoconstrictor and may cause increased edema, suggest cryotherapy
• Heat is a vasodilator and may cause increased edema, suggest cryotherapy

What is DE QUERVAIN’S TENOSYNOVITIS

• Hand deformity that usually develops over years. Knots of tissue form under the skin — eventually creating a thick cord that can pull one or more fingers into a bent position

• Inflammation of the tendon sheath containing extensor pollicis brevis and abductor pollicis longus

• Compression of ulnar nerve at the wrist level (causes weakness and numbness on palmar aspect of hand)

What is NOT a common cause of CTD?

• Work injury
• Infection
• Repetitious use
• Poor posture

A client is receiving therapy from a certified lymphedema specialist. What technique is the therapist most likely to use?

• Compression bandages

• Retrograde massage

• Cryotherapy

Answer explanation

Just to get an idea of what compression bandaging is for lymphedema: https://www.youtube.com/watch?v=on2o275MKdM

This is a specialized skill and requires either becoming a CLT/LANA or having direct supervision from one.

Retrograde massage can be done by an OT for a different range of diagnoses. MLD is specialized skill specifically for patients diagnosed with lymphedema.

What is the major difference between an ace bandaging and kinesiotape?

• Kinesiotape is latex free
• Ace bandages provide support while allowing for ROM
• Kinesiotape lifts rather then compresses the skin

Which of the following is an appropriate nerve test for Carpal Tunnel?

• Wartenberg’s sign

• Tinel’s sign

• Press test

• Dynamometer