OTA Adaptive Equipment 3 — Questions and Answers
Question 1: Which adaptive seating feature BEST prevents a client with poor trunk control from sliding forward in a wheelchair?
- Lateral trunk supports
- Anti-thrust seat cushion (Correct answer)
- Footrest elevation
- Headrest adjustment
Correct answer: Anti-thrust seat cushion
An anti-thrust (wedge) cushion tilts the pelvis posteriorly, reducing the tendency to slide forward in the seat.
Question 2: A client with Parkinson's disease has a festinating gait and freezing episodes. Which environmental adaptation is MOST helpful?
- Removing all floor rugs
- Adding visual floor cues such as tape strips (Correct answer)
- Installing grab bars throughout the home
- Providing a wheeled walker
Correct answer: Adding visual floor cues such as tape strips
Visual cues on the floor give external rhythm cues that help break freezing episodes in clients with Parkinson's disease.
Question 3: A client cannot open a standard jar due to decreased grip strength. The MOST appropriate adaptive equipment is a:
- Dycem mat
- Electric jar opener (Correct answer)
- Loop scissors
- Rocker knife
Correct answer: Electric jar opener
An electric jar opener requires minimal grip strength and can open jars independently with one hand.
Question 4: For a client with C6 spinal cord injury, which adapted driving control allows independent vehicle operation?
- Standard hand controls
- Tri-pin hand control (Correct answer)
- Spinner knob
- Foot accelerator guard
Correct answer: Tri-pin hand control
A tri-pin control accommodates limited hand function at the C6 level by allowing the wrist to push/pull the control device.
Question 5: Which type of orthotic device is a static resting hand splint PRIMARILY used for?
- Strengthening finger flexors
- Maintaining hand in a functional or safe position (Correct answer)
- Improving active range of motion
- Reducing edema
Correct answer: Maintaining hand in a functional or safe position
A static resting splint immobilizes the hand in a safe position to prevent contracture and protect structures.
Question 6: A client with multiple sclerosis reports significant fatigue during meal preparation. The FIRST environmental modification an OTA should recommend is:
- Installing a stair lift
- Reorganizing the kitchen to place items within easy reach (Correct answer)
- Providing a rolling walker
- Adding a grab bar near the stove
Correct answer: Reorganizing the kitchen to place items within easy reach
Reducing the distance traveled and the effort to retrieve items directly conserves energy during meal preparation.
Question 7: Which device is classified as a HIGH-TECH augmentative and alternative communication (AAC) system?
- Communication board with symbols
- Speech-generating device (SGD) (Correct answer)
- Alphabet board
- Gesture-based system
Correct answer: Speech-generating device (SGD)
A speech-generating device uses electronic technology to produce synthesized or digitized speech output.
OTA Adaptive Equipment 3
Which adaptive seating feature BEST prevents a client with poor trunk control from sliding forward in a wheelchair?