Therapeutic Interventions & Techniques Flashcards
7 cards from real OTR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Therapeutic Interventions & Techniques flashcards as text
Which feeding intervention strategy is recommended for a patient with dysphagia and reduced pharyngeal peristalsis?
Answer: Multiple swallows per bolus and effortful swallow technique
The effortful swallow and multiple swallows per bolus increase pharyngeal pressure and help clear residue when peristalsis is weak.
A home modification assessment for an older adult focuses on fall prevention. Which change has the STRONGEST evidence for reducing fall risk?
Answer: Removing hazards (loose rugs, clutter) and installing grab bars in the bathroom
Hazard removal combined with targeted grab bar installation in high-risk areas like the bathroom has the strongest evidence for reducing falls at home.
When using the Proprioceptive Neuromuscular Facilitation (PNF) hold-relax technique, what occurs during the 'relax' phase?
Answer: The patient passively allows the limb to be moved into greater range after the isometric contraction
After an isometric contraction of the tight muscle, autogenic inhibition allows passive movement into increased range during the relax phase.
An OTR is treating a patient with burns to the hand. Which positioning principle is MOST important during the acute phase to prevent contracture?
Answer: Positioning in the antideformity (intrinsic-plus) position with wrist extension
The antideformity position (wrist extension, MCP flexion, IP extension, thumb abduction) counteracts the pull of scar contracture in hand burns.
Which evidence-based practice supports the use of occupation-based interventions over rote exercise in OT?
Answer: Occupation adds meaning and purpose, which improves motivation, neuroplasticity, and skill transfer
Meaningful occupation activates motivation circuits and contextual learning, leading to better neuroplasticity and real-world skill transfer than rote exercise.
A patient post-CVA has learned to dress independently using a hemi-technique. Which sequence is correct for donning a shirt?
Answer: Affected arm first, then unaffected arm, pull over head
Dressing the affected (weaker) arm first prevents the shirt from pulling on the affected limb and makes it easier to position the garment before adding the unaffected arm.
A therapist is using the Canadian Occupational Performance Measure (COPM) with a new patient. At which stage of the therapeutic process is this tool MOST appropriately administered?
Answer: At initial evaluation to identify the client's priorities and baseline self-rated performance
The COPM is a client-centered outcome measure used at initial evaluation to identify priority occupational performance issues and establish baseline ratings.