Question

A pt who works as a custodian for a local high school reports having difficulty lifting chairs, mopping, and performing other janitorial duties d/t tightness in his R wrist and fingers. The physcian diagnosed the pt with having a non-displaced distal radius fx to the dominant RUE. How should the OTA incorporate the biomechanical approach in the 1st intervention to help the pt with his job tasks?

A. Provide the pt with a dynamic splint to use 24hrs a day, except when in the shower
B. Have the pt practice dexterity to improve FM skills
C. Educate the pt on modifications to use when working
D. Incorporate gentle ROM exercises

Answer 1

The initial OTA intervention should involve gentle Range Of Motion exercises to maintain joint mobility and muscle strength, as well as education on ergonomic adjustments for work tasks.

Step-by-step explanation:

An Occupational Therapy Assistant (OTA) using a biomechanical approach for a patient with a non-displaced distal radius fracture should prioritize interventions that target physical impairments to improve functional abilities. In the initial stages of healing, it is important to protect the fracture; hence, providing a dynamic splint would restrict necessary movement and might not be appropriate 24/7.

Therefore, the correct intervention should involve gentle Range Of Motion (ROM) exercises. These exercises will help maintain joint mobility and muscle strength around the fracture site, facilitating a quicker and more functional recovery. Additionally, the OTA should educate the patient on ergonomic adjustments and the use of adaptive equipment for job tasks to prevent further injury and facilitate return to work.