What functional task would be the most challenging for the client to work towards, when grading your treatment, if you are treating a client who has sustained a CVA and presents with impaired right UE motor control?
A. Supporting upper body weight with the affected ARM while wiping crumbs from the table from the unaffected ARM. B. Ironing clothes with the affected ARM C. Opening and closing drawers with the affected ARM D. Removing dishes from a cabinet with the affected ARM
Removing dishes from a cabinet with the affected arm
Weightbearing (A) and supported reach (B & C) activities help establish the motor control, motor pattern, and strength needed to support higher levels of functional UE use such as reaching in space (D)
Pendleton, H.M. & Schultz-Krohn, W. (2006). Pedrettis Occupational Therapy Practice Skills for Physical Dysfunction, Sixth Edition. St Louis, MO: Mosby Elsevier.