An OTR is developing an exercise program for a client with Reflex sympathetic dystrophy/Complex regional pain syndrome in her right hand.Â The client is demonstrating pain, swelling, and stiffness.Â Which initial exercise plan would be BEST?
A. Manually manipulate the wrist and hand to increase ROM B. Gentle active exercise and frequent massage C. Protective sensory reeducation D. Relaxation training
Rational: The correct answer is B because active range of motion is crucial. Intervention that increases pain such as passive range of motion should be avoided. Massage reduces the swelling and reintroduces touching of the hand.
Source: Text book- Pedrettis Occupational Therapy: Practice Skills for Physical Dysfunction and the OT Advantage website