Topic Breakdown of SLE Occupational Therapy Specialist Exam

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SLE Occupational Therapy Specialist Sample Test

1 of 5

An individual is referred to OT for muscle testing, where a passive ROM scan is performed to determine what ROM is available at each joint. The OTR notes that the muscle moves through full ROM against gravity and is unable to take added resistance. What grade can the OTR assign to the muscle?

Correct Answer:

3

when an individual undergoes muscle testing in occupational therapy (ot), the therapist uses various techniques to determine the strength and functional capacity of specific muscles. muscle testing often includes passive range of motion (rom) scanning to understand the unrestricted movement of a joint without active muscle exertion by the patient. additionally, the ability of the muscle to move through its range of motion against gravity and its capacity to withstand added resistance are evaluated.

in the scenario described, the occupational therapist registered (otr) observes that the muscle can move through its full range of motion against the force of gravity but is unable to handle any additional resistance. this specific finding is critical in assigning a muscle strength grade. according to the oxford muscle strength grading system, which is commonly used in clinical settings, muscle strength is graded on a scale from 0 to 5.

the grades are defined as follows: - grade 0: no visible muscle contraction - grade 1: visible muscle contraction with no movement at the joint - grade 2: movement at the joint possible but not against gravity (gravity-eliminated position) - grade 3: movement against gravity but not against resistance - grade 4: movement against gravity and some resistance but less than normal - grade 5: normal strength (movement against gravity and full resistance)

based on this grading system, a muscle that moves through full rom against gravity but cannot sustain any added resistance is classified as grade 3. this is referred to as a "fair" grade, indicating that while the muscle can function to some extent, its strength is significantly compromised when additional resistance is introduced. this grade helps in planning the appropriate therapeutic interventions aimed at strengthening the muscle and improving the individual's overall functional abilities.