OTS 450 Comp 2 - Assessments

What assessments are appropriate for the following client with rotator cuff repair?

C.R. is a 44-year-old male who works in manufacturing for a car assembly plant. He was injured at work and recently underwent a R shoulder rotator cuff repair surgery for a medium tear of the supraspinatus muscle. His goal is to return to work and driving as soon as possible. Focus on interventions through post-op week 5.

• activity and scar observation

• VAS

• QuickDASH

What assessments are appropriate for the following client with below the elbow amputation?

This client is a 23 year old male who suffered a below elbow amputation of his dominant right arm during his work in the Air Force. He is an airplane mechanic and would like to stay in the air force but may need to be retrained for a different occupation. He is overwhelmed psychologically regarding coming to terms with his amputation and complains of phantom sensations.

• activity observation and scar observation - functional observation

• VAS - pain

• manual ability measure - functional observation

• QuickDASH - functional observation

• COPM - functional observation

• circumferential measurement - edema assessment

• ROM - elbow flexion, extension, supination, pronation

• functional independence measure (ADL status after amputation)

What assessments are appropriate for the following client with reverse total shoulder arthroplasty?

D.B. is a 58-year-old male who has rheumatoid arthritis. His right deltoid was intact, but he had damage to his rotator cuff muscles. He works at an animal shelter and wants to return to work as soon as he is able. He is being seen in the OT clinic 7 days after the surgery.

• patient specific functional scale - independence in interventions

• VAS - pain

• figure-of-eight measurement - edema

• QuickDASH - functional assessment

• dynamometer - grip strength

• pinch gauge test - pinch strength (3 types)

• ROM (distal joints - elbow and wrist)

what assessments are appropriate with the following client with carpal tunnel syndrome?

The client is a 28-year-old pregnant female who is carrying twins. She has been referred to OT to evaluate and treat her for CTS. She c/o of numbness and tingling in both hands, especially at night. She is a 4^th grade teacher and needs to finish out the last six weeks of the school year before taking off for the summer.

• Boston carpal tunnel questionnaire - functional survey

• patient specific functional scale - functional survey

• o’conner dexterity test - fine motor

• Jebsen hand test - gross motor

• Purdue pegboard - fine motor

• phalans test - special test

• tinels test - special test

• VAS

• pinch gauge test - pinch strength

• pain awareness - pain/sensation

• 2 point discrimination - sensation

• temperature - sensation/temp awareness

• semmes Weinstein - sensation

• dynamometer - grip strenth

• figure of 8 measurement of hand - edema

what assessments are appropriate for the following client with lateral epicondylitis?

The client is a 55-year-old male who currently paints houses for a living. His elbow has been painful for about 4 weeks, and it is not getting any better. The condition is with his nondominant arm, and he wonders if he can keep painting houses while he is being treated for his condition.

• cozens test - special test

• motleys test - special test

• patient rated tennis elbow questionnaire - functional survey

• dynamometer - grip strength

• ROM stress test - forward flexion 90 degrees, elbow fully extended, forearm pronated, measure wrist flexion

• VAS

what assessments are appropriate for the following client with radial nerve repair?

The client is a 24-year-old male who was in a MVA where he fractured his right humerus. The humeral fracture has healed, but the injury affected his radial nerve. He received a radial nerve repair 1 week ago. He is a student at the local community college and has a job as a cashier at a home improvement store.

• tinels test - special test

• dynamometer - grip strength

• ROM - extension of wrist, fingers, elbow

• MMT - if AROM is 5/5, extension of wrist, fingers, and elbow

• pinch gauge - pinch strength

• circumferential measurements - edema assessment

• VAS

• QuickDASH - functional survey

what assessments are appropriate for the following client with CMC OA?

The client is a 53-year-old female who is postmenopausal. She has been referred to OT by an orthopedic surgeon to evaluate and treat her OA, specifically the CMC of the thumb on the Right hand. She works as a florist and complains of pain when picking up and moving flower vases. She also has pain when driving, using scissors to cut flowers, and other work activities that involve thumb use of the right dominant hand.

• CMC grind test - special test

• pinch gauge test - pinch strength (3 types)

• dynamometer - grip strength

• quickDASH - functional survey

• VAS

• volunteer or figure 8 measurement - edema assessment

• capillary refill test - vascular assessment with splint donned

• Jebsen hand test/MMDT - gross motor

• ROM (thumb flexion/extension/opposition/radial abduction/palmar abduction)

what assessments are appropriate for the following client with cubital tunnel syndrome?

The client is a 28-year-old female dentist who complains of ulnar nerve symptoms in her right upper extremity. She has been referred to OT to evaluate and treat her condition.  She is also going through a divorce where she spends hours on her cell phone with her girlfriends and mom and she wonders if this could be aggravating her symptoms.

• VAS

• elbow flexion test (special test)

• glenohumeral IR test

• tinels test (special test)

• MMDT - gross motor

what assessments are appropriate for the following client with carpal tunnel release?

The client is a 34-year-old female who is a hairdresser. She underwent a carpal tunnel release 1of her right dominant hand 10 days ago. She also has symptoms of CTS in her left nondominant hand. She has been referred to OT for evaluation and treatment after her surgery.

• Jebsen hand test/MMDT - gross motor

• quickDASH - functional survey

• Purdue pegboard - fine motor

• VAS - pain

• ROM measurements - elbow, wrist, finger

• figure 8 or volumeter - edema measurement

• semmes Weinstein - sensation

• two point discrimination - sensation

• touch localization - sensation

• sharp/dull - sensation/pain

• vibration test - vibration awareness

what assessments are appropriate for the following client with distal radius fracture?

The client is a 75-year-old female who slipped and fell on an outstretched hand (FOOSH). It has been six weeks, and her cast has been removed. She has been referred to OT for evaluation and treatment. She enjoys taking continuing education courses at the local college and likes to cook for her extended family.

• Jebsen hand test/MMDT - gross motor

• Purdue pegboard - fine motor

• ROM - wrist/forearm AROM

• MMT - wrist, forearm

• dynamometer - grip strenth

• pinch gauge strength - pinch strength

• volumeter/figure 8 method - edema assessment

what assessments are appropriate for the following client with De Quervains tenosynovitis?

The client is a 32-year-old new mother who complains of pain on the dorsal surface of her right hand on the thumb side. It is especially painful for her to pick up her infant and when she is breastfeeding. She is off work for 6 weeks and will return to her job as a certified nursing assistant at the end of the 6 weeks.

• VAS

• figure 8 or volumeter - edema assessment

• pinch gauge test - pinch strength

• dynamometer - grip strength

• finkelsteins test - special test

• eichhoffs test - Special test

what assessments are appropriate for the following client with hand burns - post grafting?

Your client is a 28-year-old male who works as a roofer. He accidently spilled tar on the dorsal surface of his forearm and hand. He received 3rd degree burns. He is on the burn unit and received grafts 7 days ago. OT is seeing him post-surgery for rehabilitation of the forearm and hand.

jebsen hand test/MMDT - gross motor

figure 8 measurement - edema assessment

ROM - hand/wrist/forearm