NBCOT Occupational Therapy Certification Practice Exam

The correct approach in this scenario is to have the occupational therapist actively move the shoulder joint through its full range of motion. This method is known as passive range of motion (PROM) therapy, which is particularly essential for clients who have little to no active range of motion due to conditions such as a cerebrovascular accident (CVA) or stroke.

Engaging in PROM allows the therapist to prevent complications associated with immobility, such as contractures or muscle atrophy, and maintains joint integrity and flexibility. It can also promote circulation and prepare the client for future therapy. This intervention is vital for individuals who are unable to move their joints independently, helping to stimulate neuromuscular activity and may encourage future active movement as the client progresses in their recovery.

In contrast, methods such as using a wall-mounted shoulder wheel, an overhead pulley system, or training with an arm ergometer are more suited for clients who exhibit some level of active range of motion and can participate in their rehabilitation actively. These tools are typically employed later in therapy once there is some recovery or potential for active engagement, rather than in the initial stages where PROM is necessary.