NBCOT Occupational Therapy Certification Practice Exam

In the context of upgrading an activity for an individual with complete C4 tetraplegia using a mouth stick for typing, focusing on time spent engaging in the activity can be particularly beneficial for skill development and endurance. Working at the keyboard for a brief period allows the individual to practice their typing skills and build muscle memory. Gradually increasing the duration of these tasks can enhance their proficiency and comfort with the mouth stick.

This approach aligns with the principles of occupational therapy, which emphasizes meaningful engagement in activities. By allowing the individual to practice typing, you are facilitating their ability to increase their engagement with technology and communication, a crucial aspect for individuals with limited mobility. The focus on active participation also helps to foster independence by encouraging them to gain confidence in their abilities.

While considering other options, providing a heavier mouth stick may not improve functionality and could even be counterproductive if it causes discomfort or fatigue. Progressing to a typing device with a wrist support likely assumes further motor control at a level that may not yet be attainable for someone with complete C4 tetraplegia. Teaching the individual how to instruct a caregiver, while supportive, does not directly enhance their opportunities for independent engagement in typing, which is essential for skill development.