NBCOT Occupational Therapy Certification Practice Exam

What is the primary goal of providing a hand orthosis to a child with active juvenile rheumatoid arthritis?

1. Inhibit hypertonus

2. Increase range of motion

3. Prevent deformity

4. Correct deformity

The correct answer is: Prevent deformity

The primary goal of providing a hand orthosis to a child with active juvenile rheumatoid arthritis is to prevent deformity. This condition often leads to joint inflammation and potential deformities due to the underlying disease process. By utilizing an orthosis, the therapist can help maintain proper joint alignment and prevent further structural changes that could arise from the disease. Orthoses can provide support and stabilization to the joints affected by arthritis, which is crucial in a growing child. Maintaining alignment can be especially important as the child's bones and joints develop, helping to avoid the onset of contractures or other complications that could lead to functional impairment. While options like increasing range of motion and correcting deformities are also important aspects of treatment, the focus with orthoses in this context is primarily on prevention. In cases where the condition is active, the aim is not necessarily to correct existing deformities, but rather to provide support and guard against the progression of deformities that could occur due to the effects of juvenile rheumatoid arthritis.