Hand Function and Pre-Writing Intervention

Question 1

What is the primary role of stretching in the biomechanical frame of reference?
A) Relax the client
B) Reduce hyperactivity
C) Increase joint flexibility
D) Improve cognitive skills

Answer 1

C

Question 2

Which condition often involves hand function problems?
A) Asthma
B) Cerebral palsy
C) Diabetes
D) Hypertension

Answer 2

B

Question 3

What is an example of a condition that might require pediatric splinting?
A) Skin irritation
B) Muscle spasms
C) Spasticity
D) Vision impairment

Answer 3

C

Question 4

Which of the following is a technique in constraint-induced movement therapy (CIMT)?
A) Immobilize the impaired arm
B) Immobilize the non-impaired arm
C) Use both arms equally
D) Wear splints on both arms

Answer 4

B

Question 5

What is an example of an occupation-based intervention?
A) Stretching exercises
B) Constraint-Induced Movement Therapy
C) Manipulation with blocks
D) Biofeedback

Answer 5

B

Question 6

Which of these is an example of sensory activity?
A) Tearing paper
B) Rolling a pencil
C) Using lotion
D) Counting pennies

Answer 6

C

Question 7

What is the purpose of HABIT therapy?
A) Improve isolated movements of one hand
B) Develop a stronger non-dominant hand
C) Improve bimanual activities
D) Increase resistance in finger muscles

Answer 7

C

Question 7

What activity might you use to assess in-hand manipulation?
A) Flipping a pencil
B) Writing letters
C) Drawing shapes
D) Performing stretches

Answer 7

A

Question 8

What developmental skill is needed before beginning handwriting?
A) Visual scanning
B) Basic reading skills
C) Small muscle development
D) Understanding math concepts

Answer 8

C

Question 9

What is a prerequisite for in-hand manipulation?
A) Good balance
B) Wrist stability
C) Strong grip strength
D) Finger stretching

Answer 9

B

Question 10

Which therapy model emphasizes motor learning and play?
A) Sensory integration
B) Biomechanical
C) Developmental
D) Cognitive

Answer 10

C

Question 11

What is one of the developmental stages in pre-writing?
A) Counting objects
B) Reading sentences
C) Controlled scribbling
D) Drawing complex shapes

Answer 11

C

Question 12

Which of the following helps with eye-hand coordination development?
A) Listening to music
B) Writing sentences
C) Holding a writing tool
D) Reading aloud

Answer 12

C

Question 13

Which type of splint is commonly used for children?
A) Hard splints
B) Soft splints
C) Elastic bands
D) Casts

Answer 13

B

Question 14

How should intervention activities in occupational therapy be structured?
A) Mostly preparatory activities
B) Only goal-related activities
C) A small part preparatory, with a focus on the main goal
D) Activities unrelated to the goal

Answer 14

C

Question 15

What does CIMT aim to improve?
A) Flexibility of the non-impaired arm
B) Frequency of upper limb use
C) Fine motor control in the non-dominant hand
D) Cognitive abilities

Answer 15

B

Question 16

Which activity is NOT an example of in-hand manipulation?
A) Rolling a pencil
B) Picking up beads
C) Squeezing a tube
D) Holding a cup

Answer 16

D

Question 17

What is an example of proprioceptive input?
A) Listening to sounds
B) Light tapping on the hand
C) Weight-bearing activities
D) Visual tracking

Answer 17

C

Question 18

Which of the following is used to increase range of motion in pediatric patients?
A) Meditation
B) Soft splinting
C) Serial casting
D) Foam pads

Answer 18

C

Question 19

Which of the following best describes prehension?
A) Large muscle movement
B) Ability to write
C) Grip and manipulation
D) Finger isolation

Answer 19

C

Question 20

Why is environment considered in hand skill interventions?
A) To control sensory input
B) To assess physical limitations
C) It affects hand function performance
D) None of the above

Answer 20

C

Question 21

Which condition is NOT commonly associated with hand function issues?
A) Cerebral palsy
B) Muscular dystrophy
C) Juvenile idiopathic arthritis
D) Nearsightedness

Answer 21

D

Question 21

Which type of grasp involves thumb opposition and finger surface contact?
A) Power grasp
B) Tripod grasp
C) Cylindrical grasp
D) Opposed grasp

Answer 21

D

Question 22

In motor learning, what is a “shaping” strategy?
A) Working on unrelated tasks
B) Sudden shifts in task difficulty
C) Small successive approximations to a target
D) Only allowing failure

Answer 22

C

Question 23

Which hand skill activity focuses on stabilizing the wrist? A) Twirling a baton B) Strengthening exercises C) Paper tearing D) Scribbling

Answer 23

B

Question 24

List two types of conditions that might cause hand function.

Answer 24

JIA and cerebral palsy

Question 25

What are two structures involved in upper limb/hand function?

Answer 25

shoulder and wrist

Question 26

Name two types of grasps that might be assessed in hand skill interventions.

Answer 26

tripod grasp and cylindrical grasp

Question 26

Explain why high tone and joint tightness need to be differentiated in hand skill interventions.

Answer 26

To avoid unneccessary pain and resistance to therapy

Question 27

What is the purpose of serial casting in pediatric hand interventions?

Answer 27

to increase range of motion (over time serial casting increases range of motion)

Question 28

Name one type of sensory input that can be beneficial during weight-bearing activities.

Answer 28

Rough or smooth textures

Question 29

What is the main goal when using preparatory activities in hand skill interventions?

Answer 29

To prepare the child for goal oriented tasks

Question 30

Describe one strategy for helping a child develop in-hand manipulation.

Answer 30

Twirling a pencil in their hand

Question 31

What is one activity that can provide proprioceptive input for children?

Answer 31

Weight-bearing activity

Question 32

Explain the purpose of positioning in hand skill intervention sessions.

Answer 32

To provide stability and optimal positioning for hand functions.

Question 33

Why might adaptive equipment be used in hand skill interventions?

Answer 33

To accommodate or enhance functional abilities

Question 34

What is a major consideration when setting goals in occupation-based interventions?

Answer 34

setting goals based on the childs needs and environment

Question 34

Identify one specific intervention that might be used for children with sensory deficits.

Answer 34

sensory integration

Question 35

What is the main purpose of using soft splints in pediatric patients?

Answer 35

To limit movement without rigidity

Question 36

List one element that must be considered when creating a treatment plan for hand skill intervention.

Answer 36

age

Question 37

What hand skill is developed through activities like playing with Legos?

Answer 37

In-hand manipulation

Question 38

Describe the concept of “bimanual activities” in hand skill development.

Answer 38

Activities requiring both hands, catching a ball

Question 38

Name a common activity that helps develop finger isolation.

Answer 38

Pointing activities

Question 39

What is an example of an activity that improves wrist stability?

Answer 39

Strengthening exercises

Question 40

Identify the core components needed for writing readiness in young children.

Answer 40

* Small Muscle development * Eye-hand Coordination * Hold writing tools * Form basic Strokes * Letter perception * Right-Left discrimination

Question 41

Name one treatment setting where hand skill interventions may be applied.

Answer 41

Early Intervention

Question 42

Explain why trunk and pelvis positioning may impact hand skill development.

Answer 42

They provide stability, impacting fine motor function

Question 43

Give an example of a motor function activity for developing hand skills.

Answer 43

using finger games or pointing activities

Question 43

What is a simple activity to strengthen a child’s prehension skills?

Answer 43

Picking up small objects like coins

Question 44

Why might different textures be used in sensory activities for hand development?

Answer 44

To provide varied sensory sensory input, which aids proprioception

Question 45

Match the skill intervention to the setting: How would hand skill intervention look in these settings? 1. short-term goals initiated to help get them in & out of hospital 2. Major trauma usuially addressed but not main fous 3. Mainly work on goals that are long-term for hand skills (two answers) 4. In natural environment, created by family

Answer 45

1. Inpatient 2. Acute care 3. outpatient & Pre-school 4. Early Intervention

Question 46

What is the developmental sequence of writing? 1. ____ 2. Discrete lines, dots, or symbols 3. Straight-line or circular uppercase letters 4. ____ 5. Lowercase letter, ____, and ____

Answer 46

1. Controlled scribbles 2. Given 3. Given 4. Numerals and letters

Question 47

Why would a therapist using a Bivalve cast on a child?

Answer 47

* They are good for children w/ Spasticity * Both sides are usually cut to check skin integrity * better for hygiene and toileting purposes

Question 48

Why would the occupational therapist use soft splints on a child?

Answer 48

* To exert a pull on joints to increase motion * To limit movement without rigidity

Question 49

True/ False: CIMT and HABIT are used with children who have CP or TBI/ABI with the least amount of motor impairment.

Answer 49

True

Question 50

These are characteristics of which type of therapy? 1. time frame varies b/w 10-15 days for 6 hours daily 2. Improving the ability to perform bimanual activities.

Answer 50

Hand-Arm Bimanual Intensive Therapy (HABIT)

Question 50

These are characteristics of which type of therapy? 1. Use of impaired arm is facilitated by the therapist for 6-8 hours per day. 2. shorter durations like 3 hours a day have similar outcomes 3. "Shaping" Strategies (a target behavior is reinforced) are used 4. Goals are set with the family

Answer 50

Constrant-Induced Movement Therapy (CIMT)

Question 51

Why was HABIT developed?

Answer 51

Concerns that CIMT could cause anxiety and frustration for the child.

Question 52

True/False: Researchers who use CIMT typically incorpaorate HABIT activities the last 5 days of CIMT therapy to increase bilateral function-(usually happens at the end).

Answer 52

True

Question 53

Name some occupation-based interventions

Answer 53

1. Motor learning 2. CIMT 3. HABIT 4. Co-Op and sesnory integration

Question 54

When and how do we stretch the patient?

Answer 54

1. Observe active moement 2. Stretch when there is flexibility in the joint or body part 3. aim for active stretch 4. incorporate stretch to into play 5. Dont stay in one postion for long periods of time 6. keep child moving over the body part

Question 55

# When and how to stretch: True/False: Spasticity is velocity dependent

Answer 55

True