Frames of Reference: Biomechanical Approaches

Question 1

What is the focus of the Rehabilitative Frame of Reference in occupational therapy?
A) Evaluating muscle strength
B) Evaluating and modifying activities and participation levels
C) Assessing cognitive abilities
D) Measuring joint angles

Answer 1

B) Evaluating and modifying activities and participation levels

Question 2

Which of the following is NOT typically used in a Rehabilitative Frame of Reference?
A) Adaptive equipment
B) Compensatory strategies
C) Environmental modifications
D) Manual muscle testing

Answer 2

D) Manual muscle testing

Explanation:
Rehab= top down approach
MMT= bottom up

Question 3

What is a key principle of the Biomechanical Frame of Reference?
A) Improvement at the impairment level will improve occupational performance
B) Focus on cognitive rehabilitation
C) Addressing only psychological issues
D) Utilizing solely assistive devices

Answer 3

A) Improvement at the impairment level will improve occupational performance

Question 4

Which systems are involved in the Biomechanical Frame of Reference?
A) Nervous, endocrine, and immune systems
B) Peripheral nervous, musculoskeletal, cardiopulmonary, and skin
C) Digestive, respiratory, and reproductive systems
D) Lymphatic and integumentary systems

Answer 4

B) Peripheral nervous, musculoskeletal, cardiopulmonary, and skin

Question 5

What does Manual Muscle Testing (MMT) evaluate?
A) Joint flexibility
B) Muscle capacity and strength
C) Sensory perception
D) Cognitive function

Answer 5

Answer: B) Muscle capacity and strength

Question 6

Which evaluation tool is used to measure grip strength?
A) Goniometer
B) Pinch gauge
C) Dynamometer
D) Nine-Hole Peg Tes

Answer 6

C) Dynamometer

Question 7

What is the purpose of the Nine-Hole Peg Test (NHPT)?
A) To measure sensory integration
B) To evaluate fine motor coordination and finger dexterity
C) To assess muscle strength
D) To measure joint range of motion

Answer 7

B) To evaluate fine motor coordination and finger dexterity

Question 8

What does the Purdue Pegboard Test (PPT) assess?
A) Cognitive abilities
B) Visual acuity
C) Bimanual skills and fine motor coordination
D) Respiratory function

Answer 8

C) Bimanual skills and fine motor coordination

Question 9

What type of resistance is recommended during Manual Muscle Testing (MMT)?
A) Fast and jerky
B) Slow and gradually building to maximum tolerable intensity
C) Quick and forceful
D) None at all

Answer 9

B) Slow and gradually building to maximum tolerable intensity

Question 10

Which of the following is a therapeutic mechanism used in the Rehabilitative Frame of Reference?
A) Measuring blood pressure
B) Learning purposeful activity
C) Conducting vision tests
D) Diagnosing respiratory conditions

Answer 10

B) Learning purposeful activity

Question 11

What is the main goal of using a goniometer in biomechanical evaluation?
A) To assess cognitive function
B) To measure the range of motion (ROM)
C) To evaluate grip strength
D) To test sensory perception

Answer 11

B) To measure the range of motion (ROM)

Question 12

What type of exercise is associated with soft tissue stretch in biomechanical treatment modalities? Select all that apply..
A) High-load, brief stretch (HLBS)
B) Low-load, prolonged stretch (LLPS)
C) Both A and B
D) None of the above

Answer 12

Answer: C) Both A and B

Question 13

What is a key assumption of the Biomechanical Frame of Reference?
A) Cognitive function does not impact occupational performance
B) Human movement and physical activity enable occupational performance
C) Only psychological factors should be addressed
D) Environmental modifications are unnecessary

Answer 13

B) Human movement and physical activity enable occupational performance

Question 14

What is the purpose of a pinch gauge in biomechanical evaluation?
A) To assess joint flexibility
B) To measure pinch strength
C) To evaluate cognitive function
D) To test visual acuity

Answer 14

B) To measure pinch strength

Question 15

Which type of end feel is characterized by a bony block at the end of the range of motion?
A) Soft tissue approximation
B) Tissue stretch
C) Bone to bone
D) Muscle spasm

Answer 15

C) Bone to bone

Question 16

What is the recommended approach for evaluating fine motor coordination in occupational therapy?
A) Cognitive assessments
B) Fine motor tests such as the Nine-Hole Peg Test and Purdue Pegboard Test
C) Visual acuity tests
D) Respiratory function tests

Answer 16

B) Fine motor tests such as the Nine-Hole Peg Test and Purdue Pegboard Test

Question 17

Why is it important to monitor substitutions during Manual Muscle Testing (MMT)?
A) To ensure the correct muscle group is being tested
B) To assess cognitive function
C) To measure joint flexibility
D) To evaluate respiratory function

Answer 17

A) To ensure the correct muscle group is being tested

Question 18

What does the Moberg Pick Up Test evaluate?
A) Sensory perception
B) Fine motor coordination and bimanual skills
C) Cognitive abilities
D) Visual acuity

Answer 18

B) Fine motor coordination and bimanual skills

Question 19

What is the primary focus of the Rehabilitative Frame of Reference?
A) Cognitive rehabilitation
B) Motor learning
C) Compensation and adaptation
D) Sensory integration

Answer 19

C) Compensation and adaptation

Question 20

In biomechanical evaluation, why is it important to assess both active (AROM) and passive range of motion (PROM)?
A) To evaluate cognitive function
B) To determine the difference between the client’s active movement capability and potential joint flexibility
C) To assess visual acuity
D) To measure respiratory function

Answer 20

B) To determine the difference between the client’s active movement capability and potential joint flexibility