NBCOT Occupational Therapy Certification Practice Exam

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Prepare for the NBCOT Occupational Therapy Test. Utilize flashcards and multiple choice questions, each with explanations. Be exam-ready!

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A client with upper extremity edema after a stroke is seeking management options. What would an OT most likely suggest?

  1. Manual edema mobilization

  2. Hot pack applications

  3. Paraffin treatments

  4. Sensory reeducation

The correct answer is: Manual edema mobilization

Manual edema mobilization is often recommended for clients experiencing upper extremity edema, particularly following a stroke. This technique involves the use of gentle hand movements to facilitate lymphatic drainage and improve circulation, which can effectively reduce excess fluid accumulation in the affected limb. The approach is based on the principle of utilizing the body's own mechanisms to aid in fluid redistribution, thus improving mobility and function in the affected upper extremity. In contrast, hot pack applications, while they can provide pain relief and promote relaxation, might not be the most effective treatment for edema as heat can sometimes exacerbate swelling. Similarly, paraffin treatments are typically used for conditions affecting joint stiffness and improving soft tissue pliability rather than specifically targeting edema reduction. Sensory reeducation, although beneficial for sensory deficits post-stroke, does not directly address the issue of edema management, making it less relevant for this scenario. Overall, the choice of manual edema mobilization is grounded in the specific goal of reducing swelling and promoting functional recovery in individuals who have experienced upper extremity edema following a stroke.