NBCOT Occupational Therapy Certification Practice Exam

An individual with Guillain-Barre acute syndrome demonstrates poor to fair strength throughout the upper extremities. What is the most appropriate approach for the OT practitioner in the early stages of treatment?

1. Gentle, nonresistive activities

2. Progressive resistive exercise

3. Fine motor activities

4. Active range of motion against moderate resistance

The correct answer is: Gentle, nonresistive activities

Gentle, nonresistive activities are the most appropriate approach for an individual with Guillain-Barre acute syndrome in the early stages of treatment. This condition is characterized by the rapid onset of muscle weakness, which can lead to significant challenges in mobility and function. During the acute phase, the focus of occupational therapy should be on ensuring safety, preventing further injury, and beginning to restore function without overwhelming the individual. Engaging the patient in gentle activities allows them to start using their muscles without the risk of fatigue or excessive strain. These activities might include simple movements or tasks that promote engagement but do not require significant strength or resistance. This approach helps maintain joint mobility and muscle activation while being mindful of the patient’s low strength levels. Other options, such as progressive resistive exercise and active range of motion against moderate resistance, would not be appropriate in the early stages as they could lead to excessive fatigue or injury, given the patient's poor strength and the nature of Guillain-Barre syndrome. Fine motor activities might also be premature if they require more stability or strength than the patient currently possesses. Thus, starting with gentle, nonresistive activities is key to facilitating a safe and effective recovery trajectory.