Product Demo for Board Review for the NBCOT® OTR® Exam
Your client is a 67-year-old male who presents to therapy 6 weeks after 2nd and 3rd right hand metacarpal fractures, after tripping at the entrance to a grocery store. He presents with limited ROM and pain in his right hand. What is the most appropriate modality?
Musculoskeletal Conditions & Approaches
The primary focus of therapy at this time should be to facilitate motion and light functional use. Fluidotherapy is the correct answer because it allows an individual to move within the medium, further facilitating their motion and decreasing discomfort. Cryotherapy including cold compression and ice massage is usually the most effective in the first 24-48 hours following an injury. Ultrasound could be beneficial, but continuous ultrasound should be used with caution until the fracture is fully healed.
Wietlisbach, C. & Branham, B. (2014). Physical Agent Modalities and Biofeedback. In M.V. Radomski & C.A. T Latham (Eds.), Occupational Therapy for Physical Dysfunction (7th ed., pp 558-588). Philadelphia: Lippincott Williams & Wilkins.