Product Demo for Board Review for the NBCOT® COTA® Exam
You are working with a 45-year-old client with a spinal cord injury (SCI) who presents with clonus when her foot is placed on her wheelchair footplate. What is the most appropriate action to take to resolve the clonus? Select the most appropriate answer.
Neurological Conditions & Approaches
A quick stretch into plantar flexion activates the muscle spindles causing clonus, to resolve clonus the client should be placed into a sustained stretch into dorsiflexion to allow the plantar flexors to be on stretch; this will activate the golgi tendon organs allowing the plantar flexors to relax.
Golgi tendon organs help to inhibit spasticity of the agonist and facilitate the antagonist. Muscle spindles facilitate the agonist and will be activated with a quick stretch.