Domain 03: Select and Manage InterventionsDifficulty 3/5
A client with C6 tetraplegia wants to feed themselves independently. Which equipment matches the available movement?
- AA weighted utensil with a non-slip mat to reduce tremor during feeding
- BA standard fork with a wrist cock-up orthosis to stabilise the wrist
- CA universal cuff with a built-up-handle utensil, using tenodesis grasp
- DA mobile arm support with a standard lightweight utensil and plate guard
Show answer and rationale
Correct: C. C6 provides wrist extension and tenodesis but no functional grasp, so a universal cuff holds the utensil for the client. A wrist orthosis blocks the very extension that tenodesis depends on.
- B — Immobilising the wrist eliminates the tenodesis pattern the client relies on.
- D — Mobile arm supports address proximal weakness, which is not the deficit at C6.
- A — Weighted utensils address tremor, which is not the presenting problem.