Which occupation-based statement would MOST likely document improvement for a client with cumulative trauma disorder?

• A. Client's pain-free AROM of right elbow is now 15° to 110°
• B. Client can perform 30 repetitions of elbow flexion-extension using a 1-lb weight
• C. Client can brush teeth using the involved upper extremity without pain
• D. Client demonstrates grip strength to maintain grasp for 15 seconds

Answer: (C)

Focusing on how the client actually uses the involved limb in daily life is key here. For cumulative trauma disorder, progress is best shown when the person can perform meaningful activities without pain, reflecting functional return and task tolerance.

Brushing teeth with the involved upper extremity without pain demonstrates that the client can integrate that limb into a routine activity, maintain independence in a common ADL, and tolerate movement during a practical task. This indicates real-world functional improvement and pain control, which is the most meaningful measure of recovery for this condition.

Gains in pain-free range of motion show mobility but don’t by themselves prove that the person can perform everyday tasks. Repetition with a light weight assesses endurance for a specific exercise, not necessarily the ability to complete a functional activity. Grip strength duration is a strength/endurance metric but again doesn’t directly reflect performing a daily occupation without pain.