Which training strategy should the COTA use to prevent recurrence of cumulative trauma disorder symptoms upon return to work?

• A. Deep breathing and relaxation exercises
• B. Activity modification and proper body mechanics
• C. Joint protection and pacing techniques
• D. Energy conservation and work simplification techniques

Answer: (B)

Preventing recurrence of cumulative trauma disorder symptoms when returning to work relies on reducing the ongoing mechanical stress placed on the muscles, tendons, and nerves. Cumulative trauma comes from repetitive motions, sustained awkward postures, and forceful exertions over the workday, so the most effective training focuses on modifying how tasks are performed and ensuring body mechanics protect the tissues. By adjusting activities to lower repetition and force and teaching proper body positioning—such as keeping joints in neutral alignment, using larger muscle groups, and coordinating movement to minimize strain—the worker can perform essential tasks without re-aggravating symptoms. While relaxation, energy management, or pacing can support overall well-being, they do not directly reduce the repetitive loads on the body as effectively as activity modification paired with correct body mechanics.