A Patient Who Is 5 Weeks Post-Right Middle Cerebral Artery

A patient who is 5 weeks post-right middle cerebral artery infarct presents for rehabilitation with the primary goal of regaining use of the left upper extremity that is in stage 2 of motor recovery.Given this presentation,which of the following activities should be done FIRST on the involved upper extremity?

A) Starting from a weightbearing position of elbow flexion and wrist extension,the patient is asked to push into elbow extension and back to flexion.
B) Starting from a weightbearing position of elbow and wrist extension,the patient is asked to reach for objects with the right upper extremity.
C) Starting from a weightbearing position of elbow and wrist extension,approximation is applied through the left upper extremity.
D) Starting from a weightbearing position of elbow flexion and wrist extension,the patient is asked to reach for objects with the right upper extremity.

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