A client who is confined to a wheelchair is encouraged to engage in re

A client who is confined to a wheelchair is encouraged to engage in resistive isometric exercises to increase muscle strength and decrease the development of pressure ulcers.

Which of the following is the most appropriate example of such an exercise for this client?
1. Hip lifting
2. Gluteal contraction
3. Foot pressure off-loading
4. Bicep-tricep compression

ANSWER

ANS: 1
An example of a resistive isometric exercises is hip lifting. In hip lifting, the client, who is in a sitting position, pushes with the hands against a surface such as the seat of a chair and raises the hips. Resistive isometric exercises help promote muscle strength and provide sufficient stress against bone to promote osteoblastic activity while temporarily reducing the pressure that can damage skin and produce pressure ulcers. The remaining options are primarily directed towards muscle strengthening, not pressure reduction.