When assessing a client with repetitive stress disorder, where should the occupational therapist document a positive Tinel's sign?

Documenting a positive Tinel's sign in the context of repetitive stress disorder is most appropriately done at the forearm. Tinel’s sign is a clinical test used to identify irritation or damage to a peripheral nerve. In the case of conditions like carpal tunnel syndrome, which is often associated with repetitive stress injuries, tapping over the median nerve at the wrist may elicit a tingling sensation that radiates distally.

However, the mention of the forearm refers to the area where the median nerve travels before it enters the carpal tunnel. If there is a positive response observed there, it may indicate issues related to nerve compression or irritation along the nerve's path, which is crucial for understanding the extent of nerve involvement. This allows the occupational therapist to document findings that may suggest the need for targeted interventions or further assessment along the course of the nerve.

Assessing at the wrist would also be valid but less indicative of upper extremity involvement throughout its course as documented at the forearm. The thumb is not typically a primary site for Tinel's evaluation, as it does not represent the nerve's pathway, while assessing the shoulder is irrelevant in relation to Tinel's sign for nerve assessment for this condition. Hence, documenting a positive Tinel