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An OT practitioner is addressing cylindrical grasp with a client who recently had a CVA and is trying to gain greater control in his right hand.  The BEST initial intervention would be:

1.  Ask client to stimulate placing a cereal box on a shelf above shoulder level, with the OT practitioner for support.
2. While client is standing, have him transport a coffee cup to a shelf at or below hip level.
3. While the client is standing, address reaching for a cup from a neutral level.
4. Address grasping a cup from a neutral level, with minimal support at the top of the cup from the OT practitioner.

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