MPT Neurological Physical Therapy 3 — Questions and Answers
Question 1: Which outcome measure assesses walking speed and is considered a vital sign of functional mobility?
- Modified Rankin Scale
- 10-Meter Walk Test (Correct answer)
- Functional Independence Measure
- Mini-BESTest
Correct answer: 10-Meter Walk Test
The 10-Meter Walk Test measures comfortable gait speed and is considered a functional vital sign, with norms predicting community ambulation.
Question 2: Clonus, observed at the ankle, is indicative of:
- Peripheral nerve damage
- Upper motor neuron lesion with hyperreflexia (Correct answer)
- Muscle strain
- Ligamentous laxity
Correct answer: Upper motor neuron lesion with hyperreflexia
Clonus is rhythmic involuntary muscle contractions triggered by sustained passive stretch, indicating upper motor neuron hyperexcitability.
Question 3: Which classification system is used to grade the completeness of a spinal cord injury?
- Fugl-Meyer Scale
- ASIA Impairment Scale (Correct answer)
- Ashworth Scale
- Barthel Index
Correct answer: ASIA Impairment Scale
The ASIA (American Spinal Injury Association) Impairment Scale grades SCI from A (complete) to E (normal) based on motor and sensory function.
Question 4: A physical therapist is treating a patient with multiple sclerosis using the Frenkel exercises. What are these exercises designed to address?
- Spasticity management
- Ataxia and coordination deficits (Correct answer)
- Respiratory muscle weakness
- Upper extremity strengthening
Correct answer: Ataxia and coordination deficits
Frenkel exercises use slow, controlled, progressive movements to improve coordination and proprioception in patients with ataxia.
Question 5: Which therapeutic approach for TBI focuses on graded sensory and cognitive stimulation during early recovery?
- Constraint-induced therapy
- Coma stimulation (sensory regulation) program (Correct answer)
- Aquatic therapy
- Kinesiotaping
Correct answer: Coma stimulation (sensory regulation) program
Coma stimulation programs use graded multimodal sensory input to promote arousal and early recovery in patients with disorders of consciousness.
Question 6: The Timed Up and Go (TUG) test measures:
- Upper extremity coordination only
- Functional mobility and fall risk (Correct answer)
- Aerobic capacity
- Grip strength
Correct answer: Functional mobility and fall risk
The TUG test times a patient rising from a chair, walking 3 meters, turning, returning, and sitting, providing a measure of functional mobility and fall risk.
MPT Neurological Physical Therapy 3
Which outcome measure assesses walking speed and is considered a vital sign of functional mobility?