FREE NPTE-PT Test Neuromuscular System Interventions Questions and Answers Flashcards
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Read the first 6 FREE NPTE-PT Test Neuromuscular System Interventions Questions and Answers flashcards as text
A patient with Parkinson disease demonstrates a festinating gait pattern. Which intervention is MOST appropriate to address this impairment?
Answer: Visual cues such as floor markers to regulate step length
Visual cueing strategies, such as placing tape lines on the floor, help patients with Parkinson disease regulate step length and reduce festination.
During a treatment session for a patient with a complete C6 spinal cord injury, which transfer technique is MOST appropriate to train?
Answer: Sliding board transfer with head-hips relationship
A patient with C6 tetraplegia has sufficient upper extremity function to perform sliding board transfers using momentum and the head-hips relationship for weight shifting.
A physical therapist is treating a patient with multiple sclerosis who reports increased fatigue during afternoon sessions. Which modification to the exercise program is MOST appropriate?
Answer: Schedule therapy sessions in the morning and incorporate energy conservation techniques
Patients with MS commonly experience fatigue that worsens with heat and activity; scheduling sessions during cooler morning hours and teaching energy conservation strategies optimizes participation.
Which neuromuscular re-education technique uses quick stretch applied to a muscle to facilitate a contraction through the muscle spindle reflex?
Answer: Quick stretch (tapping)
Quick stretch or tapping activates the muscle spindle's Ia afferent fibers, producing a reflexive contraction in the stretched muscle through the monosynaptic stretch reflex.
A patient with Guillain-Barré syndrome is in the acute progressive phase. Which intervention is the HIGHEST priority?
Answer: Respiratory monitoring and positioning to prevent skin breakdown
During the acute progressive phase of GBS, aggressive exercise is contraindicated; the priority is respiratory monitoring, positioning, and preventing secondary complications such as pressure injuries.
A patient recovering from a stroke demonstrates synergy-dependent movement in the upper extremity. According to Brunnstrom's stages of motor recovery, which stage does this BEST represent?
Answer: Stage 3 — voluntary movement only within synergy patterns
Brunnstrom Stage 3 is characterized by the ability to initiate voluntary movement, but only within obligatory flexor or extensor synergy patterns.