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 physical therapist is using body-weight-supported treadmill training for a patient with an incomplete spinal cord injury classified as ASIA C. What is the PRIMARY rationale for this intervention?
Answer: To activate central pattern generators and promote locomotor recovery
Body-weight-supported treadmill training is used in incomplete SCI to activate spinal central pattern generators, facilitating repetitive stepping patterns that promote neuroplastic locomotor recovery.
Which constraint-induced movement therapy principle is ESSENTIAL for promoting cortical reorganization in a patient with chronic stroke?
Answer: Massed practice with the affected limb combined with restraint of the unaffected limb
Constraint-induced movement therapy requires restraining the less-affected limb while engaging in intensive, repetitive massed practice with the affected limb to drive use-dependent cortical reorganization.
A patient with amyotrophic lateral sclerosis (ALS) presents with progressive proximal weakness. Which exercise prescription guideline is MOST appropriate?
Answer: Submaximal exercise avoiding overwork weakness with monitoring for decline
For patients with ALS, submaximal and moderate exercise is recommended to maintain function without causing overwork damage to already compromised motor neurons.
During PNF treatment, a therapist applies rhythmic stabilization to the trunk of a patient with ataxia following a cerebellar stroke. What is the PRIMARY goal of this technique?
Answer: Improve proximal stability through co-contraction of agonists and antagonists
Rhythmic stabilization uses alternating isometric contractions of opposing muscle groups to promote co-contraction and improve proximal stability, which is impaired in cerebellar ataxia.
A patient with a traumatic brain injury has a Rancho Los Amigos Level IV classification. Which environmental modification is MOST appropriate during physical therapy?
Answer: A quiet, structured environment with minimal distractions
Rancho Level IV (confused-agitated) patients require a calm, structured environment with reduced stimulation to minimize agitation and maximize the ability to participate in therapy.
Which outcome measure is MOST appropriate to assess balance in a patient with peripheral neuropathy affecting the lower extremities?
Answer: Berg Balance Scale
The Berg Balance Scale is a validated outcome measure that assesses functional balance through 14 tasks, making it appropriate for detecting balance deficits caused by peripheral neuropathy.