NPTE-PT Gait, Balance, and Orthotics 2

Question 1

A patient with a right transtibial amputation demonstrates lateral trunk bending toward the prosthetic side during stance. What is the MOST likely cause?

Accepted Answer

Prosthetic shank too long

Answer

Prosthetic foot set too far lateral

Answer

Prosthetic socket too loose proximally

Answer

Prosthesis aligned in excessive varus

Question 2

During the swing phase of gait, a patient with a below-knee brace (AFO) exhibits toe drag. Which AFO adjustment would BEST correct this?

Accepted Answer

Add a dorsiflexion assist spring

Answer

Increase plantarflexion stop resistance

Answer

Reduce the height of the AFO trim lines

Answer

Widen the AFO footplate

Question 3

Which Berg Balance Scale score BEST indicates a high fall risk in a community-dwelling older adult?

Accepted Answer

Below 41

Answer

Above 45

Answer

41–45

Answer

Exactly 56

Question 4

A patient with L4 nerve root dysfunction will MOST likely require which orthotic device?

Accepted Answer

AFO with dorsiflexion assist

Answer

Knee-ankle-foot orthosis (KAFO)

Answer

Solid ankle AFO

Answer

Swedish knee cage

Question 5

During quiet standing, which system provides the PRIMARY sensory input for balance in a well-lit environment on a firm surface?

Accepted Answer

Proprioceptive/somatosensory

Answer

Vestibular

Answer

Visual

Answer

Cerebellar

Question 6

A patient demonstrates a steppage gait pattern. Which muscle group is MOST likely weak?

Accepted Answer

Ankle dorsiflexors

Answer

Hip extensors

Answer

Ankle plantarflexors

Answer

Hip abductors

Question 7

Which outcome measure uses a 6-item test including single-leg stance and tandem walking to assess fall risk?

Accepted Answer

Tinetti POMA

Answer

Dynamic Gait Index (DGI)

Answer

Timed Up and Go (TUG)

Answer

Functional Reach Test