NPTE-PT Neuromuscular System Interventions 2

Question 1

A patient with stroke has difficulty initiating voluntary movement. Which PNF technique is MOST appropriate to address this impairment?

Accepted Answer

Rhythmic initiation

Answer

Rhythmic initiation progresses from passive to active assistive to active movement, teaching the motor pattern to patients who cannot initiate movement voluntarily.

Question 2

Which motor learning feedback schedule produces the BEST long-term retention of a motor skill in neurological rehabilitation?

Accepted Answer

Faded feedback with reduced frequency over time

Answer

Faded feedback (reducing frequency over time) promotes retention because it prevents dependency and forces the patient to self-evaluate, consistent with the guidance hypothesis.

Question 3

Neuromuscular electrical stimulation (NMES) produces its strongest therapeutic effect in which patient population?

Accepted Answer

Upper motor neuron lesion with intact peripheral nerve and some volitional control

Answer

NMES requires an intact lower motor neuron (peripheral nerve) and is most effective when combined with voluntary effort, making it ideal for upper motor neuron lesions.

Question 4

During motor skill acquisition, random practice of multiple tasks is preferred over blocked practice because of which effect?

Accepted Answer

Contextual interference from random practice enhances long-term retention and transfer

Answer

The contextual interference effect demonstrates that the cognitive effort required during random practice leads to superior retention and transfer compared to blocked practice.

Question 5

Surface EMG biofeedback is used with a post-stroke patient. What is the PRIMARY therapeutic goal?

Accepted Answer

Provide real-time sensory information to facilitate volitional muscle activation

Answer

EMG biofeedback gives patients visual or auditory representation of muscle activity, helping them learn to volitionally activate muscles that they may not be able to sense or control.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Neuromuscular System Interventions 2