NPTE-PT Neuromuscular System Interventions 4

Question 1

Constraint-induced movement therapy (CIMT) is MOST appropriate for which patient?

Accepted Answer

Chronic stroke with at least 10° of active wrist extension in the paretic limb

Answer

Acute stroke with complete flaccid hemiplegia and no wrist movement

Answer

Bilateral upper extremity paresis of equal severity

Answer

Patient within 48 hours of stroke onset with severe edema

Question 2

The Bobath (NDT) approach primarily aims to achieve which therapeutic outcome?

Accepted Answer

Inhibition of abnormal tone and facilitation of normal movement patterns through handling

Answer

Maximal resistance training to hypertrophied weak muscles

Answer

Repetitive task practice regardless of movement quality

Answer

Strengthening through progressive resistive exercise protocols

Question 3

Current evidence MOST strongly supports which intervention for improving upper extremity function in chronic stroke?

Accepted Answer

High-intensity, task-specific repetitive practice

Answer

Passive range of motion performed by the therapist

Answer

Neurodevelopmental treatment as the sole intervention

Answer

Relaxation and mindfulness to reduce tone

Question 4

A patient with cerebellar ataxia and coordination deficits is treated with Frenkel's exercises. What is the PRIMARY mechanism of this approach?

Accepted Answer

Visual compensation and cognitive attention to substitute for impaired cerebellar error correction

Answer

Proprioceptive facilitation through joint compression

Answer

Stretching tight antagonist muscles to allow smoother movement

Answer

Building aerobic capacity to reduce fatigue-related ataxia

Question 5

Mirror therapy for upper extremity rehabilitation after stroke is thought to work through which PRIMARY mechanism?

Accepted Answer

Activating mirror neurons and creating an illusion of paretic limb movement to drive neuroplasticity

Answer

Directly strengthening the paretic limb through visual feedback

Answer

Providing proprioceptive input through tactile sensation to the paretic hand

Answer

Reducing central sensitization and neuropathic pain via gate control

Question 6

Which outcome measure is MOST appropriate for assessing balance and fall risk across a broad range of neurological diagnoses?

Accepted Answer

Berg Balance Scale (BBS)

Answer

Manual muscle test (MMT)

Answer

Fugl-Meyer Assessment (FMA)

Answer

Modified Ashworth Scale (MAS)

Question 7

A patient with multiple sclerosis reports worsening of neurological symptoms during a physical therapy session on a warm day. Which intervention modification is MOST appropriate?

Accepted Answer

Apply cooling strategies, schedule sessions in cooler environments, and use energy conservation techniques

Answer

Discontinue all exercise and refer back to neurology

Answer

Increase exercise intensity to build heat tolerance over time

Answer

Schedule all sessions in the afternoon to match the patient's peak energy