NPTE-PTA Functional Training and Gait 2

Question 1

What is the normal cadence for adult ambulation?

Accepted Answer

80–120 steps/minute

Answer

Normal adult cadence is approximately 100–120 steps per minute, equating to 50–60 complete gait cycles (stride cycles) per minute.

Question 2

A patient demonstrates 'vaulting' during gait. Which compensatory strategy does this describe?

Accepted Answer

Rising on the toes of the stance limb to clear the contralateral swinging limb

Answer

Vaulting involves exaggerated plantarflexion (rising on tiptoe) of the stance limb to elevate the pelvis and allow a prosthetic or long limb to clear the ground during swing.

Question 3

What transfer technique is safest for a dependent patient moving from bed to wheelchair?

Accepted Answer

Mechanical (hoyer) lift transfer

Answer

A mechanical (Hoyer) lift is the safest technique for dependent patients who cannot assist in transfers, protecting both the patient and the clinician from injury.

Question 4

During functional task training, which activity is the most appropriate initial task for a patient beginning sit-to-stand practice?

Accepted Answer

Standing from a standard-height chair using armrests

Answer

Starting from a standard-height chair with armrests reduces the demand on hip and knee extensors, making sit-to-stand more achievable early in rehabilitation.

Question 5

A patient has been prescribed forearm crutches. At what height should the forearm cuff be positioned?

Accepted Answer

1–1.5 inches below the elbow

Answer

The forearm cuff of a Lofstrand crutch should be positioned approximately 1–1.5 inches below the elbow to allow free elbow movement while providing secure support.

NPTE-PTA - National Physical Therapy Examination for Physical Therapist Assistants Practice Test

NPTE-PTA - National Physical Therapy Examination for Physical Therapist Assistants Practice Test

NPTE-PTA Functional Training and Gait 2