PEAT PEAT Therapeutic Interventions 2 — Questions and Answers
Question 1: A PEAT question asks about a patient with Parkinson's disease. Which intervention approach has the STRONGEST evidence for improving gait?
- LSVT BIG program (Correct answer)
- Aquatic therapy alone
- Passive stretching
- Resistance training only
Correct answer: LSVT BIG program
The LSVT BIG program has strong evidence for improving gait, balance, and functional mobility in patients with Parkinson's disease through high-amplitude movement training.
Question 2: On the PEAT, a patient has a stage III pressure ulcer. Which physical therapy intervention is MOST appropriate?
- Electrical stimulation for wound healing (Correct answer)
- Aggressive debridement by PT
- Compression wrapping
- Ultrasound at 3 MHz
Correct answer: Electrical stimulation for wound healing
Electrical stimulation has strong evidence for promoting wound healing in stage III pressure ulcers by enhancing tissue perfusion and cellular proliferation.
Question 3: A PEAT scenario describes a patient with patellofemoral pain syndrome. Which intervention has BEST evidence for pain reduction?
- Patellar taping combined with exercise (Correct answer)
- Corticosteroid injection
- Bed rest for 2 weeks
- Surgery referral immediately
Correct answer: Patellar taping combined with exercise
Patellar taping (McConnell technique) combined with quadriceps and hip strengthening exercise has the best evidence for reducing patellofemoral pain.
Question 4: In a PEAT item, a stroke patient demonstrates decreased ankle dorsiflexion during swing phase. Which intervention BEST addresses foot drop?
- Functional electrical stimulation (FES) to tibialis anterior (Correct answer)
- Strengthening the gastrocnemius
- Passive ROM to the hip
- Taping the knee
Correct answer: Functional electrical stimulation (FES) to tibialis anterior
FES applied to the tibialis anterior during the swing phase directly facilitates dorsiflexion to correct foot drop in stroke patients.
Question 5: A PEAT question involves a patient with rotator cuff tendinopathy. Which loading strategy is MOST supported by current evidence?
- Complete rest
- Isometric loading progressing to isotonic exercise (Correct answer)
- Aggressive stretching only
- Immobilization for 6 weeks
Correct answer: Isometric loading progressing to isotonic exercise
Progressive tendon loading starting with isometric exercise and advancing to isotonic activities is the most evidence-based approach for rotator cuff tendinopathy.
Question 6: On the PEAT, a patient with lymphedema of the upper extremity needs intervention. What is the CORRECT order of complete decongestive therapy (CDT)?
- Compression → manual lymphatic drainage → exercise
- Manual lymphatic drainage → compression bandaging → exercise (Correct answer)
- Exercise → compression → manual lymphatic drainage
- Compression → exercise → manual lymphatic drainage
Correct answer: Manual lymphatic drainage → compression bandaging → exercise
CDT follows the sequence of manual lymphatic drainage (MLD) first to mobilize fluid, then multilayer compression bandaging, followed by therapeutic exercise.
PEAT PEAT Therapeutic Interventions 2
A PEAT question asks about a patient with Parkinson's disease.
Which intervention approach has the STRONGEST evidence for improving gait?