PWR Practice Test Video Answers

1. B
Dr. Becky Farley is a physical therapist, neuroscientist, and the founder of Parkinson Wellness Recovery (PWR!). She created the PWR!Moves program as an evolution of her earlier work developing LSVT BIG. She received her PhD in Neuroscience from the University of Arizona and has been training therapists and fitness professionals since 2006.

2. B
The four Basic PWR!Moves are Up, Rock, Twist, and Step. Each move targets a specific motor control skill that deteriorates in Parkinson’s disease: Up (antigravity extension), Rock (weight shifting), Twist (axial mobility), and Step (transitions).

3. C
The PWR!Up move focuses on antigravity extension, which is the ability to maintain upright posture against gravity. It targets the extensor muscles and counteracts the stooped posture common in PD, improving the ability to rise up from sitting, squat, and get out of bed.

4. B
The PWR!Rock move specifically addresses weight shifting from side to side and forward/backward. This skill is essential for functional tasks like reaching, stepping, going from sitting to standing, and has been shown to reduce freezing episodes.

5. C
The PWR!Twist move focuses on axial mobility and trunk rotation. It targets spinal mobility to achieve rotation across the body, which is crucial for functional activities like rolling over in bed, putting on clothes, and turning while walking.

6. C
The PWR!Step move primarily addresses transitions and mobility. It focuses on stepping strategies to achieve walking and mobility, helping individuals who feel “stuck” when approaching doorways or turning to sit in a chair.

7. C
The Basic4 PWR!Moves can be performed in five different positions: supine (lying on back), prone (lying on stomach), all fours (quadruped), sitting, and standing. This allows for repetition in multiple real-world contexts.

8. C
The five standard positions for PWR!Moves are: supine, prone, all fours (quadruped), sitting, and standing. Kneeling upright is not one of the standard positions, though the all fours/quadruped position involves kneeling on hands and knees.

9. B
The Exercise4BrainChange (E4BC) framework is Dr. Farley’s translation of research about “how to exercise” to optimize brain health, neuroplasticity, and function. It guides clinicians in implementing essential principles of learning and neuroplasticity in real-world practice.

10. C
The Exercise4BrainChange framework includes four essential constructs: high physical effort, cognitive engagement, attentional focus, and emotional engagement. These constructs are founded on research in motor control, motor learning, and exercise physiology.

11. C
High physical effort is one of the four essential constructs of Exercise4BrainChange. The other three are cognitive engagement, attentional focus, and emotional engagement. Low physical effort and passive engagement are contrary to the program’s principles.

12. B
The “PREPARE” phase targets rigidity. During this phase, PWR!Moves are performed slowly, rhythmically, and with sustained effort to help reduce muscle stiffness and improve flexibility in individuals with Parkinson’s disease.

13. B
During the PREPARE phase, PWR!Moves should be performed slowly, rhythmically, and with sustained effort. This approach specifically targets rigidity and helps improve range of motion and movement quality.

14. C
The “ACTIVATE” phase specifically targets bradykinesia (slow movement). By performing movements as big and as fast as possible with high repetition, this phase addresses the reduced amplitude and speed of movement characteristic of PD.

15. B
During the ACTIVATE phase, PWR!Moves should be performed “big and fast” with high repetition. This approach targets bradykinesia by encouraging larger amplitude movements performed at faster speeds.

16. C
The “FLOW” phase primarily addresses incoordination. During this phase, PWR!Moves are linked together into longer sequences, which helps improve coordination, timing, and the smooth execution of complex movement patterns.

17. B
PWR!Boosts are techniques used to enhance attentional focus and overall performance during exercise. They add more physical effort and cognitive engagement when combined with whole body movements.

18. C
Finger flicks during movements is an example of a Hand Boost. Other PWR!Boost techniques include using a loud voice (Voice Boost), visual tracking of hands (Eye Boost), and coordinated breathing (Breath Boost).

19. C
Using a loud, powerful voice during PWR!Moves is classified as a Voice Boost. This technique engages the motor system more comprehensively and increases cognitive engagement by requiring attention to voice output while moving.

20. C
Visual tracking of hands during movements is classified as an Eye Boost. This technique helps promote self-monitoring, improve movement awareness, and achieve optimal movement quality by engaging the visual system.

21. B
PWR!Moves were developed as an evolution of LSVT BIG. Dr. Becky Farley created LSVT BIG during her postdoctoral research and later developed PWR!Moves as a more flexible, comprehensive approach that addresses multiple PD symptoms.

22. B
The primary difference is that PWR!Moves targets multiple symptoms across all disease stages rather than solely focusing on amplitude training for bradykinesia. PWR!Moves uses amplitude training as one tool within a comprehensive approach.

23. B
Amplitude training refers to training larger, bigger movements. This approach addresses the tendency toward small, slow movements (bradykinesia) in PD by teaching individuals to generate larger, more forceful movements.

24. C
PWR!Moves certification is valid for three years before requiring recertification. During this time, certified professionals have access to materials, methods, and listing in the PWR!Moves Certified professional directory.

25. B
Physical therapists and occupational therapists (and their assistants) are eligible for PWR!Moves Therapist certification. The Instructor certification is available to fitness professionals with NCCA-accredited certifications.

26. B
PWR! stands for Parkinson Wellness Recovery. It is a 501(c)(3) non-profit organization that develops and implements PD-specific, neuroplasticity-principled exercise programs to slow disease progression and improve quality of life.

27. C
According to PWR! principles, exercise programming should ideally begin at diagnosis. PWR! advocates for proactive rehabilitation paradigms that deliver ongoing programming for life, starting at diagnosis rather than waiting for functional decline.

28. B
The PWR! philosophy emphasizes that exercise should be lifelong and PD-specific. The approach recognizes that generic fitness programs are not enough and that PD-specific skill training is necessary to target symptoms that interfere with everyday mobility.

29. C
The PWR!Up move addresses forward stooped posture by focusing on antigravity extension. It actively stretches flexor muscles on the front of the body and strengthens extensor muscles on the back, improving postural alignment.

30. B
Weight shifting exercises (PWR!Rock) have been shown to help reduce freezing of gait episodes. Being able to weight shift side to side helps individuals overcome the “stuck” feeling that characterizes freezing episodes.

31. B
The PWR!Gym facility is located in Tucson, Arizona. It opened in February 2012 and serves as a model community neurofitness center for implementing neuroplasticity-principled exercise programming for people with PD.

32. C
PWR! recommends exercising at around 7 out of 10 on a perceived exertion scale (where 10 is so hard you must stop). High physical effort is essential because “you don’t get better by doing what is already easy for you.”

33. B
PWR! research suggests that two types of exercise are essential: vigorous aerobic exercise and skill acquisition (targeted practice to learn a new skill or relearn an old skill). These may work best when performed simultaneously.

34. B
The quadruped (all fours) position is particularly important for training the functional skill of getting up and down from the floor. It is considered one of the most challenging PWR!Moves positions and works on balance, strength, and stability.

35. B
PWR!Moves exercises are described as targeting the “building blocks of FUNction.” The term emphasizes that these foundational movements underlie all meaningful activities including daily living tasks, sports, recreation, and hobbies.

36. C
According to PWR! principles, dopamine depletion first affects the circuits of the brain that control habitual and automated skills. This is why PD-specific skill training is important for restoring automation of movement.

37. C
The PWR!Moves curriculum can be implemented across both therapy (1:1 rehabilitation) and community/group exercise settings. This flexibility allows for coordination between healthcare providers and community fitness programs.

38. B
Cognitive engagement during exercise involves progressively challenging movement complexity using dual tasks (doing two things at once), challenging coordination, and performing new sequences. This helps optimize brain change and learning.

39. B
The PWR! Virtual Experience provides members with access to pre-recorded exercise classes, live virtual exercise classes, Guided Plans, Wellness Series webinars, Ask the Expert events, and ongoing education specific to Parkinson’s disease.

40. B
Research shows that forward flexed posture leads to poorer balance reactions in the backwards direction. This means individuals with stooped posture have more difficulty recovering their balance if they start falling backward, increasing fall risk.

41. C
Dr. Becky Farley received her PhD in Neuroscience from the University of Arizona. She also holds a Master of Science in Physical Therapy from the University of North Carolina and a Bachelor of Physical Therapy degree from the University of Oklahoma.

42. B
PWR!Moves can be reinforced through integration with various community exercise programs including treadmill training, cycling, pole walking, yoga, boxing, dance, and Tai Chi. This flexibility allows for comprehensive, varied exercise programming.

43. B
Emotional engagement in the Exercise4BrainChange framework refers to practicing salient personal activities that are relevant to the individual. This helps maintain motivation and tap into emotional circuits, which is critical for producing long-term behavioral change.

44. B
Bradykinesia is defined as the inability to generate adequate forces to meet the demands of a specific task or activity. The severity of bradykinesia is directly correlated with the loss of dopamine and disease severity, and it must be visible to receive a PD diagnosis.

45. B
The PWR!Up move strengthens the glutes, quadriceps, and scapular muscles. These are critical functional muscle groups involved in rising from sitting, squatting, and maintaining upright posture against gravity.

46. C
The first PWR!Gym opened in Tucson, Arizona in February 2012. It serves as a model community neurofitness center designed to implement neuroplasticity-principled exercise programming for people with Parkinson’s disease.

VEPT Vietnamese English proficiency candidates often also benchmark with our APTIS practice test for the reading, listening, and writing skills both standardized English assessments measure.

Achievement test candidates often also prepare with our WRAT practice test — both measure reading, spelling, and mathematical computation as standardized academic achievement benchmarks.

DAT dental admission candidates often also prepare with our UCAT practice test for the perceptual ability and scientific reasoning skills both health professions admissions tests assess.

Candidates taking aptitude tests for employment screening also use the PI Cognitive Assessment 2026 to benchmark their numerical and verbal reasoning performance.