Question 1

What is the correct progression for advancing the cane during ambulation?

Accepted Answer

A) The cane and the uninvolved extremity advance together. 
B) The cane and the involved extremity advance together. 
C) The uninvolved extremity is moved forward then the cane. 
D) The involved extremity is moved forward then the cane. 
A) The cane and the uninvolved extremity advance together. 
B) The cane and the involved extremity advance together. 
C) The uninvolved extremity is moved forward then the cane. 
D) The involved extremity is moved forward then the cane. B

Question 2

What is the correct sequence of preparatory exercises for gait?

Accepted Answer

A) Stability → Mobility → Dynamic stability → Skill 
B) Mobility → Stability → Dynamic stability → Skill 
C) Mobility → Stability → Skill → Dynamic stability 
D) Mobility → Dynamic stability → Stability → Skill 
A) Stability → Mobility → Dynamic stability → Skill 
B) Mobility → Stability → Dynamic stability → Skill 
C) Mobility → Stability → Skill → Dynamic stability 
D) Mobility → Dynamic stability → Stability → Skill B

Question 3

What would be the correct position for the therapist to guard the patient during gait training with a standard walker?

Accepted Answer

A) The therapist is standing on the patient's weaker side; one hand is on the guarding belt and the other just anterior to the patient's shoulder. 
B) The therapist is standing on the patient's stronger side; one hand is on the guarding belt and the other just anterior to the patient's shoulder. 
C) The therapist is standing in front of the patient; one hand is on the guarding belt and the other just anterior to the patient's shoulder. 
D) The therapist is standing behind the patient; one hand is on the guarding belt and the other just anterior to the patient's shoulder. 
A) The therapist is standing on the patient's weaker side; one hand is on the guarding belt and the other just anterior to the patient's shoulder. 
B) The therapist is standing on the patient's stronger side; one hand is on the guarding belt and the other just anterior to the patient's shoulder. 
C) The therapist is standing in front of the patient; one hand is on the guarding belt and the other just anterior to the patient's shoulder. 
D) The therapist is standing behind the patient; one hand is on the guarding belt and the other just anterior to the patient's shoulder. A

Question 4

What type of activity would it be if the therapist works with the patient to achieve a supine position on the mat?

Accepted Answer

A) Mobility 
B) Stability 
C) Dynamic stability 
D) Skill 
A) Mobility 
B) Stability 
C) Dynamic stability 
D) Skill

Question 5

What is the correct position to guard a patient who is ascending the stairs?

Accepted Answer

A) The therapist is positioned anterior and lateral to the patient on the involved side. 
B) The therapist is positioned anterior and lateral to the patient on the uninvolved side. 
C) The therapist is positioned posterior and lateral to the patient on the involved side. 
D) The therapist is positioned posterior and lateral to the patient on the uninvolved side. 
A) The therapist is positioned anterior and lateral to the patient on the involved side. 
B) The therapist is positioned anterior and lateral to the patient on the uninvolved side. 
C) The therapist is positioned posterior and lateral to the patient on the involved side. 
D) The therapist is positioned posterior and lateral to the patient on the uninvolved side.

Question 6

The therapist's goal is to facilitate weightbearing through the hips while inhibiting the spasticity in the patient's quadriceps.What activity will meet this goal?

Accepted Answer

A) Facilitation of sit-to-stand 
B) Facilitation of stand-to-sit 
C) Reaching activities in kneeling 
D) Reaching activities in sitting 
A) Facilitation of sit-to-stand 
B) Facilitation of stand-to-sit 
C) Reaching activities in kneeling 
D) Reaching activities in sitting

Question 7

What would be the appropriate gait sequence for using axillary crutches for an individual who is partial weightbearing?

Accepted Answer

A) The crutches are advanced together and then both legs together. 
B) The crutches are advanced together and then the uninvolved leg. 
C) The crutches are advanced together and then the involved leg. 
D) The uninvolved leg is advanced and then the crutches are moved. 
A) The crutches are advanced together and then both legs together. 
B) The crutches are advanced together and then the uninvolved leg. 
C) The crutches are advanced together and then the involved leg. 
D) The uninvolved leg is advanced and then the crutches are moved.

Question 8

How does the therapist measure the correct height for axillary crutches?

Accepted Answer

A) In supine the therapist should measure the distance from the head of the humerus to the lateral malleoli and subtract 6 in. 
B) In supine the therapist should measure the distance from the axilla to the lateral border of the heel and subtract 6 in. 
C) In standing there should be about four finger widths beneath the axilla with the crutches approximately 2 in.lateral and anterior to the foot. 
D) In standing there should be approximately 2 in.below the axilla with the crutches approximately 2 in.lateral and 6 in.anterior to the foot. 
A) In supine the therapist should measure the distance from the head of the humerus to the lateral malleoli and subtract 6 in. 
B) In supine the therapist should measure the distance from the axilla to the lateral border of the heel and subtract 6 in. 
C) In standing there should be about four finger widths beneath the axilla with the crutches approximately 2 in.lateral and anterior to the foot. 
D) In standing there should be approximately 2 in.below the axilla with the crutches approximately 2 in.lateral and 6 in.anterior to the foot.

Question 9

During gait in the parallel bars what should the therapist instruct the patient to do with the upper extremities?

Accepted Answer

A) Pull yourself forward with your arms. 
B) Place your arms on my shoulders for balance. 
C) Push down on the parallel bars as you step. 
D) Touch the bars only with your fingertips. 
A) Pull yourself forward with your arms. 
B) Place your arms on my shoulders for balance. 
C) Push down on the parallel bars as you step. 
D) Touch the bars only with your fingertips.

Question 10

As preparation for standing and gait activities,the therapist has determined the patient needs to participate in a stability exercise to increase hip and trunk stability and strength while decreasing the base of support and raising the center of mass from the supine position.The patient has significant extensor spasticity of the lower extremities.What would be an appropriate mat activity to use with this patient?

Accepted Answer

A) Sit-to-stand with resistance 
B) Sitting weight shifts while reaching 
C) Stabilizing reversals in quadruped 
D) Resisted bridging 
A) Sit-to-stand with resistance 
B) Sitting weight shifts while reaching 
C) Stabilizing reversals in quadruped 
D) Resisted bridging

Question 11

What type of activity would it be if the therapist works with the patient to achieve and maintain independent sitting on the mat?

Accepted Answer

A) Mobility 
B) Stability 
C) Dynamic stability 
D) Skill 
A) Mobility 
B) Stability 
C) Dynamic stability 
D) Skill

Question 12

The therapist is having the patient perform weight-shifting activities in half-kneeling.What would be the goal of this activity?

Accepted Answer

A) Facilitation of anterior weight shift during sit-to-stand 
B) Facilitation of weight shifting with hip extension 
C) Facilitation of stability in the position of half-kneeling 
D) Facilitation of weightbearing through the anterior foot 
A) Facilitation of anterior weight shift during sit-to-stand 
B) Facilitation of weight shifting with hip extension 
C) Facilitation of stability in the position of half-kneeling 
D) Facilitation of weightbearing through the anterior foot

Question 13

What is one of the benefits of using a modified plantigrade position as a lead-up activity to gait?

Accepted Answer

A) It requires close to full weightbearing,hip and knee extension,with ankle dorsiflexion. 
B) It encourages upper extremity weightbearing in a position used with assistive devices. 
C) It is a position with a large base of support and a relatively low center of mass. 
D) It facilitates sit-to-stand transitional movement and increases knee extensor strength. 
A) It requires close to full weightbearing,hip and knee extension,with ankle dorsiflexion. 
B) It encourages upper extremity weightbearing in a position used with assistive devices. 
C) It is a position with a large base of support and a relatively low center of mass. 
D) It facilitates sit-to-stand transitional movement and increases knee extensor strength.

Question 14

The patient is planning to go to the mall and walk once inside rather than using the wheelchair.The patient is independent with gait in the home setting.What types of training activities might be important in preparation for this outing?

Accepted Answer

A) Walking over grassy terrain 
B) Stepping on and off an escalator 
C) Walking on level surfaces 
D) Walking in and out of doors 
A) Walking over grassy terrain 
B) Stepping on and off an escalator 
C) Walking on level surfaces 
D) Walking in and out of doors

Question 15

What is the proper technique for teaching a patient to rise from the wheelchair to standing in the parallel bars?

Accepted Answer

A) Have the patient reach forward and place the hands on the therapist's shoulders. 
B) Have the patient scoot forward and push up with the hands on the armrests of the chair. 
C) Have the patient hold onto the parallel bars and pull up into standing. 
D) Have the patient cross the arms across the chest while the therapist pulls on the guarding belt. 
A) Have the patient reach forward and place the hands on the therapist's shoulders. 
B) Have the patient scoot forward and push up with the hands on the armrests of the chair. 
C) Have the patient hold onto the parallel bars and pull up into standing. 
D) Have the patient cross the arms across the chest while the therapist pulls on the guarding belt.

Question 16

What is one of the benefits of locomotor training using body weight support and a treadmill?

Accepted Answer

A) It facilitates upper extremity motions during gait. 
B) It allow the therapist to initiate gait training earlier. 
C) It allows the therapist to break down the gait cycle. 
D) It encourages full weightbearing on the lower extremities. 
A) It facilitates upper extremity motions during gait. 
B) It allow the therapist to initiate gait training earlier. 
C) It allows the therapist to break down the gait cycle. 
D) It encourages full weightbearing on the lower extremities.

Question 17

The patient has been successfully participating in resisted walking activities during therapy gym.What would be an appropriate progression of activities?

Accepted Answer

A) Approximation during stance 
B) Diagonal weight shifts 
C) Unresisted backwards walking 
D) Side-stepping with manual cues 
A) Approximation during stance 
B) Diagonal weight shifts 
C) Unresisted backwards walking 
D) Side-stepping with manual cues

Question 18

What type of activity would it be if the therapist works with the patient on locomotion?

Accepted Answer

A) Mobility 
B) Stability 
C) Dynamic stability 
D) Skill 
A) Mobility 
B) Stability 
C) Dynamic stability 
D) Skill

Question 19

When instructing a patient with weakness of the right lower extremity to use a cane,in which hand would the cane be placed?

Accepted Answer

A) The right hand 
B) The left hand 
C) It doesn't matter 
A) The right hand 
B) The left hand 
C) It doesn't matter

Question 20

The therapist's goal is to increase stability in standing.Which activity would be best to facilitate accomplishment of this goal?

Accepted Answer

A) Weight shifting in standing testing the patient's limits of stability 
B) Weight shifting with the patient in a standing stride position 
C) In standing provide alternating isometric resistance to the trunk 
D) Use of rhythmic stabilization with the patient in short sitting 
A) Weight shifting in standing testing the patient's limits of stability 
B) Weight shifting with the patient in a standing stride position 
C) In standing provide alternating isometric resistance to the trunk 
D) Use of rhythmic stabilization with the patient in short sitting

Exam 14: Locomotor Training

What is the correct progression for advancing the cane during ambulation?

What is the correct sequence of preparatory exercises for gait?

What would be the correct position for the therapist to guard the patient during gait training with a standard walker?

What type of activity would it be if the therapist works with the patient to achieve a supine position on the mat?

What is the correct position to guard a patient who is ascending the stairs?

The therapist's goal is to facilitate weightbearing through the hips while inhibiting the spasticity in the patient's quadriceps.What activity will meet this goal?

What would be the appropriate gait sequence for using axillary crutches for an individual who is partial weightbearing?

How does the therapist measure the correct height for axillary crutches?

During gait in the parallel bars what should the therapist instruct the patient to do with the upper extremities?

What type of activity would it be if the therapist works with the patient to achieve and maintain independent sitting on the mat?

The therapist is having the patient perform weight-shifting activities in half-kneeling.What would be the goal of this activity?

What is one of the benefits of using a modified plantigrade position as a lead-up activity to gait?

The patient is planning to go to the mall and walk once inside rather than using the wheelchair.The patient is independent with gait in the home setting.What types of training activities might be important in preparation for this outing?

What is the proper technique for teaching a patient to rise from the wheelchair to standing in the parallel bars?

What is one of the benefits of locomotor training using body weight support and a treadmill?

The patient has been successfully participating in resisted walking activities during therapy gym.What would be an appropriate progression of activities?

What type of activity would it be if the therapist works with the patient on locomotion?

When instructing a patient with weakness of the right lower extremity to use a cane,in which hand would the cane be placed?

The therapist's goal is to increase stability in standing.Which activity would be best to facilitate accomplishment of this goal?

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Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

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