Exam 37: Functional Activity Intervention in Upright Mobility

You are providing outpatient physical therapy for a patient with right hemiplegia.The patient's goal is to more effectively meet the challenges of community mobility by increasing her ability to negate obstacles.Which of the following activities will enable the patient to best meet her goals?

Mr.Meyer is an 81 year-old man who walks with a very slow gait velocity.Given his slow velocity what changes to normal gait do you expect to see during observational gait analysis?

You are providing physical therapy for a young patient with multiple sclerosis who is having difficulty performing dual tasks.She wants to be able to walk while using her smart phone.You plan to use Gentile's taxonomy to progress the activities.What progression will you use to increase the level of challenge as her dual task control improves?

You are working with Mrs.Z,a patient with right-sided hemiplegia.She is showing improvement in ambulating on level surfaces in a quite area of the physical therapy gym.Given this,you plan to progress her ambulation program using Gentile's taxonomy.Which of the following would be the BEST choice for progressing Mrs.Z's plan of care?

You are preparing to examine a 64 year-old man with a neurological disorder who is seeking physical therapy for the first time after receiving his diagnosis.He reports problems with balance and gait.You want to do a thorough assessment of his mobility status to establish a baseline level of function.Given this,you plan to include tests/measures across the three International Classification of Functioning,Disability and Health-2 (ICF-2) domains.Which set of tests/measures will you select?

In single limb support (SLS) postural control is maintained by:

Patients with neurological disorders incur a range of primary and secondary impairments that affect upright mobility.Mrs.Jones is a 43 year-old woman who was diagnosed with multiple sclerosis 10 years ago.She wants to resume physical therapy to address an increase in falls.Based on your examination findings you hypothesize that her falling is due more to secondary impairments than primary impairments.All of the following are secondary impairments that contribute to fall risk EXCEPT:

You are examining a 7 year-old child with the spastic diplegic form of cerebral palsy (CP).You know that children with CP can demonstrate major gait deviations.You also know that the gait of typically developing children is not fully mature until about age 7 years.Which of the following gait parameters seen in typically developing young children would be considered a significant gait deviation in this 7 year-old patient?

Physical therapists often incorporate adjunctive strategies such as manual guidance into a patient's intervention program.What must a therapist keep in mind when using adjunctive strategies with a patient who is practicing upright mobility tasks?

Your patient is a college student who incurred a traumatic brain injury in a motor vehicle accident.He is being seen for physical therapy in an inpatient rehabilitation facility.To optimize the patient's outcome you know he must: