Deck 11: Locomotor Training

Question 1

Which of the following activities is the MOST appropriate for improving the strength of lower extremity muscles needed for locomotion?

A)Step-ups and step-downs
B)Proprioceptive neuromuscular facilitation extension patterns in side-lying
C)Bilateral bridging
D)Unilateral bridging

Answer 1

A

Question 2

A patient demonstrates adequate strength and is able to transition from sit-to-stand.Which of the following is the NEXT appropriate activity to promote locomotor training?

A)Sidestepping progressing to cross-stepping in parallel bars
B)Forward progression in parallel bars with moderate assistance
C)Stepping forward and backward with focus on weightshifting and weight acceptance
D)Challenges to the patient's limits of stability in standing

Answer 2

D

Question 3

Which of the following activities would be appropriate to consider NEXT after a patient has the ability to demonstrate safe overground locomotion indoors?

A)Practice walking while catching and throwing a ball.
B)Practice bouncing a ball while standing unsupported.
C)Practice sidestepping with braiding.
D)Practice step-ups,ascending and descending an 8-inch step.

Answer 3

A

Question 4

For the patient with stroke and limited recovery,which component of treadmill training and body weight support is the most important element to consider FIRST?

A)Manually assisted movements of the patient's lower extremities
B)Decreasing the loading of the upper extremities
C)Increasing the loading of the lower extremities
D)Increasing the speed of the treadmill

Question 5

A patient demonstrates improvements in transitioning from sit-to-stand.The physical therapist wants to progress the plan of care to locomotion training.Which of the following is considered a controlled mobility activity and should be worked on FIRST?

A)Standing with feet shoulder-width apart,practice holding while applying approximation through the pelvis into both feet.
B)Standing with feet shoulder-width apart,practice lateral weight shifts and weight acceptance.
C)Standing in a stride position,practice anterior and posterior weight shifts and stepping.
D)Standing in a stride position,practice modified lunges.

Question 6

Which of the following BEST explains the rationale for use of body weight support or treadmill training to facilitate recovery of locomotion following spinal cord injury?

A)Facilitation of reciprocal lower extremity movement while the patient maintains upper extremity support on side bars
B)Facilitation of reciprocal lower extremity movements
C)Weightbearing through the lower extremities
D)Facilitation of reciprocal lower extremity movement with weightbearing through the lower extremities