ALS: Functional Mobility Management
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 17 December 2025
⏱️ 9 minutes
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Summary
Bill presents with early-stage amyotrophic lateral sclerosis (ALS) and reports mild lower extremity weakness and occasional tripping when walking on uneven surfaces. Which intervention is MOST appropriate to address his current functional mobility?
A) Prescribe a wheelchair for energy conservation
B) Provide ankle-foot orthoses (AFOs) to prevent foot drop
C) Initiate high-intensity strength training for lower extremities
D) Recommend a walker to improve stability
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:08.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:15.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.7 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.2 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.4 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life you |
| 0:50.9 | love, you're in the right place. |
| 0:53.0 | Enjoy the show. |
| 0:56.3 | For this week's clinical file, we have Bill, and Bill presents with early stage amiotrophic lateral sclerosis and reports |
| 1:02.0 | mild lower extremity weakness and occasional tripping when walking on uneven surfaces, |
| 1:08.0 | which intervention is most appropriate to address his current functional mobility. |
| 1:12.6 | So we have A, prescribe a wheelchair for energy conservation. |
| 1:16.9 | B, provide ankle foot orthoses, AFOs, to prevent foot drop. |
| 1:21.8 | C, initiate high intensity strength training for lower extremities, And D is recommend a walker to improve stability. |
| 1:31.5 | All right, let's go up to the top of this question. |
| 1:33.2 | This is a good one. |
| 1:34.1 | ALS is a target for the MPTE for sure. |
| 1:36.8 | I'll even say a hot target for it. |
| 1:38.4 | So we definitely need to know the ends and out |
| 1:41.6 | and what type of interventions would be best depending on the stage of it. |
... |
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