Nerve Injuries & Gait
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 630 Ratings
🗓️ 23 December 2020
⏱️ 14 minutes
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Summary
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Helena is a patient with severe back pain that presents with a posterolateral lumbar herniated nucleus pulposus (HNP) at L3-L4. Which of the following findings is MOST likely to be present?
A. Delayed heel off during terminal stance
B. Knee buckling during loading response
C. Excessive hip flexion during early swing
D. Excessive trunk extension during mid-stance
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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. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn, and you'll see the life |
| 0:22.4 | I have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.8 | 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. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:56.3 | For this week's clinical file, |
| 1:04.6 | we have Helena, and Helena is a patient with severe back pain that presents with a posterior lateral lumbar herniated nucleus pulpulsis, or HNP, at L33L4, which are the following findings is the most likely to be present? |
| 1:16.6 | So we have A, delayed heel off during terminal stance, B, knee buckling during loading response, |
| 1:25.6 | C, excessive hip flexion during early swing, |
| 1:30.9 | and D is excessive trunk extension during midstance. |
| 1:35.7 | All right, so I just got done talking to all of the people who are live with me right now |
| 1:40.5 | about how this is a little bit of a mixture of both neuro and gait to very tough areas for |
| 1:47.0 | the mpTE and you have to know a bit about herniated discs and what are the potential like |
| 1:55.0 | complications of having a herniated disc at a certain level you have have to understand that. But then be able to connect that |
| 2:02.5 | to what I may find during a gate analysis. This type of question that I'm going through with you |
| 2:09.6 | right now is the type of question I expect to come up on the MPTE as well. And so we're going to |
| 2:15.7 | break this out, make sure you pull out a pen and paper, |
... |
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