NPTE Stroke Question
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 630 Ratings
🗓️ 1 November 2023
⏱️ 11 minutes
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Summary
Kelly is a 60-year-old patient who is post-stroke and exhibits a steppage gait pattern. What is the MOST likely underlying neuromuscular deficit contributing to this gait deviation?
A) Weak hip flexors
B) Weak ankle dorsiflexors
C) Spastic quadriceps
D) Spastic hip adductors
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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 I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to change |
| 0:28.2 | 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 Kelly, and Kelly is a 60-year-old patient who is post-stroke and exhibits a stepage gait pattern. |
| 1:13.5 | What is the most likely underlining neuromuscular deficit contributing to this gate deviation. So we have A, weak hip flexors, |
| 1:24.1 | B, weak ankle dorsiflexers, C, spastic quadriceps, and D is spastic hip adductors. All right. Let's go up to the top of this question. This is a bit of a shorter one, bringing in gate. |
| 1:29.1 | So how to throw this back at you. Let's bring it down piece by piece. It says Kelly is a 60-year-old patient who is post-stroke and exhibits a stepage gate pattern. |
| 1:40.4 | All right. Let's stop there for a minute. This is a term you definitely want to know for the NPTE, |
| 1:45.8 | especially my people as you're getting ready for that 2024. |
| 1:49.4 | This is a type of question you definitely need to be able to answer. |
| 1:52.9 | All right? |
| 1:53.2 | So when we see stepage gate pattern, |
| 1:55.7 | can you yell out what is a stepage gate pattern? |
| 2:00.7 | So that is when a person typically exhibits excessive hip flexion and knee flexion. So you'll see a bit of that. You can see it in a patient post stroke or other neuromuscular conditions. But this is a very important thing here to know the stepage gate and what comes along with that. |
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