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NPTE Clinical Files | Physical Therapy

Osteoarthritic Impacts On Gait

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 5 November 2025

⏱️ 10 minutes

🧾️ Download transcript

Summary

Kai is a 65-year-old male who presents with deep groin pain, morning stiffness lasting 30 minutes, and a positive scour test. Which gait deviation is MOST likely to be observed?

A) Uneven cadence

B) Decreased step length on the unaffected limb

C) Lateral trunk lean toward the unaffected limb

D) Marked hip internal rotation on the affected side

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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

0:50.7

you love, you're in the right place.

0:53.0

Enjoy the show.

0:56.6

For this week's clinical file, we have Kai, and Kai is a 65-year-old male who presents with deep groin pain, morning

1:03.0

stiffness lasting 30 minutes, and a positive scour test. Which gate deviation is most likely

1:09.7

to be observed? So we have A, uneven cadence, B, decreased

1:15.4

step length on the unaffected limb, C, lateral trunk lean towards the unaffected limb, and D is

1:23.4

marked hip internal rotation on the affected side.

1:29.3

So let's go up to the top of this question.

1:31.0

This is a really good one.

1:36.4

Osteoarthritis, really looking at what are the gate implications of this?

1:40.4

I love to give curveballs on this podcast.

1:43.3

I absolutely love it because when we get to the MPTE,

1:45.7

if you've ever taken it before,

1:50.6

you notice how the questions are different than your practice exams, like how they're wording things. They switch it up on you a bit. And that's the reason why on this podcast, I want to switch

...

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