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NPTE Clinical Files | Physical Therapy

Parkinson’s Disease: Stages & Treatments

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 12 February 2025

⏱️ 11 minutes

🧾️ Download transcript

Summary

Jamie presents with stage 3 Parkinson’s disease and marked presbycusis and reports frequent freezing episodes during ambulation. She demonstrates a reduced step length and minimal arm swing. Her goal is to improve safety and mobility. Which intervention is MOST appropriate to address the patient’s freezing episodes?

A) Dynamic balance training

B) Rhythmic auditory cueing

C) External visual cues

D) Strengthening postural muscles

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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

0:22.0

the life I have today, a life filled with love, financial freedom, and a dream job that

0:27.2

allows me to change lives every single day. I created the NPTE Clinical Files podcast to

0:33.4

give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.4

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love,

0:51.7

you're in the right place.

0:53.3

Enjoy the show.

0:56.7

For this week's clinical file,

1:02.1

we have Jamie and Jamie presents with stage three Parkinson's disease, Mark Presbycusis, and reports of frequent freezing episodes during ambulation. She demonstrates a reduced step length

1:09.5

and minimal arm swing. Her goal is to improve safety and mobility. Which intervention is most appropriate to address the patient's freezing episodes. So we have A, dynamic balance training, B, rhythmic auditory queuing, C, external visual cues, and D is strengthening postural muscles. All right, let's go to the top of this

1:30.3

question. I had to drop this episode because we did this during our practice question club,

1:36.4

and there was people going back and forth with this one, so I was like, I got to drop it on the podcast.

1:42.5

Now, here's the thing. Terminology and a deeper

1:45.5

understanding of how conditions, like Parkinson's, impact treatment, is a key skill in

1:52.8

feeling confident on the NPTE. This question that we're about to go through test your

1:57.9

understanding of Parkinson's disease, but also how it impacts intervention selection.

2:03.6

So this skill, super important for you. And if you stick around to the end of the episode, I got a special gift for you.

2:10.4

All right. Let's go ahead and jump into this question. It says, Jamie presents with stage three

2:16.0

Parkinson's disease, marked presbycusis, and

...

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