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NPTE Clinical Files | Physical Therapy

Rotator Cuff Tear Rehab Protocols

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 5 February 2025

⏱️ 11 minutes

🧾️ Download transcript

Summary

Travasia is 4 weeks post-supraspinatus repair. She reports mild soreness but no significant pain. Examination reveals limited passive shoulder elevation beyond 90° due to stiffness and marked restriction in active range of motion. Which intervention is MOST appropriate at this stage?

A) Resisted external rotation with a resistance band

B) Active-assisted range of motion for shoulder flexion

C) Pendulum exercises for shoulder mobility

D) Isometric strengthening of the supraspinatus

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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.

0:56.6

For this week's clinical file, we have travasia, and travesa is four weeks post-superspanitis repair. She reports mild

1:02.6

sorderness, but no significant pain. Examination reveals limited passive shoulder elevation,

1:09.2

beyond 90 degrees due to stiffness and mark restriction

1:13.5

and active range of motion. Which intervention is most appropriate at this stage? So we have A,

1:19.5

resisted external rotation with a resistance band. B, active assisted range of motion for shoulder

1:26.7

flexion. C. Pend of motion for shoulder flexion.

1:31.1

C, pendulum exercises for shoulder mobility.

1:35.8

And D is isometric strengthening of the super sphinatus.

1:38.3

All right, let's go up to the top of this question.

1:42.7

And before we do that, I want you to know that surgical protocols are important for the NPTE.

1:43.7

Oftentimes, it's important to know where the protocols are important for the MPTE. Oftentimes, it's important

1:45.0

to know where the patient is at in the rehab process, but most importantly, where's the tissue at

...

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