Stair Training
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 6 March 2019
⏱️ 12 minutes
🧾️ Download transcript
Summary
Harriet presents with status post-TKA and is undergoing stair training with the physical therapist.
The physical therapist is challenged with determining the appropriate instructions for descending stairs with a cane.
How well do you know safe stair negotiation techniques? Let's test your knowledge in this excellent episode about stair training.
Are you looking for an awesome cheatsheet to help with common types of stair and transfers training with assistive devices? Look no further, here is your next CHEATSHEET: https://www.kylericeprep.com/trickytransfer
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Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.DestroytheNPTE.com, to learn about the #1 solution to STOP getting stuck.
Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.3 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Harriet. And Harriet |
| 0:33.3 | is status post right total knee replacement and is being educated on descending stairs safely |
| 0:40.7 | prior to discharge. The patient is currently using a single point cane and will have a railing |
| 0:47.7 | on the left when descending stairs at home. Which of the following instructions is the most |
| 0:53.7 | appropriate for this patient? So we have A, |
| 0:57.1 | advance the left arm and unaffected extremity first, then the affected extremity and cane last. |
| 1:06.8 | B is advance the left arm and cane first, then the affected extremity followed by the unaffected |
| 1:15.9 | extremity. |
| 1:17.6 | All right. |
| 1:18.0 | C is advanced the left arm and the affected extremity first, then the cane followed by |
| 1:25.1 | the unaffected extremity. |
| 1:26.4 | And D is advanced the cane and the unaffected extremity first, then the left arm followed by the affected extremity. Listen, if y'all are on the road with me right now, listen to this, y'all going to have to pull off on the side for you run into a stop sign |
| 1:45.3 | or something don't run over nobody don't pass the stop sign to get a ticket pull off to the side |
| 1:51.5 | the road and listen to this all right because that was quite a bit all right let's go ahead and start |
| 1:57.4 | knocking this down so again we have Harriet. She status post right, |
| 2:01.9 | total knee replacement. All right, that's pretty straightforward, right? This is one of the most |
| 2:06.2 | common types of surgeries of the lower extremity, especially when it comes to outpatient |
... |
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