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NPTE Clinical Files | Physical Therapy

Stroke Rehabilitation Strategies

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 8 January 2025

⏱️ 11 minutes

🧾️ Download transcript

Summary

Hamza is 3 weeks post-stroke and presents with right-sided hemiparesis. He is able to sit unsupported but struggles to stand and has difficulty walking without assistance. His Brunnstrom stage is III for the right upper extremity and II for the right lower extremity. Which of the following interventions would be most appropriate for this patient to improve his functional mobility and independence?

A) Facilitate weight-bearing on the right lower extremity using assistive devices

B) Move the patient's right lower extremity through PNF patterns

C) Use body-weight-supported treadmill training (BWSTT)

D) Initiate fine motor activities for the right hand to improve hand dexterity


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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

0:22.2

life I have today, a life filled with love, financial freedom, and a dream job that allows me to

0:27.9

change lives every single day. I created the NPTE Clinical Files podcast to give you simple,

0:34.5

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

0:51.0

you love, you're in the right place.

0:53.3

Enjoy the show.

0:56.3

For this week's clinical file, we have Hamza, and Hamza is three weeks post-stroke and presents with right-sided hemiparises.

1:02.8

He is able to sit unsupported but struggles to stand and has difficulty walking without assistance.

1:09.7

His Brunstrom stage is three for the right upper extremity and two for the right lower extremity.

1:16.5

Which of the following interventions would be most appropriate for this patient to improve his functional mobility and independence?

1:24.8

So we have A, facilitate weight bearing on the right lower extremity using

1:29.8

assistive devices. B, move the patient's right lower extremity through PNF patterns. C, use body

1:37.2

weight supported treadmill training. D, initiate fine motor activities for the right hand to improve hand dexterity.

1:45.7

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

1:48.2

One thing I want to say before we jump in is that gate intervention questions

1:52.1

serve as a unique challenge on the MPTE because the key is finding the major impairment,

1:58.9

limiting the function and then applying the correct treatment.

2:02.3

So this question is a prime example of this unique challenge.

...

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