I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see

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

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

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

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

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

you're in the right place.

Enjoy the show.

For this week's clinical file, we have Jessica and Jessica presents with a C6 spinal cord injury and is being fitted for

a wheelchair. She has full innervation of the deltoids, biceps, and wristic sensors, but

lacks active triceps function. The patient requires independence and propulsion

and activities of daily living. During assessment, she demonstrates forward shoulder positioning

and mild scapular instability, which wheelchair feature is most appropriate to optimize the patient's

function and minimize shoulder strength.

So we have A, reclining backrest to improve postural support.

B, lightweight frame with adjustable axle position.

C, high back rest to improve scapular stability.

And D is elevating leg rest to reduce shoulder loading.

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

You know, getting questions correct about wheelchair prescription is really all about

...