National Physical Therapy Examination (NPTE) Practice Exam

A patient with unilateral quadriceps weakness and fair balance would most benefit from which of the following assistive devices?

1. Quad cane

2. Front-wheeled walker

3. Hemi-walker

4. Straight cane

The correct answer is: Front-wheeled walker

In the case of a patient with unilateral quadriceps weakness and fair balance, the front-wheeled walker is the most appropriate assistive device. This is because the front-wheeled walker provides a broad base of support and additional stability that is crucial for someone who has weakness in one leg. The design allows for easier mobility while requiring less energy to maintain balance compared to other options. A front-wheeled walker can help distribute weight evenly and provides extra support, which minimizes the risk of falling, particularly important when quadriceps strength is compromised. It also enables the patient to use their arms effectively to support their weight, facilitating movement while maintaining balance. Other assistive devices, such as a quad cane, hemi-walker, and straight cane, might offer some support but do not provide the same level of stability and support that a front-wheeled walker does. A quad cane and a straight cane would require more balance and strength from the patient, which may not be ideal given the unilateral weakness. The hemi-walker, while offering more support than a straight cane, may not be as stable as the front-wheeled walker, particularly in situations where the patient's balance is challenged. Therefore, the front-wheeled walker stands out as the