National Physical Therapy Examination (NPTE) Practice Exam

Following a cerebrovascular accident, which activity is most appropriate for a patient exhibiting balance deficits and weakness in the gluteus medius?

1. Walking backward on an inclined surface

2. Sidelying right hip abduction

3. Partial squats against a wall

4. Lateral weight-shifts in stance

The correct answer is: Lateral weight-shifts in stance

The most appropriate activity for a patient exhibiting balance deficits and weakness in the gluteus medius after a cerebrovascular accident is lateral weight-shifts in stance. This exercise effectively engages the gluteus medius, which plays a critical role in stabilizing the pelvis during single-leg stance and weight-bearing activities. Lateral weight-shifts help the patient build strength in the hip abductors, particularly the gluteus medius, while also addressing balance challenges. This exercise allows for gradual progression in stability as the individual becomes more adept at controlling their weight distribution side-to-side. Enhancing the strength of the gluteus medius will also improve the patient’s overall balance and functional mobility, which are key concerns following a cerebrovascular accident. The other activities listed may not be as beneficial for this specific deficit. Walking backward on an inclined surface is complex and may require more balance than the patient currently possesses. Sidelying right hip abduction can isolate the muscle, but it does not address functional postural control. Partial squats against a wall will challenge the patient’s strength, but may not specifically target the stabilization needed for the gluteus medius in standing and dynamic balance tasks. Lateral weight-shifts are thus the most suitable choice