National Physical Therapy Examination (NPTE) Practice Exam

For a 75-year-old patient who is non-weight-bearing post hip surgery, which device and gait pattern is most suitable?

1. Crutches and four-point gait

2. Crutches and two-point gait

3. Front-wheeled walker and three-point gait

4. Front-wheeled walker and four-point gait

The correct answer is: Front-wheeled walker and three-point gait

For a 75-year-old patient who is non-weight-bearing following hip surgery, using a front-wheeled walker in a three-point gait pattern is particularly suitable due to several factors related to mobility, stability, and safety. The front-wheeled walker offers significant support, which is critical for a patient who may be dealing with weakness or instability as a result of age and recent surgery. This device allows the patient to maintain balance while navigating their environment, minimizing the risk of falls. The design of the front-wheeled walker also promotes a more upright posture, which is beneficial for overall stability. In a three-point gait pattern, the patient uses the walker to support their body weight while the non-weight-bearing leg is advanced forward. This method facilitates safe and controlled movement. The three-point gait is effective in promoting independence while ensuring that the surgical leg does not bear weight, which is essential for healing after hip surgery. Other devices and gait patterns may not provide the same level of support or may require more coordination, which might be challenging for an older adult recovering from surgery. The choice of a front-wheeled walker combined with a three-point gait aligns with the need for safety, balance, and adherence to post-operative weight-bearing restrictions.