National Physical Therapy Examination (NPTE) Practice Exam

How should a physical therapist assistant position themselves when guarding a patient descending stairs on crutches while being non-weight bearing on the right side?

1. In front and slightly to the left side

2. In front and slightly to the right side

3. Behind and slightly to the left side

4. Behind and slightly to the right side

The correct answer is: In front and slightly to the right side

When guarding a patient descending stairs on crutches while the patient is non-weight bearing on one side, the correct positioning of the physical therapist assistant is critical for ensuring both safety and support. Positioning oneself in front and slightly to the right side allows the assistant to effectively monitor and assist the patient. Since the patient is non-weight bearing on the right side, it’s important for the assistant to be positioned in a way that avoids interfering with the crutches or supporting limb. Being in front enables the assistant to predict the patient’s movements and react quickly if the patient loses balance. This positioning also gives the assistant a clear view of the patient’s movements and the stairs ahead, allowing for timely verbal cues or physical assistance as needed. The slight offset to the right helps maintain a safe distance from the crutches while providing a supportive presence, which is essential when navigating stairs. Alternative positions, such as being directly behind or positioned too far to the left, would not provide the same level of visibility and assistance, potentially compromising the patient's safety during this crucial action. Therefore, positioning in front and slightly to the right side optimally balances support and safety for the patient who is descending stairs on crutches.