National Physical Therapy Examination (NPTE) Practice Exam

In the context of postural control, which position is typically recommended for individuals with balance deficits?

1. Sitting

2. Standing

3. Kneeling

4. Supine

The correct answer is: Standing

The recommended position for individuals with balance deficits is standing because it promotes active engagement of the postural control mechanisms that are crucial for maintaining stability. When standing, individuals can utilize their sensory inputs—including visual, vestibular, and somatosensory systems—to maintain balance. Standing allows for an automatic adjustment of the body’s center of mass over the base of support, which is critical in improving postural stability. Moreover, standing can facilitate functional mobility and readiness for movement, encouraging the individual to practice and integrate balance strategies they may need in everyday activities. Sitting, while stable and providing support, can limit the activation of the muscles involved in standing balance control and does not challenge postural stability effectively. Kneeling can also be beneficial for some individuals but may not provide the same level of engagement and practice with balance strategies as standing allows. The supine position, being the most stable and supportive, typically does not engage balance systems adequately, as it does not simulate the challenges faced during upright activities. Thus, standing is the position that fosters the necessary skills and strength required for improving balance in individuals with deficits.