National Physical Therapy Examination (NPTE) Practice Exam

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What does the forward bend evaluation during scoliosis screening assess?

Excessive thoracic kyphosis
Vertebral rotation
Lateral spinal deviation
Lumbar lordosis

The correct answer is: Vertebral rotation

The forward bend evaluation during scoliosis screening primarily assesses vertebral rotation. This screening method is designed to identify asymmetries in the spine and ribcage that indicate the presence of scoliosis. When a patient bends forward, any rotational deformities of the spine become more pronounced and visible, allowing the examiner to evaluate the degree of rotation present in the vertebrae. This is critical, as scoliosis is characterized not just by lateral curvature of the spine, but also by rotational deformities that can impact treatment decisions. The forward bend test is particularly useful because it often reveals rib prominence on one side, which is a common sign of the underlying vertebral rotation associated with scoliosis. Identifying vertebral rotation is essential for determining the severity of the curvature and planning appropriate management.