National Physical Therapy Examination (NPTE) Practice Exam

What intervention is critical during the initial rehabilitation phase after a transfemoral amputation?

1. Pain management

2. Strengthening exercises

3. Always maintaining hip flexion

4. Safe transfers and mobility

The correct answer is: Safe transfers and mobility

During the initial rehabilitation phase after a transfemoral amputation, safe transfers and mobility are critical interventions. This phase focuses on helping the patient regain functional independence and navigate their environment effectively. The early post-operative period often presents challenges related to balance, weight distribution, and adjusting to physical changes. Ensuring that the patient can perform safe transfers—such as moving from bed to wheelchair, getting onto and off surfaces, and changing position—is essential for preventing falls and promoting confidence in mobility. Additionally, facilitating mobility is vital, as it not only helps in maintaining physical health but also boosts psychological well-being through increased activity levels. Patients must learn how to manage their mobility using assistive devices, if necessary, in order to enhance their independence and ability to interact with their surroundings. While pain management, strengthening exercises, and maintaining hip flexion are also important aspects of care, they play a supportive role rather than serve as the primary focus during the initial rehabilitation phase. Pain must be managed to allow for participation in therapy, strengthening exercises are more relevant as the patient progresses, and hip flexion is typically encouraged in a controlled manner to avoid complications. However, prioritizing safe transfers and mobility ensures a solid foundation for the patient's overall rehabilitation journey.