National Physical Therapy Examination (NPTE) Practice Exam

What is the most appropriate intervention for a patient with Stage I bilateral lymphedema receiving balance training after an ankle sprain?

1. Applying a moist heat pack to increase blood circulation

2. Focus on long periods of standing balance activities without sitting

3. Performing strengthening exercise only while sitting

4. Performing strengthening and balance activities with alternating sitting and standing positions

The correct answer is: Performing strengthening and balance activities with alternating sitting and standing positions

Performing strengthening and balance activities with alternating sitting and standing positions is the most appropriate intervention for a patient with Stage I bilateral lymphedema receiving balance training after an ankle sprain. This approach is beneficial for several reasons. Firstly, alternating between sitting and standing positions helps manage the symptoms of lymphedema by avoiding prolonged dependency of the limbs, which can exacerbate swelling. Sitting exercises can prevent excessive strain on the affected limbs and allow for engagement in strength training in a controlled manner. When standing, the activities can enhance balance, which is crucial after an ankle injury. Moreover, this method ensures that the patient remains active while also allowing for rest periods, which can prevent fatigue and help maintain muscle strength and proprioception without overexerting the affected limb. Incorporating both positions also addresses the potential for balance challenges while also considering the risk of falls, especially important following an ankle sprain. In contrast, applying a moist heat pack to increase blood circulation may not be appropriate as it could temporarily exacerbate swelling associated with lymphedema. Engaging in long periods of standing balance activities without sitting may lead to fatigue and increased risk of swelling in the lower limbs. Lastly, performing strengthening exercises only while sitting does not sufficiently challenge