National Physical Therapy Examination (NPTE) Practice Exam

What is the most critical adaptation for a wheelchair ordered for an elderly patient post-total hip arthroplasty surgery?

1. Adjustable armrests

2. Elevating adjustable leg rests

3. A solid seat

4. Anti-tip attachments

The correct answer is: Elevating adjustable leg rests

After total hip arthroplasty surgery, patients must adhere to specific precautions to prevent dislocation and ensure proper healing. Elevating adjustable leg rests are particularly critical for elderly patients because they provide several important benefits in this context. Firstly, these leg rests can help manage edema, which is a common concern in post-surgical patients. Elevation can assist in reducing swelling in the lower extremities, which is essential for recovery. Additionally, adjustable leg rests allow for the customization of the wheelchair to accommodate the patient's specific physical needs and comfort level, taking into account any limitations in range of motion they may experience due to their surgery. Furthermore, maintaining proper positioning is crucial for a patient recovering from hip surgery. Elevating the legs can help prevent complications such as pressure ulcers and improve circulation. It also encourages optimal posture, which can be more challenging for elderly patients, especially if they have comorbid conditions that affect their overall mobility or balance. In contrast, other adaptations like adjustable armrests, a solid seat, and anti-tip attachments, while beneficial in certain circumstances, do not directly address the unique challenges of recovery after hip arthroplasty as effectively as elevating adjustable leg rests do. Thus, in this specific scenario, the focus on comfort,