National Physical Therapy Examination (NPTE) Practice Exam

Which intervention is least appropriate for a patient recovering from orthopedic surgery?

1. Passive range of motion exercises

2. Weight-bearing activities

3. Aggressive stretching

4. Education on activity modifications

The correct answer is: Aggressive stretching

Aggressive stretching is the least appropriate intervention for a patient recovering from orthopedic surgery due to the potential for compromising the healing process and causing additional damage. After surgery, tissues are often fragile, and the goal is to promote healing while gradually restoring function. Aggressive stretching can place excessive tensile stress on healing structures, which may lead to complications such as increased pain, inflammation, or delayed recovery. In contrast, passive range of motion exercises are generally utilized in the early stages of rehabilitation to maintain joint mobility without putting undue stress on healing tissues. Weight-bearing activities, when appropriate, help in building strength and restoring function as the patient progresses in their recovery. Education on activity modifications empowers patients to engage in safe practices as they recover, minimizing the risk of re-injury or complications. Overall, aggressive stretching does not align with the goals of early postoperative care, which focuses on protecting the surgical site while laying the groundwork for rehabilitation.