National Physical Therapy Examination (NPTE) Practice Exam

Which patient condition would most indicate the need for a standing frame?

1. Multiple sclerosis

2. Hemiplegia

3. Spinal cord injury

4. Muscular dystrophy

The correct answer is: Spinal cord injury

The use of a standing frame is particularly indicated for patients with spinal cord injuries because this condition often results in decreased muscle strength and control in the lower limbs, which can severely impact mobility and independence. A standing frame provides necessary support and allows individuals with varying levels of paralysis to achieve an upright position, which can help with weight-bearing, improve circulation, and enhance overall mental and physical well-being. For patients with spinal cord injuries, maintaining an upright position can help prevent secondary complications such as pressure sores and osteoporosis due to lack of weight-bearing activity. Additionally, standing frames can facilitate social interaction and engagement in activities, which are important for rehabilitation and quality of life. In contrast, while conditions such as multiple sclerosis, hemiplegia, and muscular dystrophy may also present mobility challenges, they may not require a standing frame to the same extent or may be better addressed with different interventions tailored to their specific motor functions and limitations. For instance, multiple sclerosis can have varying symptoms that include fatigue and balance issues, hemiplegia typically involves one-sided paralysis and may use other assistive devices, and muscular dystrophy may incorporate progressive strength training and adaptive devices rather than strictly a standing frame.