National Physical Therapy Examination (NPTE) Practice Exam

Which response is most appropriate if a patient experiences worsening symptoms during nerve mobilization?

1. Increase exercise intensity

2. Modify exercises to a lower range

3. Reintroduce previous exercises

4. Terminate the exercise altogether

The correct answer is: Modify exercises to a lower range

The most appropriate response when a patient experiences worsening symptoms during nerve mobilization is to modify exercises to a lower range. This approach allows for a more cautious and controlled engagement with the patient’s condition, reducing the risk of further aggravation of symptoms. In nerve mobilization, it's essential to strike a balance between promoting mobility and avoiding exacerbation of symptoms. By modifying the exercises, the therapist can ensure that the patient remains active while minimizing discomfort. This could involve decreasing the range of motion, slowing down the movements, or selecting less aggressive mobilization techniques that are still beneficial without pushing the patient into pain. Choosing to increase exercise intensity or reintroduce previous exercises may further stress the affected nerve and worsen the symptoms, which is not advisable. Terminating the exercise altogether might lead to a lack of engagement with necessary rehabilitation, potentially prolonging recovery. Therefore, modifying the exercises allows for the continuation of therapy within a safe and tolerable range, supporting the patient's recovery effectively.