106. For individuals with Parkinson’s disease, tango dancing is more effective than standard exercise for improving: a. Aerobic endurance. b. Balance within function. c. Gait on level surfaces. d. Movement initiation. 107. For a client whose key problems are small stride length, small writing, and generalized small movement in all functional activities, the most appropriate therapy would be to: a. Instruct on the use of a four-wheeled rollator walker. b. Teach wheelchair mobility, emphasizing the use of the arms and legs to propel the chair. c. Work on a balance program involving single-limb stance and lower extremity flexion and extension for flexibility. d. Use strategies and cues to teach the client to increase amplitude and speed of movement. 108. Which assistive device promotes the safest and most “normal” gait pattern in individuals with Parkinson’s disease? a. Straight cane. b. Standard walker. c. Two-wheeled walker. d. Rollator/four-wheeled walker. 109. For individuals with Parkinson’s disease, one of the main barriers to participating in fitness programs or ongoing exercise is: a. Fatigue. b. Low outcome expectations. c. Apathy. d. Embarrassment. 110. A client with Parkinson’s disease has a short stride length and trouble reaching high and low shelves. A home exercise program should incorporate: a. Stretching into trunk rotation/extension, hamstring stretches, and practicing walking “big.” b. Stretching the hamstrings and eccentric strengthening of the lower extremities. c. Using the Wii to play games that involve standing. d. Riding a stationary bike 20 minutes per day, 3 times per week.
98. A score of 4 on the Pull Test indicates that the client is: a. Hyperreflexic in the posterior muscles of the calf. b. Unable to stand without assistance. c. Limited in the ability to move within his or her limits of stability. d. Strong enough to do functional activities of gait. 99. If you suspect that a client is limited in functional activities by freezing of gait, the measurement tool to use would be the: a. Timed Up and Go Test. b. Freezing of Gait Questionnaire. c. Unified Parkinson’s Disease Rating Scale item 4. d. 10-Meter Walk Test (gait speed). 100. An 80-year-old woman with a walking speed of 0.5 meters per second is: a. Likely to be limited in her community ambulation. b. Limited to walking within her household. c. Well-functioning but with an increased risk of hospitalization. d. Walking at a normal speed. 101. For a client with Parkinson’s disease, the fall screening tool with the best overall sensitivity and specificity is the: a. Berg Balance Scale. b. Mini-Balance Evaluation Systems Test. c. Functional Reach Test. d. Timed Up and Go Test. 102. Which International Classification of Functioning, Disability and Health domain does the PDQ-39 take as a whole measure? a. Bodily function. b. Activity. c. Participation. d. Body structures. 103. Evidence regarding types of cues for an individual with Parkinson’s disease shows that the most effective method is: a. An imagined cue. b. An external cue. c. A self-given auditory cue. d. No cueing at all. 104. Which of the following treatment methods has been shown to be more effective than physical therapist-directed gait training? a. Pilates. b. Tango. c. Tai chi. d. Treadmill walking. 105. A review of the evidence by Herman and colleagues (2009) stated that treadmill training can be effective in improving gait and quality of life and decreasing falls through its effect
on pace retraining, motor learning, and: a. Improved corticomotor excitability. b. Aerobic conditioning.
c. Increased strength. d. Improved balance.
Course Code: PTTX05PD24
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