National Physical Therapy Examination (NPTE) Practice Exam

What is the most likely recommendation for a child with cerebral palsy classified at Level V?

1. Orthoses and assistive devices for community ambulation

2. Orthoses and assistive devices for household ambulation

3. Standing frame and orthoses for household ambulation

4. Standing frame and wheelchair for community ambulation

The correct answer is: Standing frame and wheelchair for community ambulation

In the context of cerebral palsy, a classification system is often used to determine the level of mobility and the functional capabilities of a child. Level V is indicative of the most severe limitations and represents a child who experiences significant impairments in mobility and self-care. For a child classified at Level V, there is very limited ability to move voluntarily, and the individual may require extensive assistance or support to engage in any mobility activities. Therefore, the recommendation would involve the use of a standing frame to help maintain some upright position for postural control, as well as reliance on a wheelchair for mobility in the community. The wheelchair would serve as the primary means of transportation to navigate various environments outside the home, accommodating the child's substantial physical limitations. In contrast, the other options suggest more independence in mobility, such as community or household ambulation with orthoses and assistive devices, which would not be suitable for a child at Level V due to the severe restrictions on voluntary movement and functional mobility.