For Questions 11-13, refer to the problem statement below. Two processes have unknown variances that are assumed equal to one another.  A sample of size n1=n2=16 was taken from each process, and the results are

A postal worker complains of numbness and tingling in the right hand. Examination reveals a median nerve distribution.  When the PT evaluates the patient’s work tasks, the therapist notes that the patient is required to key in zip codes at about 58 letters/min.  Which of the following would be an appropriate administrative control to decrease this patient’s injury risk?

Explain how data results from this test should be used by the PT to determine the client’s level of fitness / aerobic capacity and predict their ability to tolerate activity. (1.5pt)

Question #45    The patient case is repeated here for your convenience Mary is a 55-year-old female with CC of 3-month history of left sided neck and central – left upper back/scapula pain. SH: married with twin 10 year old children; she is trained as a research lab. technician but is currently a homemaker. CLOF: Mary reports she is having a “hard time keeping with her husband and children” and increasing difficulty managing her home. Even minor activities such as reaching to upper cabinets/closets, lifting and carrying groceries or laundry result in significant pain. As a result she has been very sedentary lately and feels that she fatigues easily. PLOF: Independent in all BADLs and IADLs, worked full time  PMH:  hypercholestemia (210mg/dL) SH: current smoker – 1 pack per day x 35 years MEDS: takes Tylenol for current pain; started taking over the counter allergy medicine, Zyrtec, by mouth 3 weeks ago because of recent nasal congestion and cough. She is self referred to PT with goals to decrease pain, return to regular activities and exercise, and to feel good enough to be able to start part-time work. PHYSICAL EXAMINATION: Posture and Observation: Posterior pelvic tilt, increased thoracic kyphosis, Mod forward head, C – spine in L side bend.   Height:  1.75 meters  (69 in)    Weight: 55 kg  (121 lbs)       BMI: 18.28 VSs at rest: HR 84 bpm, reg ;  RR 22,  upper chest breathing pattern  BP  120/75 Active Range of Motion: Cervical spine: flexion 0 to 30 degrees; extension 0 to 25 degrees; rotation (R) 0 to 40 degrees, (L) 0 to 15 degrees; sidebending (R) 0 to 30 degrees, (L) 0 to 20 degrees MMT Strength Testing: Upper trapezius (B) 5/5; middle trapezius (R) 3/5, (L) 2/5; lower trapezius (B) 2/5; sternocleidomastoid (B) 2/5; trunk curl 3/5; bilat leg lowering (abdominals)  2/5; Palpation: Tender to light pressure in suboccipital region, medial upper and mid trapezius, SCM origin & insertion L > R Function: sitting tol. 20 mins, standing tol. 15 mins, can lift 5lbs from knee to waist and waist to shoulder level with mild increase in discomfort; unable to lift heavier loads due to significant increase in pain, unable to lift loads from floor level, unable to reach/lift overhead due to pain.  Amb. independently indoor and outdoors w/o assistive device, up to ½ mile on level surfaces with reports of fatigue and increased discomfort/pain; Amb. elevations independently w/o AD but uses 1 rail on stairs for stability.   Question 45 List 2 further key PT tests and measures that would be appropriate for the PT to perform on this patient with CC of neck/scapular pain to assist in identifying impairments other than those related to aerobic capacity. Include a brief rationale as to why you selected each of these tests. (2 pts)

Question #40  – The patient case is repeated here for your convenience  Mary is a 55-year-old female with CC of 3-month history of left sided neck and central – left upper back/scapula pain. SH: married with twin 10 year old children; she is trained as a research lab. technician but is currently a homemaker. CLOF: Mary reports she is having a “hard time keeping with her husband and children” and increasing difficulty managing her home. Even minor activities such as reaching to upper cabinets/closets, lifting and carrying groceries or laundry result in significant pain. As a result she has been very sedentary lately and feels that she fatigues easily. PLOF: Independent in all BADLs and IADLs, worked full time  PMH:  hypercholestemia (210mg/dL) SH: current smoker – 1 pack per day x 35 years MEDS: takes Tylenol for current pain; started taking over the counter allergy medicine, Zyrtec, by mouth 3 weeks ago because of recent nasal congestion and cough. She is self referred to PT with goals to decrease pain, return to regular activities and exercise, and to feel good enough to be able to start part-time work. PHYSICAL EXAMINATION: Posture and Observation: Posterior pelvic tilt, increased thoracic kyphosis, Mod forward head, C – spine in L side bend.   Height:  1.75 meters  (69 in)    Weight: 55 kg  (121 lbs)       BMI: 18.28 VSs at rest: HR 84 bpm, reg ;  RR 22,  upper chest breathing pattern  BP  120/75 Active Range of Motion: Cervical spine: flexion 0 to 30 degrees; extension 0 to 25 degrees; rotation (R) 0 to 40 degrees, (L) 0 to 15 degrees; sidebending (R) 0 to 30 degrees, (L) 0 to 20 degrees MMT Strength Testing: Upper trapezius (B) 5/5; middle trapezius (R) 3/5, (L) 2/5; lower trapezius (B) 2/5; sternocleidomastoid (B) 2/5; trunk curl 3/5; bilat leg lowering (abdominals)  2/5; Palpation: Tender to light pressure in suboccipital region, medial upper and mid trapezius, SCM origin & insertion L > R Function: sitting tol. 20 mins, standing tol. 15 mins, can lift 5lbs from knee to waist and waist to shoulder level with mild increase in discomfort; unable to lift heavier loads due to significant increase in pain, unable to lift loads from floor level, unable to reach/lift overhead due to pain.  Amb. independently indoor and outdoors w/o assistive device, up to ½ mile on level surfaces with reports of fatigue and increased discomfort/pain; Amb. elevations independently w/o AD but uses 1 rail on stairs for stability.   QUESTION 40 List 3 further PT examination components/test and measures that should be performed within the Systems Review in order to help determine whether this patient is appropriate for initiation of PT treatment and/or whether a referral for further medical evaluation is required AND briefly explain how the results of these tests will assist in determining the appropriate course of action for this patient (3 pts)

An elderly patient has been hospitalized for the past 3 days with pneumonia. The MD and patient are hoping for a home discharge tomorrow. The patient lives with their sister in a first floor apartment.  The PT has determined that ambulation status is independent with rolling walker up to 15ft. which is not enough to allow the patient to get from the bed to the bathroom (30 feet). Which of the following is the most appropriate PT recommendation?

A patient performs the middle 6 meter section of the 10 Meter Walk Test in an averaged time of 3 seconds. What is the patient’s average walking speed?

Mary is a 55-year-old female with CC of 3-month history of left sided neck and central – left upper back/scapula pain. SH: married with twin 10 year old children; she is trained as a research lab. technician but is currently a homemaker. CLOF: Mary reports she is having a “hard time keeping with her husband and children” and increasing difficulty managing her home. Even minor activities such as reaching to upper cabinets/closets, lifting and carrying groceries or laundry result in significant pain. As a result she has been very sedentary lately and feels that she fatigues easily. PLOF: Independent in all BADLs and IADLs, worked full time  PMH:  hypercholestemia (210mg/dL) SH: current smoker – 1 pack per day x 35 years MEDS: takes Tylenol for current pain; started taking over the counter allergy medicine, Zyrtec, by mouth 3 weeks ago because of recent nasal congestion and cough. She is self referred to PT with goals to decrease pain, return to regular activities and exercise, and to feel good enough to be able to start part-time work. PHYSICAL EXAMINATION: Posture and Observation: Posterior pelvic tilt, increased thoracic kyphosis, Mod forward head, C – spine in L side bend.   Height:  1.75 meters  (69 in)    Weight: 55 kg  (121 lbs)       BMI: 18.28 VSs at rest: HR 84 bpm, reg ;  RR 22,  upper chest breathing pattern  BP  120/75 Active Range of Motion: Cervical spine: flexion 0 to 30 degrees; extension 0 to 25 degrees; rotation (R) 0 to 40 degrees, (L) 0 to 15 degrees; sidebending (R) 0 to 30 degrees, (L) 0 to 20 degrees MMT Strength Testing: Upper trapezius (B) 5/5; middle trapezius (R) 3/5, (L) 2/5; lower trapezius (B) 2/5; sternocleidomastoid (B) 2/5; trunk curl 3/5; bilat leg lowering (abdominals)  2/5; Palpation: Tender to light pressure in suboccipital region, medial upper and mid trapezius, SCM origin & insertion L > R Function: sitting tol. 20 mins, standing tol. 15 mins, can lift 5lbs from knee to waist and waist to shoulder level with mild increase in discomfort; unable to lift heavier loads due to significant increase in pain, unable to lift loads from floor level, unable to reach/lift overhead due to pain.  Amb. independently indoor and outdoors w/o assistive device, up to ½ mile on level surfaces with reports of fatigue and increased discomfort/pain; Amb. elevations independently w/o AD but uses 1 rail on stairs for stability.     Question 39  List 4 KEY follow up (FUP) questions/topics that should be asked of this patient within the Review of Systems and screening for referral process.  These questions should help guide the PT in deciding whether PT and/or referal is approprriate. (2 pts)

A patient presents with c/o pain in R. knee during ambulation. Exam findings: R. knee AROM is decreased and painful; PROM is normal with “stretch like discomfort pain” at end range of Flex; Isometric testing of knee Ext reproduces pain. Given these findings, which of the following statements is the MOST appropriate clinical deduction regarding the likely source of this patient’s pain?

You measured a 70 year old female patient’s comfortable gait speed at 0.85m/s and fastest gait speed at 1.1 m/s.  Which of the following is the most accurate assessment of this finding?