Physical Therapy Assistant Practice Exam

For a 75-year-old female patient with residual balance issues after a stroke, which assistive device would be the most appropriate for ambulation?

1. Standard cane

2. Wheelchair

3. Rolling walker

4. Forearm crutches

The correct answer is: Rolling walker

The most appropriate assistive device for a 75-year-old female patient with residual balance issues after a stroke is a rolling walker. This choice is optimal for several reasons. Firstly, a rolling walker provides a stable base of support, which enhances balance and reduces the risk of falls—an important consideration for someone who has experienced a stroke and may have compromised stability. The ability to have all four points of contact with the ground offers greater security compared to devices with only one or two points of contact. Secondly, rolling walkers are designed with wheels that allow for easier mobility compared to fixed walkers or canes. This can be particularly beneficial for older adults who might struggle with lifting a non-rolling device or who have weakness in their upper body. The wheels facilitate smoother movement, reducing the energy expenditure required for ambulation. Additionally, many models of rolling walkers come with a seat and hand brakes, allowing the patient to rest when needed and providing an extra layer of safety when coming to a stop. This versatility supports not only ambulation but also encourages independence and confidence in movement. Other options, like a standard cane, wheelchair, or forearm crutches, may not provide the same level of support and stability required for a patient recovering from a stroke.