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# NPTE Study Guide: Your Comprehensive Guide to Success
Are you a physical therapist or physical therapist assistant preparing for the National Physical Therapy Examination (NPTE)? The pressure is on, and the stakes are high. Passing the NPTE is crucial for launching your career. This comprehensive NPTE study guide is designed to equip you with the strategies and resources you need to confidently conquer the exam and achieve your professional goals. We'll delve into effective study techniques, recommended resources, and crucial tips to maximize your chances of success. Let's get started on your journey to becoming a licensed physical therapist!
Understanding the NPTE Exam Format
Before diving into study strategies, it's crucial to understand the exam's structure. The NPTE is a computer-based test with a combination of multiple-choice and case-based questions. The questions assess your knowledge and application of physical therapy principles across various areas, including:
Key Areas Covered in the NPTE:
Musculoskeletal: This section covers a broad range of topics, including anatomy, biomechanics, pathology, and treatment techniques related to the musculoskeletal system. Expect questions on joint mobilization, manual therapy, exercise prescription, and common musculoskeletal conditions.
Neuromuscular: This section focuses on neurological conditions and their impact on movement. You'll need a strong understanding of neurological anatomy, pathology, assessment, and intervention strategies for conditions like stroke, spinal cord injury, and multiple sclerosis.
Cardiopulmonary: This area requires knowledge of cardiovascular and pulmonary anatomy, physiology, pathology, and rehabilitation techniques for patients with cardiac and pulmonary conditions.
Integumentary: Understanding the integumentary system, including wound care, skin grafts, and pressure ulcer management, is critical for passing the NPTE.
Psychosocial: The NPTE also assesses your understanding of the psychosocial aspects of patient care, including communication, patient education, and ethical considerations.
Creating Your Effective NPTE Study Plan
A well-structured study plan is essential for success. Here's a breakdown of how to create yours:
1. Assess Your Strengths and Weaknesses:
Begin by honestly evaluating your understanding of each subject area. Identify your strengths and areas where you need more focus. This self-assessment will help you prioritize your study time.
2. Set Realistic Goals:
Don't try to cram everything into the last few weeks. Create a realistic timetable that allows for consistent study sessions over an extended period. Break down the material into manageable chunks.
3. Utilize Diverse Study Resources:
Relying on a single resource is risky. Supplement your primary textbook with practice questions, online resources, and study groups. The more exposure you have to different question styles and explanations, the better prepared you'll be.
4. Active Recall and Spaced Repetition:
Instead of passively rereading notes, actively test your knowledge. Use flashcards, practice questions, and teach the material to someone else to reinforce your learning. Spaced repetition, revisiting material at increasing intervals, is crucial for long-term retention.
5. Practice, Practice, Practice:
The NPTE is a high-stakes exam, and consistent practice is key. Utilize practice exams to simulate the test environment and identify areas needing improvement. Analyze your mistakes to understand your weaknesses and adjust your study strategy accordingly.
Recommended NPTE Study Resources
There are numerous resources available to help you prepare for the NPTE. Here are a few highly regarded options:
Official NPTE Content Outline: Start with the official content outline provided by the Federation of State Boards of Physical Therapy (FSBPT). This outlines the specific topics covered in the exam.
Textbooks and Study Guides: Several reputable textbooks and study guides cater specifically to NPTE preparation. Research and choose one that aligns with your learning style.
Online Resources and Practice Exams: Many websites offer practice questions and online courses designed for NPTE preparation. Look for reputable sources with high-quality content.
Study Groups: Collaborating with fellow students can enhance your understanding and provide support. Discussing challenging concepts and practicing together can significantly boost your confidence.
Mastering Test-Taking Strategies
Beyond content mastery, effective test-taking strategies are essential.
Tips for Success:
Time Management: Practice pacing yourself during practice exams to ensure you can complete the test within the allotted time.
Eliminate Incorrect Answers: Use process of elimination to narrow down your choices.
Read Carefully: Pay close attention to the wording of each question to avoid misinterpretations.
Manage Test Anxiety: Develop coping mechanisms for test anxiety, such as deep breathing exercises or mindfulness techniques.
Conclusion
Passing the NPTE is a significant achievement that opens doors to a fulfilling career in physical therapy. By employing effective study strategies, utilizing a variety of resources, and practicing consistently, you can significantly increase your chances of success. Remember to stay organized, stay positive, and trust in your abilities. Your hard work and dedication will pay off.
FAQs
1. How long should I study for the NPTE? The ideal study time varies depending on individual factors, but most candidates dedicate several months to preparation.
2. Are there any free NPTE resources available? While many resources are paid, you can find some free practice questions and study materials online. However, be cautious about the quality and accuracy of free resources.
3. Can I retake the NPTE if I fail? Yes, you can retake the NPTE if you don't pass on your first attempt. The FSBPT website provides information regarding retake policies.
4. What is the pass rate for the NPTE? The pass rate varies slightly from year to year, but it generally falls within a specific range. Check the FSBPT website for the most up-to-date information.
5. What should I do if I'm feeling overwhelmed during my studies? Take breaks, practice self-care, and reach out to your support network for encouragement and guidance. Consider seeking help from a mentor or counselor if needed.
| npte study guide: National Physical Therapy Examination Review and Study Guide Susan O'Sullivan, Raymond Siegelman, Scott Shaffer, Thomas Sutlive, 2019-10 |
| npte study guide: National Physical Therapy Examination Susan B. O'Sullivan, 2004 |
| npte study guide: Ptaexam Scott M. Giles, 2014-07 Overview: Utilize our comprehensive academic review and then perfect your skills on five full-length sample exams- more questions than any other review product. Our clinically oriented questions prepare you for the rigor of the actual exam and offer an ideal method to determine your current strengths and weaknesses. An extensive academic review and powerful study tools provide candidates with an ideal opportunity to prepare for the breadth and depth of the current examination. |
| npte study guide: Npte Secrets: Npte Exam Review for the National Physical Therapy Examination Mometrix Media, 2016-02 ***Includes Practice Test Questions*** NPTE Secrets helps you ace the National Physical Therapy Examination, without weeks and months of endless studying. Our comprehensive NPTE Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. NPTE Secrets includes: The 5 Secret Keys to NPTE & NPTAE Test Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; A comprehensive General Strategy review including: Make Predictions, Answer the Question, Benchmark, Valid Information, Avoid Fact Traps, Milk the Question, The Trap of Familiarity, Eliminate Answers, Tough Questions, Brainstorm, Read Carefully, Face Value, Prefixes, Hedge Phrases, Switchback Words, New Information, Time Management, Contextual Clues, Don't Panic, Pace Yourself, Answer Selection, Check Your Work, Beware of Directly Quoted Answers, Slang, Extreme Statements, Answer Choice Families; A comprehensive review including: Nervous System, Signs and Symptoms, Major Hormones, Respiratory System, Cardiac Review, Maternal Responses, Psychological Processes, Blood and Urine Values, Nutrient Review, Pediatric Conditions, Musculoskeletal Conditions, GI Disease Review, Organ Functions, Pathological Conditions, Basic Tissues, Wound Care, Special Test, Exercise Principles, Gait Cycle, Prosthetic Terminology, Normal Lab Values, Modalities, Developmental Milestones, MET Review, and much more... |
| npte study guide: Saunders' Q & A Review for the Physical Therapy Board Examination E-Book Brad Fortinberry, Saunders, 2010-03-18 With over 1,200 multiple choice review questions written to parallel the content and format of the National Physical Therapy Board Examination (NPTE), Saunders' Q&A Review for the Physical Therapy Board Examination provides more NPTE practice than any other review resource available. Strengthen your understanding of core principles across the full spectrum of physical therapy practice with comprehensive exam practice from specialty experts. This title includes additional digital media when purchased in print format. For this digital book edition, media content is not included. - More than 1,200 multiple-choice questions test your understanding of key content across a variety of practice environments, including schools, hospitals, and communities. - Organized by topic, it parallels the content and proportional question breakdown of the board examination to familiarize you with the testing format. - Correct answers, detailed rationales, and specific references help you get more out of your study time. |
| npte study guide: NPTAE Secrets Nptae Exam Secrets Test Prep, 2018-04-12 ***Includes Practice Test Questions*** NPTAE Secrets helps you ace the National Physical Therapy Assistant Examination, without weeks and months of endless studying. Our comprehensive NPTAE Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. NPTAE Secrets includes: The 5 Secret Keys to NPTE & NPTAE Test Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; A comprehensive General Strategy review including: Make Predictions, Answer the Question, Benchmark, Valid Information, Avoid Fact Traps, Milk the Question, The Trap of Familiarity, Eliminate Answers, Tough Questions, Brainstorm, Read Carefully, Face Value, Prefixes, Hedge Phrases, Switchback Words, New Information, Time Management, Contextual Clues, Don't Panic, Pace Yourself, Answer Selection, Check Your Work, Beware of Directly Quoted Answers, Slang, Extreme Statements, Answer Choice Families; A comprehensive review including: Nervous System, Signs and Symptoms, Major Hormones, Respiratory System, Cardiac Review, Maternal Responses, Psychological Processes, Blood and Urine Values, Nutrient Review, Pediatric Conditions, Musculoskeletal Conditions, GI Disease Review, Organ Functions, Pathological Conditions, Basic Tissues, Wound Care, Special Test, Exercise Principles, Gait Cycle, Prosthetic Terminology, Normal Lab Values, Modalities, Developmental Milestones, MET Review, and much more... |
| npte study guide: Physical Therapist Assistant Exam Review Guide Mark Dutton, 2011-05-11 Begin the task of studying for the National Physical Therapy Examination (NPTE) for Physical Therapist Assistants (PTAs) by concentrating on those subject areas where you need the most help! Physical Therapist Assistant Exam Review Guide includes a bound-in online access code for JB TestPrep: PTA Exam Review. Both resources provide thorough exam preparation help for physical therapist assistant candidates preparing to sit for the certification exam.Physical Therapist Assistant Exam Review Guide incorporates thorough overviews of exam content consistent with the Guide to Physical Therapist Practice and the NPTE for PTAs detailing the fundamentals of the profession, the body's systems, and therapeutic procedures, and providing dedicated chapters on pediatrics, geriatrics, and pharmacology. Study questions in each chapter test reader comprehension; Key Points boxes highlight important information throughout; and tables and figures provide visual points of reference for learners. JB TestPrep: PTA Exam Review is a dynamic, web-based program includes interactive exam-style questions with instant feedback providing answers and explanations for review and study. Test-takers can also complete a full final exam and browse their results, including a performance analysis summary that highlights which topics require further study. All exam results are saved for later viewing to track progress and improvement.KEY FEATURES* Presents detailed content overviews consistent with the Guide to Physical Therapist Practice and the NPTE content* Includes basic, helpful information on taking the NPTE for PTAs* Contains the latest AHA CPR guidelines* Provides a variety of exam-style questions with answers and explanations * Gives instant feedback to sample exams in the online programAppendices Include: Guide For Conduct of the Physical Therapist Assistant; Standards of Ethical Conduct for the Physical Therapist Assistant; Standards of Practice for Physical Therapy; The 24-hour Clock; and Units of International MeasureBy the time you are done with the Physical Therapist Assistant Exam Review Guide and JB TestPrep: PTA Exam Review, you will feel confident and prepared to complete the final step in the certification process--passing the examination! |
| npte study guide: Orthopaedic Examination, Evaluation, and Intervention Mark Dutton, 2008-02-24 A complete, evidence-based guide to orthopaedic evaluation and treatment Acclaimed in its first edition, this one-of-a-kind, well-illustrated resource delivers a vital evidence-based look at orthopaedics in a single volume. It is the ultimate source of orthopaedic examination, evaluation, and interventions, distinguished by its multidisciplinary approach to PT practice. Turn to any page, and you'll find the consistent, unified voice of a single author-a prominent practicing therapist who delivers step-by-step guidance on the examination of each joint and region. This in-depth coverage leads clinicians logically through systems review and differential diagnosis, aided by decision-making algorithms for each joint. It's all here: everything from concise summaries of functional anatomy and biomechanics, to an unmatched overview of the musculoskeletal and nervous systems. |
| npte study guide: Npte Flashcard Study System Mometrix Media Llc, 2010 |
| npte study guide: McGraw-Hill's NPTE (National Physical Therapy Examination) Mark Dutton, 2009-08-05 YOUR COMPLETE NPTE SUCCESS GUIDE! Everything you need to pass the NPTE on your first try is right here! This all-in-one study guide gives you a concise review of the curriculum that's consistent with the NPTE content outline. You'll also get access to 500 exam-simulating Q&As, available for download. It adds up to the most comprehensive, confidence-boosting package for acing the exam! This score-boosting all-in-one package gives you: Coverage that spans the entire physical therapy curriculum - and all the content tested on the NPTE Quick-study content review format Exam-style questions and answers at the end of each chapter 500 exam-format questions and answers that simulates the real exam, available for download |
| npte study guide: PTA Examination Review and Study Guide Susan O'Sullivan, Raymond Siegelman, 2019-03-31 |
| npte study guide: Physical Therapist Assistant Exam , 2010 Practical Spelling features key rules of spelling, hundreds of practice exercises, and advice on how to use individual learning styles and strengths to remember difficult words. |
| npte study guide: PTEXAM Scott M. Giles, 2024 Chapter essentials and proficiency exercises throughout the review book assist students to develop mastery of essential National Physical Therapy Examination content. Our clinically-oriented questions with expansive explanation of answers prepare candidates for the rigor of the actual exam and offer an ideal method to determine current strengths and weaknesses. The Complete Study Guide includes: Comprehensive academic review; 60 clinical application templates; Three full-length examinations with explanation of answers for correct and incorrect options; and a complete index for the academic review and sample examinations. |
| npte study guide: Improving Functional Outcomes in Physical Rehabilitation Edward Bezkor, Susan B. O'Sullivan, Thomas J. Schmitz, 2021-11-19 Achieve the best functional outcomes for your patients. Here is a practical, step-by-step guide to understanding the treatment process and selecting the most appropriate interventions for your patients. Superbly illustrated, in-depth coverage shows you how to identify functional deficits, determine what treatments are appropriate, and then implement them to achieve the best functional outcome for your patients. Learn through reading, seeing, and doing. Seventeen case studies in the text correspond to seventeen videotaped case studies with voice-over narration online at FADavis.com. These videos show you how practicing therapists interact with their clients in rehabilitation settings…from sample elements of the initial examination through the interventions to the functional outcomes…to make a difference in patients’ lives. |
| npte study guide: Ther Ex Notes Carolyn Kisner, Lynn Allen Colby, 2017-10-19 Put the information you need at your fingertips with this handy, easy-to-use guide to the proper exercises for your patients. Each joint tab follows a consistent order—general exercises for the specific region, followed by common pathologies and surgeries, with specific interventions for each pathology or surgery. Crystal-clear photographs show you a wealth of different techniques, while a streamlined format makes the information extremely easy to understand. |
| npte study guide: Effective Documentation for Physical Therapy Professionals Eric Shamus, Debra Feingold Stern, 2004 This is a comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current APTA terminology and covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. (Midwest). |
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| npte study guide: Physical Rehabilitation Laboratory Manual Susan B. O'Sullivan, Thomas J. Schmitz, 1999 ... this manual does an excellent job of merging traditional and contemporary principles of neurotherapeutic intervention, all with a practical, functional orientation. -- Physical Therapy Care Reports, Vol. 2, No. 1, January 1999 Here's an integrated physical therapy model applicable to a variety of clinical problems and diagnoses. After exploring the application of treatment techniques, the authors focus on clinical decision-making strategies using clinical problems and progressively comprehensive case studies. This text offers a wonderful source of ideas for developing laboratory experiences that will be directly applicable to clinical situations that our students will face in their future practice. -- Mark W. Pape, MSPT, Angelo State University, San Angelo, Texas |
| npte study guide: Dutton's Introduction to Physical Therapy and Patient Skills Mark Dutton, 2014-01-13 Written by a practicing physical therapist, this comprehensive textbook provides the conceptual framework necessary to understand every aspect of physical therapy and eventually perform physical therapy intervention. Includes a companion DVD that provides video coverage of more than fifty techniques discussed in the book.--From publisher description. |
| npte study guide: Differential Diagnosis for Physical Therapists Catherine Cavallaro Goodman, Teresa E. Kelly Snyder, 2012 Following the standards for competency established by the American Physical Therapy Association (APTA) related to conducting a screening examination, Differential Diagnosis for Physical Therapists, 5th Edition gives you a consistent way to screen for systemic diseases and medical conditions that can mimic neuromuscular and musculoskeletal problems. This comprehensive text centers on a 5-step screening model that covers past medical history, risk factor assessment, clinical presentation, associated signs and symptoms, and review of symptoms for each client. |
| npte study guide: Musculoskeletal Interventions: Techniques for Therapeutic Exercise Michael Voight, Barbara Hoogenboom, William Prentice, 2006-12-05 The definitive, A-to-Z overview of evidence-based rehab programs using therapeutic exercise In this exceptional evidence-and-guide-based, clinically-oriented resource, you'll learn everything you need to know about the design, implementation, and supervision of therapeutic exercise programs for orthopedic injuries and disorders. The book's logical five-part organization begins with an instructive look at the foundations of the rehabilitation process, then covers the treatment of physiologic impairments during rehabilitation; rehabilitation tools; intervention strategies; and special considerations for specific patient populations. Features Helpful review of the foundations of the rehabilitation process, thorough coverage of managing the healing process through rehabilitation, and an algorithm-based approach to musculoskeletal rehabilitation Complete survey of rehabilitation tools, from isokinetics, aquatic therapy, and orthotics, to a four-step clinical model for the essentials of functional exercise Full chapters on functional progressions and functional testing and unique coverage of core stabilization training, impaired function, and impaired muscular control Unique coverage of a functional movement screen A practical system for history-taking and scanning Unique coverage of how to treat special segments of the population, including geriatric and pediatric patients, amputees, and the active female An easy-to-follow body region approach to intervention strategies Handy appendices covering the American College of Sports Medicine position statements on strength training and fitness development An abundance of study-enhancing illustrations, plus clinical pearls and protocols designed to speed clinical decision making |
| npte study guide: Guide to Physical Therapist Practice American Physical Therapy Association (1921- ), 2001-01-01 This text guides patterns of practice; improves quality of care; promotes appropriate use of health care services; and explains physical therapist practice to insurers, policymakers, and other health care professionals. This edition continues to be a resource for both daily practice and professional education. |
| npte study guide: Culturally Responsive Teaching Geneva Gay, 2010 The achievement of students of color continues to be disproportionately low at all levels of education. More than ever, Geneva Gay's foundational book on culturally responsive teaching is essential reading in addressing the needs of today's diverse student population. Combining insights from multicultural education theory and research with real-life classroom stories, Gay demonstrates that all students will perform better on multiple measures of achievement when teaching is filtered through their own cultural experiences. This bestselling text has been extensively revised to include expanded coverage of student ethnic groups: African and Latino Americans as well as Asian and Native Americans as well as new material on culturally diverse communication, addressing common myths about language diversity and the effects of English Plus instruction. |
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| npte study guide: TherapyEd's Speech-language Pathology Gregory L. Lof, Alex F. Johnson, 2015 The Guide is designed to help students prepare for and succeed on their Comprehensive and PRAXIS® Exams. It combines a comprehensive content review with rigorous practice exams to make sure students are fully prepared for the PRAXIS®. Successful study strategies and up-to-date information on the licensure process is also included. |
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| npte study guide: The Color Atlas of Physical Therapy Eric Shamus, 2014-10-31 A FULL-COLOR, CASE-BASED PHYSICAL THERAPY ATLAS FOR CLINICIANS AND STUDENTS The Color Atlas of Physical Therapy delivers a high-quality visual presentation of the disorders a physical therapist would most likely encounter in daily practice. Enhanced by more than 1,000 full-color illustrations and concise, evidence-based treatment recommendations, the book features a consistent design that makes information retrieval at the point of care fast and easy. MOST CHAPTERS INCLUDE VITAL INFORAMTION SUCH AS: Condition/Disorder Synonyms ICD -9 and 10-CM Codes Preferred Practice Patterns Patient Presentation Key Features: Description Essentials of Diagnosis General Considerations Demographics Clinical Findings: Signs and Symptoms Functional Implications Possible Contributing Causes Differential Diagnosis Functional Goals Means of Confirmation: Laboratory Imaging Findings and Interpretation Treatment: Medications Medical Procedures Referrals Impairments Tests and Measures Intervention Prognosis References Patient Resources |
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| npte study guide: Swift Notes a Visual Reference for the Outpatient Physical Therapist Swift Notes Publishing LLC, 2021 The Swift Notes resource guide was designed by full time outpatient physical therapists to address the individual needs of this profession! Quick resource guides have found their way on to nurse's stations for decades. After noticing a void in the rehab world, we decided to create one. Unlike other products on the market, this resource has vibrant diagrams and clinically pertinent information rather than hundreds of pages of densely written text |
| npte study guide: Dutton's Orthopedic Survival Guide: Managing Common Conditions Mark Dutton, 2011-02-28 The ideal handbook for Physical Therapy students going through orthopaedic clinic rotations, with step-by-step guidelines and a convenient size. Market / Audience Primary Market: 30,000 Physical Therapy students in the US Secondary: 155,000 practicing Physical Therapists About the Book Physical Therapy students spend a lot of time on clinical rotations, learning how to treat the most common orthopaedic conditions. Presently there is no pocket-sized, handy reference that will guide them through rotations and help prepare them for practice. Clinical Companion: Managing the Most Common Orthopaedic Conditions, is that book. To date, the competition has been bulky textbooks that are comprehensive but far too big to carry on rotations. This will not be a spin-off of Dutton's larger Orthopaedic text, but a practical guide with unique content that students will want. Small in size, but comprehensive in content, it will contain everything the student needs to diagnose and treat the most commonly-seen conditions. With introductory chapters to prep students for treating patients, the book will progress to four Sections covering the conditions: The Upper Quadrant, The Lower Quadrant, The Spine, and Systemic Conditions. We will also make videos available to users of the book via the Dutton Orthopaedics OLC. Key Selling Features Case studies at the end of each section to enhance the decision-making process for students Q&A will test student's ability to determine the stage of healing, decide the best course of treatment, and evaluate results throughout the patient's care. Focusing on the 50 most common orthopaedic conditions treated by Physical Therapists, this will be the first handbook-sized reference designed specifically for students on clinical rotation. Author Profile Mark Dutton, PT Allegheny Hospital West Penn Allegheny Health System (WPAHS) Adjunct Clinical Assistant Professor Duquesne Universtiy School of Health Sciences Pittsburgh, PA Mark Dutton (Bradfordwoods, PA) is an accomplished author who will ensure quality, consistency, and timeliness to this work. His career as a practicing Physical Therapist and Adjunct Assistant Professor helps keep him abreast of advances in the field and gives him an ability to translate that to the educational field. His book Orthopaedic Examination, Evaluation, and Intervention, now in its second edition, has been very successful in the PT market, as has his new title, McGraw-Hill's National Physical Therapy Exam, published in March, 2009, has also been well-received. In addition to his impressive skills and experience, he is also a can-do author who will submit manuscript on time and create questions and quality video assets for this work. Review: The following is a review of Dutton's second edition of Orthopaedic Examination, Evaluation, and Intervention (2/08): 5 STAR DOODY'S REVIEW! Major areas in orthopedics including anatomy, kinesiology, and biomechanics of movement are covered, along with a healthy dose of pathology that impacts patient function. Clinical pearls appear in highlighted boxes throughout, and camera icons indicate where video clips should be viewed. This second edition is more comprehensive than the first. Overall, this is a valuable reference that achieves a nice balance between detailing examination and treatment. Other books tend to be limited to addressing only one of these areas, but not both. This combination makes the book unique. -- Doody's |
| npte study guide: Orthopedic Physical Assessment David J Magee, Bpt PhD CM, Robert C Manske, 2020-10 |
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2 Musculoskeletal Topics Details Shoulder joint its • • Biomechanics of Shoulder Joint • Glenohumeral Rhythm • (How scapula and Humerus moves with a Rhythm of 2:1 in complete 180 Degrees
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