National Physical Therapy Examination NPTE Quiz
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FOUNDATIONS: EVALUATION, DIFFERENTIAL DIAGNOSIS, & PROGNOSIS
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A 35-year-old patient presents with left leg weakness and numbness that began suddenly after a stressful life event. A comprehensive neurological workup, including an MRI of the brain and spine and an EMG, is completely normal. During the physical therapy evaluation, the therapist notes that when distracted, the patient is able to briefly bear full weight on the left leg. However, during formal testing, the leg gives way with minimal resistance. The sensory loss does not follow any dermatomal pattern.
These findings are characteristic of a functional neurological disorder (conversion disorder). What is the MOST critical element to establish when determining the patient's prognosis?
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