Physical Therapy Assistant Practice Exam

In assessing a child's therapy engagement, what could be a sign of a negative behavior change?

1. Increased participation

2. Frequent complaints of pain

3. Increased physical activity

4. Reduced participation

The correct answer is: Reduced participation

Reduced participation is a clear indicator of negative behavior change in a child's therapy engagement. When a child who previously showed interest and involvement in therapy becomes less engaged, it may reflect several underlying issues such as decreased motivation, increased discomfort or anxiety related to the therapy, or a lack of perceived progress. This withdrawal could be a sign that the child is feeling overwhelmed, frustrated, or not finding the activities beneficial, which can hinder their progress in therapy. Monitoring participation levels is crucial for therapists to adjust treatment plans and ensure that the child's needs are being met appropriately. In contrast, increased participation or increased physical activity would generally suggest a positive change in behavior and engagement. Frequent complaints of pain could indicate issues that need addressing, but they do not inherently measure engagement in therapy activities in the same way that participation levels do.