Physical Therapy Assistant Practice Exam

In working with a child with spina bifida who has shown reduced participation, what strategy can help improve participation levels?

1. Increase therapy sessions

2. Develop a reward system

3. Provide more physical challenges

4. Focus on social interaction techniques

The correct answer is: Develop a reward system

Developing a reward system can be particularly effective in enhancing participation levels in children with spina bifida. This strategy leverages positive reinforcement to motivate the child, helping to create an engaging and supportive environment. When children perceive that their efforts are recognized and rewarded, they are more likely to become actively involved in therapy and other activities. Using a reward system can boost a child's confidence and self-esteem, making them more inclined to try new activities or persist through challenging tasks. This approach is beneficial because it aligns with developmental principles that emphasize the importance of intrinsic motivation and autonomy, particularly in children. By highlighting achievements, even small ones, the child may feel a greater sense of accomplishment and, as a result, increase their overall participation. While the other strategies may also have their place, they may not address the motivational aspects as effectively. Simply increasing therapy sessions could lead to fatigue or burnout, while providing physical challenges without a supportive framework might discourage the child if they struggle. Focusing solely on social interaction techniques may require some readiness and willingness from the child to engage, which might not be present without the motivation that a reward system can instill.