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Question
A physical therapist is treating a patient who sustained a complete spinal cord injury. The patient currently walks with bilateral knee-ankle-foot orthoses and forearm crutches. The patient asks the therapist about how to correctly descend 1 step. Which of the following actions is MOST appropriate for the therapist to take?
1. Instruct the patient to approach the step facing forward, lower the legs to the next step, and then place the crutches on that step.
2. Instruct the patient to approach the step facing forward, place the crutches on the lower step, and then lower the legs to that step.
3. Explain to the patient that descending stairs is not an appropriate goal at this time.
4. Instruct the patient to approach the step facing forward, place one crutch on the lower step, lower the legs to that step, and then place the other crutch on that step.
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