Which factor would most likely indicate progressive neurologic dysfunction during PT assessment?

• A. Change in motor status (motor level or mobility) over time
• B. Stable motor status over several months
• C. Improved appetite
• D. Increased sleep duration without motor changes

Answer: (A)

Progressive neurologic dysfunction shows up as new or worsening neurological deficits over time. In PT assessments for individuals with spina bifida, this is most clearly seen when motor status changes—such as a drop in motor level or a decline in mobility on serial exams. Monitoring motor strength, functional movement, and gait across visits helps detect progression, because changes in these motor aspects directly reflect changes in nervous system function. A stable motor status over several months suggests no progression, while changes in appetite or sleep duration do not directly indicate neurological decline and are not reliable signs of progression in this context.