Which is an example of downstream physical therapy care?

• A. Primary prevention
• B. Stroke rehab
• C. Vaccination
• D. Fitness coaching

Answer: (B)

Downstream physical therapy care means rehabilitation that happens after a health event has occurred, with the goal of restoring function and reducing disability. Stroke rehab is a clear example because the therapy starts after the stroke to help the person relearn movement, rebuild strength, balance, and coordination, and regain independence in daily tasks. This contrasts with prevention-focused options—such as preventing the event from happening or preventing illness from spreading—that occur upstream rather than during recovery. Fitness coaching is more about ongoing conditioning and wellness rather than repairing function after a specific health event.