NCS Intervention Techniques 3

Question 1

A patient with unilateral vestibular hypofunction has dizziness with horizontal head movement. Which instruction correctly describes a VOR x1 gaze stabilization exercise?

Accepted Answer

Move the head side to side while maintaining visual focus on a stationary target

Answer

VOR x1 exercises require head movement while gaze remains fixed on a stationary target, promoting VOR adaptation to restore gaze stabilization during head movement.

Question 2

A patient with MS has significant lower extremity spasticity limiting functional mobility. Which approach is most appropriate as a first-line physical therapy intervention?

Accepted Answer

Prolonged static stretching and positioning in patterns that inhibit the spastic muscles

Answer

Prolonged static stretching and anti-spasticity positioning are first-line PT interventions, reducing tonic stretch reflex activity and maintaining muscle extensibility.

Question 3

During aquatic therapy for a patient in the recovery phase of Guillain-Barré syndrome (3-/5 strength), which water temperature best supports rehabilitation?

Accepted Answer

Thermoneutral water (33–36°C) to reduce muscle tone and minimize cardiovascular stress

Answer

Thermoneutral water (33–36°C) minimizes cardiovascular demands and reduces muscle tone, making it most appropriate for patients with neuromuscular fatigue and potential autonomic instability in GBS.

Question 4

A patient with Huntington's disease has choreiform movements significantly affecting upper extremity function during ADLs. Which PT intervention strategy is most appropriate?

Accepted Answer

Weighted wrist cuffs and task simplification to reduce movement variability

Answer

Weighted cuffs dampen choreiform amplitude, and task simplification reduces attentional demands, together improving functional performance in Huntington's disease.

Question 5

When using the NDT/Bobath approach to facilitate knee extension during loading response in a patient with spastic hemiplegia, which handling strategy is most appropriate?

Accepted Answer

Handle at the pelvis to facilitate weight shift onto the affected limb and normalize loading response

Answer

Pelvic facilitation and weight-shifting onto the affected side normalizes sensory input and activates appropriate knee extensor activity during loading response through postural alignment.

(NCS) Neurologic Clinical Specialist Practice Test

(NCS) Neurologic Clinical Specialist Practice Test

NCS Intervention Techniques 3