NCS Cerebellar Dysfunction

Question 1

your patient has spinocerebellar degeneration. what strategy would be helpful to improve dynamic gait over uneven surfaces
a. practicing coordination/accuracy of stepping
b. weighting their trunk
c. visual sampling looking at where you are stepping

Answer 1

c. visual sampling looking at where you are stepping

Question 2

which of the following is not a way that cerebellar dysfunction affects balance and gait
a. increased sway
b. gait ataxia
c. abnormal eye movement
d. muscular instability

Answer 2

d. muscular instability

Question 3

true or false: patient with cerebellar dysfunction will likely c/o fatigue or poor endurance

Answer 3

true

Question 4

your patient has balance and gait dysfunction as a result of cerebellar dysfunction
which would not be an appropriate treatment
a. coordination of LE stepping
b. dynamic balance training
c. gait training

Answer 4

a. coordination of LE stepping

Question 5

true or false: treadmill obstacle avoidance improved functional outcomes on BBS and ABC in persons with cerebellar dysfunction

Answer 5

false! improved task specific obstacle avoidance

Question 6

what does improvement in balance and gait speed depend on?

Answer 6

intensity of intervention/balance challenge

Question 7

true or false: treadmill training improved functional outcomes on ICARS in persons with cerebellar dysfunction post-stroke

Answer 7

true

Question 8

true or false: challenging seated/standing balance HEP improves functional outcomes including walking speed, TUG, DGI

Answer 8

true

Question 9

you are working on dynamic balance with a patient who has cerebellar dysfunction
which strategy can help the patient succeed if the exercise is difficult
a. use vision
b. slow down
c. high rep practice
d. all of the above

Answer 9

d. all of the above

Question 10

what is the problem with prioproception testing in persons with cerebellar dysfunction

Answer 10

they may have negative testing but impaired gross motor proprioception deficit resulting in force grading impairments or dysmetria

Question 11

what is a positive heel shin test

Answer 11

if the foot falls off the shin