In late-stage Huntington's disease, the focus of physical therapy is typically on which area?

• A. Respiratory therapy
• B. ROM and posture/seating
• C. ROM and gait training
• D. Strength training

Answer: (B)

Preserving joint mobility and preventing deformities through ROM management and optimal seating is the focus because late-stage Huntington's disease leads to severe immobility and abnormal postures. Maintaining range of motion (even passively) helps prevent contractures and keeps the spine, hips, and shoulders in better alignment, which reduces pain and makes daily care easier. A well-supported seating position with appropriate cushions and supports helps sustain posture, prevents pressure injuries, and supports breathing and swallowing comfort as much as possible. Gait training isn’t practical when walking is no longer feasible, and while strengthening has limited value at this stage, the dominant goal is to keep joints flexible and properly aligned. Respiratory care remains important but falls outside the primary PT focus, which centers on ROM and posture/seating.