Which of the following is included in middle-stage physical therapy for Huntington's disease?

• A. Strengthening, stretching, ROM
• B. Functional/ADL training
• C. Fall prevention
• D. Respiratory training

Answer: (A)

In middle-stage Huntington’s, the emphasis is on preserving mobility and independence as movement becomes more limited. Strengthening helps maintain the muscle power needed for transfers, standing, and daily tasks. Stretching keeps muscles lengthened and helps prevent contractures that can develop from abnormal movements and reduced activity. Maintaining range of motion keeps joints moving so daily activities remain possible and reduces stiffness. Together, these elements form the foundation for sustaining function as the disease progresses.

Functional/ADL training and fall prevention are important and often addressed, but the core physical therapy focus in this stage centers on preserving strength, flexibility, and joint mobility. Respiratory training tends to be more relevant later when respiratory muscles are affected.