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OVER 98% PASS RATE FOR THE NCS, PCS, OCS, AND GCS EXAMS › forums › NCS Advantage › Exam 3 question

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    • February 27, 2021 at 10:47 am #472194
      Cathryn Ledwick
      Participant

      Hi there!

      For the exam 3 question about causes of knee hyperextension in mid stance, could you explain how hamstring weakness could contribute to this gait deviation? Thank you!

    • February 28, 2021 at 3:55 pm #472481
      Chrissy Durrough Lugge
      Keymaster

      Hi Cathryn,

      Individuals with profound hamstring weakness may have knee hyperextension in mid-stance due to a lack of eccentric control of knee extension (i.e., normally functioning hamstrings could prevent the knee from snapping into hyperextension).

      Chrissy

    • March 6, 2021 at 9:26 am #473220
      Cathryn Ledwick
      Participant

      Okay that makes sense! Thank you!

    • December 27, 2021 at 4:16 pm #479404
      Margaret Frank
      Participant

      Hi Chrissy

      I also have a question regarding exam 3. One question asks what type of AFO would you consider for someone who has the following: decreased foot clearance during swing phase, knee hyperextension during stance phase, 4/5 knee extensor strength, 2/5 ankle DF strength, 3/5 ankle PF strength, ankle DF PROM 0 deg, impaired proprioception and grade 2 ankle PF spasticity.

      Due to the spasticity, impaired proprioception and generalized weakness in ankles; I choose rigid AFO.

      But the answer is articulating AFO with PF stop

      For the criteria to have rigid AFO based on Ranchos ROADMAP – is a rigid only reasonable for this patient if the patient had ABSENT proprioception? and what is the threshold on spasticity that makes you think rigid AFO (i.e. MAS >2) vs artitculated?

      Thank you for your help!

      • January 4, 2022 at 1:30 pm #479994
        Chrissy Durrough Lugge
        Keymaster

        Hi Margaret,
        Thanks for this question! Yes, because the patient’s plantarflexor spasticity is graded as 2 on the MAS (“affected part easily moved”) and proprioception is impaired (not absent), he falls into the Group D category (articulating AFO with PF stop) on the ROADMAP. Spasticity grades of 3 or greater tend to fall into the severe category because passive movement becomes difficult at that level.
        Hope this helps, and happy New Year!
        Chrissy

    • January 18, 2022 at 8:35 pm #481355
      Dean Papadopoulos
      Participant

      Is there a link to the Ranchos ROADMAP?

      • January 20, 2022 at 1:50 pm #481524
        Chrissy Durrough Lugge
        Keymaster

        Hi Dean! There is a copy of the ROADMAP on the course homepage under Module 12 (Gait and Movement Analysis).

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