Practice, progress and future directions for physical therapies in Huntington's Disease

Busse, Monica ORCID: https://orcid.org/0000-0002-5331-5909, Khalil, Hanan, Quinn, Lori ORCID: https://orcid.org/0000-0002-2982-923X, Brooks, Simon Philip ORCID: https://orcid.org/0000-0001-9853-6177 and Rosser, Anne Elizabeth ORCID: https://orcid.org/0000-0002-4716-4753 2012. Practice, progress and future directions for physical therapies in Huntington's Disease. Journal of Huntington's Disease 1 (2) , pp. 175-185. 10.3233/JHD-120025

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Abstract

Physical therapies and exercise may have potential as a disease modifying agent in Huntington's disease (HD) and in recent years, there have been several small scale feasibility studies that have shown benefit as a result of physical interventions. When evaluating complex physical interventions, a phased approach using mixed methodology designs that report specific intervention components, adherence, acceptability, adverse events and defined intervention protocols is important for replication and planning of future trials and to ensure potential for implementation in clinical practice. A narrative review of the available literature related to physical activity, physical therapy and exercise in people with HD was performed using a population, intervention, comparison and outcome (PICO) approach. Eight studies met specific inclusion criteria and were reviewed in terms of their systematic conduct and reporting standards. All of the studies (n = 8) provided details of intervention including location and duration. The majority of interventions included balance training activities in combination with other complex activities of daily living that required therapist supervision. Two of the interventions were home based, the remainder were facility or hospital based. None of the studies reported adverse events whilst only 3/8 reported adherence rates which were ranging from 60–80%. In general, limited detail was provided on the specific individual components of the interventions. This review of primary publications and conference proceedings, suggests that researchers working in the field need to focus on clearer reporting of intervention protocols so as to generate a clearer understanding of the impact of exercise and physical therapies on the symptoms of HD, as well as any potential synergistic role alongside the impending disease-modifying interventions.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Biosciences Healthcare Sciences Medicine MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG) Neuroscience and Mental Health Research Institute (NMHRI)
Subjects:	R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Uncontrolled Keywords:	Huntington's disease, chorea, exercise, physical activity, physiotherapy, physical therapy, rehabilitation
Publisher:	IOS Press
ISSN:	1879-6397
Last Modified:	11 Mar 2023 02:34
URI:	https://orca.cardiff.ac.uk/id/eprint/42084

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