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The role of rehabilitation therapy in Huntington disease

Quinn, Lori and Busse, Monica 2017. The role of rehabilitation therapy in Huntington disease. In: Feigen, Andrew S. and Anderson, Karen E. eds. Handbook of Clinical Neurology: Huntington Disease, Vol. 144. Elsevier: Monograph Series, pp. 151-165. (10.1016/B978-0-12-801893-4.00013-4)

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Abstract

The role of rehabilitation interventions is increasingly considered a key component to effective management of people with Huntington disease (HD). Lifestyle factors, such as activity level and exercise, as well as specific motor training may be helpful in managing the functional sequelae of HD and possibly slowing disease progression. In this chapter, we focus on the role of rehabilitation therapy in secondary and tertiary prevention of the potentially devastating consequences of HD. We provide a brief overview of the range of motor and cognitive impairments in HD and their effect on functional abilities. We further discuss emerging evidence in terms of the role of exercise, physical activity, and physical therapies in helping to minimize functional loss and maximize quality of life throughout the disease process. Future directions with respect to intensive and goal-directed exercise, including aerobic and strengthening programs, are also discussed. This is an area of particular importance alongside exploring the potential that motor-training paradigms have in mediating the effects of disease-modifying drugs, cell replacement therapy, or genetic manipulations, when available.

Item Type: Book Section
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: Elsevier: Monograph Series
ISSN: 0072-9752
Last Modified: 03 May 2018 20:03
URI: http://orca.cf.ac.uk/id/eprint/111132

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