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Physiotherapy for Patients with Huntington´s Disease: Effects of a Treatment Program with focus on balance and transitions and the Intercorrelation between Assessment Tools
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy. (Enheten för Sjukgymnastik; Karin Hellström)
2010 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Objective: To evaluate the effect of a physiotherapeutic exercise programme for patients with Huntington´s Disease (HD) concerning motor function and disability, balance and fall related self-efficacy, and to investigate the correlation between the seven assessment tools.

Participants: Twelve persons with genetically confirmed HD at an early or middle stage of the disease and with a mean age of 52 (16) years.

Methods: The intervention comprised physiotherapy (PT) focused on training of transitions, balance and fall-related self efficacy, twice a week for six weeks. Each treatment session lasted for one hour, was individual and took place at an out-patient clinic. Baseline assessments including five clinical tests and two questionnaires were made 6 and 0 weeks prior to the intervention and 0 and 6 weeks after the intervention.

Outcome measures: Motor function and disability were measured with the Unified Huntington's disease Rating Scale; the Total Motor Score and the Total Functional Assessment. Static and dynamic balance was measured with the One- leg stance- test, the Timed Up and GO Test, the Figure of Eight-test and the Berg Balance Scale.  Fall-related self-efficacy was measured with the Falls Efficacy Scale.

Results: The physiotherapeutic exercise programme demonstrated a significant improvement in balance measured with the Berg Balance Scale (p=.045). The significant correlation coefficients between the different measurements of motor function, disability, balance and fall related self-efficacy ranged from 0.68 to 0.87.

Conclusions: The contents of the out-patient clinic physiotherapeutic exercise programme, with a focus on balance and transitions, seemed to have clinical relevance. PT in different kinds of settings should be studied further to get a better knowledge about the effects of PT and physical activity at home, at an out- patient setting or at the hospital for patients with HD.

Key Words: Huntington's disease; Physiotherapy; Motor function; Disability; Balance; Fall- related self efficacy.

Place, publisher, year, edition, pages
2010. , p. 27
Keywords [en]
Huntington's disease; Physiotherapy; Motor function; Disability; Balance; Fall- related self efficacy
Identifiers
URN: urn:nbn:se:uu:diva-130757OAI: oai:DiVA.org:uu-130757DiVA, id: diva2:351009
Uppsok
Medicine
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Available from: 2010-09-13 Created: 2010-09-12 Last updated: 2010-09-13Bibliographically approved

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