presented by Anne Kloos
Huntington’s disease is a genetic disorder resulting in complex issues impacting health, function, and participation. Therapists must be equipped to provide care in an ever-changing health care environment. This course provides the therapist with advanced knowledge in examination of the client across all stages of Huntington’s disease. Information is presented using a case study example interwoven with evidence-based information. On completion of this course, the therapist will be able to use evidence-based tests and measures for the examination of clients with Huntington’s across the full spectrum of the disease.
Anne Kloos, PT, PhD, NCS received her physical therapy degree from the University of Wisconsin-Madison and her master's and doctoral degrees in biology/neuroscience from Cleveland State University. Dr. Kloos is currently a Professor-Clinical in the Physical Therapy Division at the Ohio State University, where she teaches adult neurorehabilitation and neuroscience courses and conducts research on balance and gait interventions and fall prevention in individuals with neurodegenerative diseases. She is a board-certified neurologic physical therapy specialist and has over 25 years of clinical experience, including working as a consultant physical therapist in the Amyotrophic Lateral Sclerosis (ALS) Clinic at the Cleveland Clinic Foundation and at the Ohio State University Movement Disorders Clinic. Dr. Kloos has presented her research both nationally and internationally and has numerous publications. Currently, she serves as Co-Director of the Ohio State University Neurologic Physical Therapy Residency Program and as Associate Editor for the Journal of Neurologic Physical Therapy. Her past service has included being the Chair of the Degenerative Diseases Special Interest Group and of the Neurologic Residency Curriculum Task Force for the American Physical Therapy Association.
Huntington’s disease (HD) is a fatal genetic disorder that causes damage to many areas of the brain, and especially the striatum. Therapists must be able to recognize the common motor, cognitive, and psychiatric symptoms of HD throughout all stages of the disease. This chapter provides the therapist advanced knowledge about the etiology, symptoms, diagnosis, prognosis, and medical treatment of clients with HD and how they impact physical therapy care.
Appropriate care of the client with Huntington’s disease is based on a thorough and accurate examination. This chapter prepares the therapist to select and use appropriate examination techniques, including the selection of outcome measures across all stages of the disease.
In this chapter, knowledge gained about current best practice for physical therapy examination of a client with HD will be applied to a case study. Rationale for selection of examination outcome measures across all of the disease stages will be presented.