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October 2022; 12 (5) Commentary

Coordination of Care Among Physical Therapists and Neurologists in Huntington Disease

Nora E. Fritz, Deb Kegelmeyer, Ashwini K. Rao, Lori Quinn, Martha A. Nance, Anne Kloos
First published August 24, 2022, DOI: https://doi.org/10.1212/CPJ.0000000000200073
Nora E. Fritz
Program in Physical Therapy (NEF), Wayne State University, Detroit MI; Physical Therapy Division (DK, AK), School of Health and Rehabilitation Sciences, The Ohio State University, Columbus; Program in Physical Therapy (AKR), Department of Rehabilitative and Regenerative Medicine, G.H. Sergievsky Center, Columbia University, New York; Department of Biobehavioral Sciences (LQ), Teachers College, Columbia University, New York; and Hennepin County Medical Center (MAN), Minneapolis.
PhD, PT, DPT, NCS
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Deb Kegelmeyer
Program in Physical Therapy (NEF), Wayne State University, Detroit MI; Physical Therapy Division (DK, AK), School of Health and Rehabilitation Sciences, The Ohio State University, Columbus; Program in Physical Therapy (AKR), Department of Rehabilitative and Regenerative Medicine, G.H. Sergievsky Center, Columbia University, New York; Department of Biobehavioral Sciences (LQ), Teachers College, Columbia University, New York; and Hennepin County Medical Center (MAN), Minneapolis.
MS, PT, DPT, GCS
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Ashwini K. Rao
Program in Physical Therapy (NEF), Wayne State University, Detroit MI; Physical Therapy Division (DK, AK), School of Health and Rehabilitation Sciences, The Ohio State University, Columbus; Program in Physical Therapy (AKR), Department of Rehabilitative and Regenerative Medicine, G.H. Sergievsky Center, Columbia University, New York; Department of Biobehavioral Sciences (LQ), Teachers College, Columbia University, New York; and Hennepin County Medical Center (MAN), Minneapolis.
EdD, OTR/LFAOTA
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Lori Quinn
Program in Physical Therapy (NEF), Wayne State University, Detroit MI; Physical Therapy Division (DK, AK), School of Health and Rehabilitation Sciences, The Ohio State University, Columbus; Program in Physical Therapy (AKR), Department of Rehabilitative and Regenerative Medicine, G.H. Sergievsky Center, Columbia University, New York; Department of Biobehavioral Sciences (LQ), Teachers College, Columbia University, New York; and Hennepin County Medical Center (MAN), Minneapolis.
EdD, PT
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Martha A. Nance
Program in Physical Therapy (NEF), Wayne State University, Detroit MI; Physical Therapy Division (DK, AK), School of Health and Rehabilitation Sciences, The Ohio State University, Columbus; Program in Physical Therapy (AKR), Department of Rehabilitative and Regenerative Medicine, G.H. Sergievsky Center, Columbia University, New York; Department of Biobehavioral Sciences (LQ), Teachers College, Columbia University, New York; and Hennepin County Medical Center (MAN), Minneapolis.
MD
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Anne Kloos
Program in Physical Therapy (NEF), Wayne State University, Detroit MI; Physical Therapy Division (DK, AK), School of Health and Rehabilitation Sciences, The Ohio State University, Columbus; Program in Physical Therapy (AKR), Department of Rehabilitative and Regenerative Medicine, G.H. Sergievsky Center, Columbia University, New York; Department of Biobehavioral Sciences (LQ), Teachers College, Columbia University, New York; and Hennepin County Medical Center (MAN), Minneapolis.
PhD, PT, NCS
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Citation
Coordination of Care Among Physical Therapists and Neurologists in Huntington Disease
Nora E. Fritz, Deb Kegelmeyer, Ashwini K. Rao, Lori Quinn, Martha A. Nance, Anne Kloos
Neurol Clin Pract Oct 2022, 12 (5) 377-381; DOI: 10.1212/CPJ.0000000000200073

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Abstract

This study presents a framework for physical therapy through the course of Huntington disease (HD) which includes coordinated care plans with neurologists. HD is an inherited neurodegenerative disorder that leads to impaired strength and coordination and ultimately progressive loss of function. Interdisciplinary HD care teams provide patient-centered, comprehensive evaluations and make recommendations for pharmacologic, healthcare, and lifestyle interventions based on best available evidence. Physical therapists work to improve movement and mobility using specific therapeutic interventions and individualized exercise programs. The proposed framework recommends that neurologists refer persons with HD to physical therapy at all disease stages, ideally beginning in premanifest and early stages, and that they regularly communicate with physical therapists to ensure implementation of a coordinated care plan. Resources are provided for neurologists to facilitate appropriate referral for individuals with HD to physical therapy based on clinical practice guidelines, including a referral decision guide.

Footnotes

  • Funding information and disclosures are provided at the end of the article. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.

  • Submitted and externally peer reviewed. The handling editors were Former Deputy Editor Elaine Jones, MD, FAAN, and Deputy Editor Kathryn Kvam, MD.

  • Received October 19, 2021.
  • Accepted July 18, 2022.
  • © 2022 American Academy of Neurology
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