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 advanced knowledge in management of the client with Huntington’s disease across all stages of the disease and incorporating current health care finance and policy challenges. 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 intervention techniques for the management of clients with Huntington’s disease 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.
In this chapter, the clinician is presented with advanced concepts regarding physical therapy management of the client with Huntington’s disease across the course of the disease. Newest evidence related to exercise, motor learning, cueing, use of an external focus, and dual-task training is covered.
In this chapter, the clinician applies advanced concepts and knowledge of evidence-based interventions to the physical therapy management of a client with HD presented in a case study. The rationale for the selection and modification of interventions for the client across all disease stages will be discussed.
In this chapter, a model for care across the life span incorporating rehabilitation and skilled maintenance therapy is presented. Reimbursement issues related to provision of skilled maintenance therapy are also presented.