in Huntington’s Disease - UC Davis Health with Disability and Muscle Weakness...in Huntington’s...
Transcript of in Huntington’s Disease - UC Davis Health with Disability and Muscle Weakness...in Huntington’s...
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Coping With Disability & Muscle Weakness in Huntington’s Disease
HDSA Center of Excellence at UC Davis
Rosy Chow, RPT
October 2, 2012
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Coping with Disability
Three Stages In Huntington’s Disease
Early
Middle
Late
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Coping with Disability
Early Stage
Lack of
coordination
Clumsiness
Jerkiness
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Coping with Disability
Weakness Of Muscles
Extensor Muscles of Neck
Upper Back
Trunk Postural Muscles
Intrinsic Muscles of Hands &
Feet
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Coping with Disability
Weakness In Postural Muscles
Forward Head
Round Shoulder
Protruding Stomach
Poor Posture
Correct Posture
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Coping with Disability
Neutral Spine
Maintain Natural Curve of Spine
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Coping with Disability
Physical Therapy In Early Stage
Strengthen Postural Control Muscles
Neck Extension Exercise Scapular Exercise
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Coping with Disability
Advanced Balance Exercise
Heel-to-Toe Walking/Tandem Gait
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Coping with Disability
Advanced Balance Exercise
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Coping with Disability
Aerobic Exercise
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Coping with Disability
Middle Stage In Huntington’s Disease
Unable To Manage Own Finances
Difficulty In Performing Household Chores
No Longer Employable
Increase Voluntary Movement
Increase Swallowing/ Speech Problems
Increase Frequency Of Falling
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Coping with Disability
Change In Muscle Tone/ Increased Stiffness
Progressive Relaxation
Yoga
Hammock
Avoid Stress
Proximal Stability Exercise
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Coping with Disability
Impaired Balance/ Spatial Awareness
Standing Balance Exercise Touch & Turn before Sitting
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Coping with Disability
Impaired Balance/ Spatial Awareness
U-Step Walker 4-Wheeled Walker
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Coping with Disability
Impaired Balance/ Spatial Awareness
Helmet
Elbow Pads
Knee Pads
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Coping with Disability
Impaired Balance/ Spatial Awareness
Shower Chairs/Tub Transfer Bench
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Coping with Disability
Fatigue
Unable To Recognize They Are Tired
Build Rest Periods Into Daily Routine
Use Wheelchair For Extended Distances
Or Part Of The Day
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Coping with Disability
Combining Fine Motor Skills & Gross Motor Task is Difficult
Use Shower Mitt
Soap On A Rope
Electric Razor/ Chemical Hair Remover
Built Up Handle On Toothbrush
and Hairbrush
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Coping with Disability
Late Stage of Huntington’s Disease
Patient Often Non Verbal & Bedridden
Require Help In All Activities Of Daily
Living
Motor Control Greatly Diminished
More Rigid
Difficulty Modulating Force Of
Movement
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Coping with Disability
Falling Out of Chairs
Avoid Restraints
Improved Seating (Chair With High Back,
Increased Seat Depth, Foot Support,
Armrests, And Padding)
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Coping with Disability
Proper Footwear
Velcro Shoes
Improper Footwear Recommended Footwear