What nonpharmacologic interventions help in managing HD?
The movement disorder may interfere with an individuals ability to function independently. Assessments by a trained physical therapist, occupational therapist, and speech and language pathologist are increasingly valuable as HD progresses. These modalities, as well as general physical conditioning through moderate exercise, are important to helping the individual with HD remain independent. A physical therapist can recommend an appropriate home exercise program, including heel stretches and shoulder strengthening exercises, which may help with balance. As the disease advances, individuals can be fitted for assistive devices, such as a walker, Rollaider, or wheelchair. It is important that training in the use of these devices be started early, because it may be more difficult to train individuals to use them later in the course of disease. Additionally, devices may need to be modified on a periodic basis as symptoms evolve. Individuals with HD often lose tremendous amounts of weight, ev
