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Letter to the Editor - Osteopathic manipulative techniques for management of Huntington's disease

Published:October 11, 2021DOI:https://doi.org/10.1016/j.ijosm.2021.10.001
      Huntington's disease is a neurodegenerative disease that affects 2.7 out of 100,000 individuals worldwide [
      • Suchowersky O.
      Huntington disease: management.
      ,
      • Suchowersky O.
      Huntington disease: clinical features and diagnosis.
      ]. It is characterized by cognitive and neuropsychiatric impairment, chorea, and motor dysfunction, specifically parkinsonism. In the early stages of the disease, most individuals maintain functionality and are able to partake in activities of daily living (ADL) without assistance. As the disease progresses to the middle stage, individuals experience diminished ability to solve problems, increased difficulty with motor movements, increased chorea, and swallowing dysfunction. By the late stage, patients require constant supervision and assistance with daily tasks and many require a feeding tube to maintain appropriate nutrition [
      • Suchowersky O.
      Huntington disease: management.
      ,
      • Suchowersky O.
      Huntington disease: clinical features and diagnosis.
      ]. Due to the debilitating nature of the disease, Huntington's patients require a multidisciplinary team to address the various physiological and psychological needs of each patient.
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      References

        • Suchowersky O.
        Huntington disease: management.
        in: Post T. UpToDate. UpToDate. 2021 (Accessed)
        www.uptodate.com
        Date accessed: May 16, 2021
        • Suchowersky O.
        Huntington disease: clinical features and diagnosis.
        in: Post T. UpToDate. UpToDate. 2021 (Accessed)
        www.uptodate.com
        Date accessed: May 16, 2021
      1. What is osteopathic medicine? American Academy of Osteopathy. Accessed May 16, 2021. https://www.academyofosteopathy.org/what-is-osteopathy.

        • Nance M.
        • Paulsen J.
        • Rosenblatt A.
        • Wheelock V.
        A Physician's Guide to the management of Huntington's disease.
        third ed. Huntington’s Disease Society of America, 2011
        • Quinn L.
        • Kegelmeyer D.
        • Kloos A.
        • Rao A.K.
        • Busse M.
        • Fritz N.E.
        Clinical recommendations to guide physical therapy practice for Huntington disease.
        Neurology. 2020; 94: 217-228https://doi.org/10.1212/WNL.0000000000008887
        • Vemuri A.
        The effect of osteopathic manipulative treatment on Lower Limb muscle Rigidity in a Parkinson's patient.
        Southern Medical Association, 2020 (Abstract)
        • Wells M.R.
        • Giantinoto S.
        • D'Agate D.
        • et al.
        Standard osteopathic manipulative treatment acutely improves gait performance in patients with Parkinson's disease.
        J Am Osteopath Assoc. 1999; 99: 92-98https://doi.org/10.7556/jaoa.1999.99.2.92
        • Goldfinger M.
        An osteopathic, non pharmacologic approach to Parkinson's disease, restless leg syndrome & essential tremor.
        Osteopathic Family Physician. 2017; 9: 30-38
        • Barni A.
        • Zecchillo D.
        • Uberti S.
        • Ratti S.
        Osteopathic manipulative treatment in a paediatric patient with oesophageal Atresia and tracheo-oesophageal Fistula.
        Case Rep Gastroenterol. 2019; 13: 178-184https://doi.org/10.1159/000499445
        • Tunnell P.
        Muscle length assessment of tightness-prone muscles.
        J Bodyw Mov Ther. 1998; 2: 21-27https://doi.org/10.1016/S1360-8592(98)80043-0