{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:11:40Z","timestamp":1787170300896,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JHD"],"published-print":{"date-parts":[[2022,8,30]]},"abstract":"<jats:p>Background: The recently published clinical practice guideline for physiotherapy practice for Huntington\u2019s disease (HD) should be integrated into practice to develop interventions that enable people with HD to achieve personalised goals. The European Huntington\u2019s Disease Network Physiotherapy Working Group aims to support and enable the use of best evidence in physiotherapy for the HD community. Successful implementation of the clinical practice guidelines requires an understanding of facilitators and barriers to therapist implementation. Objective: To explore facilitators and barriers to implementing recently published clinical recommendations that guide physiotherapy practice for HD. Methods: An online survey was distributed globally through HD networks. Data collected included demographic information and agreement\/disagreement with a series of named facilitators and barriers to implementation of each of the six physiotherapy guideline recommendations. A consensus level of\u226570% agreement was set as indicative of agreement\/disagreement. Results: Thirty-two physiotherapists working in a range of settings responded. Support from colleagues (81\u201391% agreement), an individualised physiotherapy plan (72\u201388% agreement) and physiotherapist\u2019s expertise in HD (81\u201391% agreement) were reported as facilitators. The main barriers were behavioural (72\u201381% agreement) and cognitive (75\u201381% agreement) impairments and low motivation (72\u201378% agreement) in persons with HD. Conclusion: Physiotherapists agree that their expertise in HD and support from colleagues facilitate the development of individualised treatment plans. Further work needs to develop creative ways in which barriers specific to the cognitive and behavioural aspects of HD can be managed to enable treatment plans to be implemented.<\/jats:p>","DOI":"10.3233\/jhd-220532","type":"journal-article","created":{"date-parts":[[2022,6,21]],"date-time":"2022-06-21T13:48:02Z","timestamp":1655819282000},"page":"307-311","source":"Crossref","is-referenced-by-count":4,"title":["Implementing Physiotherapy Huntington\u2019s Disease Guidelines in Clinical Practice"],"prefix":"10.1177","volume":"11","author":[{"given":"Una","family":"Jones","sequence":"first","affiliation":[{"name":"School of Healthcare Sciences, Cardiff University, Cardiff, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the EHDN Physiotherapy Working Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah A.","family":"Kegelmeyer","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy, College of Medicine, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne D.","family":"Kloos","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy, College of Medicine, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"issue":"5","key":"10.3233\/JHD-220532_ref2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1212\/WNL.0000000000008887","article-title":"Clinical recommendations to guide physical therapypractice for Huntington disease","volume":"94","author":"Quinn","year":"2020","journal-title":"Neurology."},{"issue":"3","key":"10.3233\/JHD-220532_ref3","doi-asserted-by":"crossref","first-page":"217","DOI":"10.3233\/JHD-170260","article-title":"Physical therapy and exercise interventions in Huntington\u2019s disease: a mixed methods systematic review","volume":"6","author":"Fritz","year":"2017","journal-title":"J Huntingtons Dis"},{"issue":"2","key":"10.3233\/JHD-220532_ref6","first-page":"33","article-title":"Barriers and facilitators to end of life care in Huntington\u2019s disease-a review of the literature","volume":"29","author":"Hosken","year":"2019","journal-title":"Australas J Neurosci"},{"issue":"1","key":"10.3233\/JHD-220532_ref7","doi-asserted-by":"crossref","first-page":"21","DOI":"10.2217\/nmt.11.86","article-title":"Physiotherapy clinical guidelines for Huntington\u2019s disease","volume":"2","author":"Quinn","year":"2012","journal-title":"Neurodegener Dis Manag"},{"issue":"1","key":"10.3233\/JHD-220532_ref8","doi-asserted-by":"crossref","first-page":"69","DOI":"10.2522\/ptj.20100438","article-title":"Adherence to use of a home-based exercise DVD in people with Huntington disease: participants\u2019 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disease","volume":"30","author":"Fritz","year":"2018","journal-title":"J Neuropsychiatry Clin Neurosci"},{"key":"10.3233\/JHD-220532_ref15","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.gaitpost.2016.07.014","article-title":"Motor-cognitive dual-task deficits in individuals withearly-mid stage Huntington disease","volume":"49","author":"Fritz","year":"2016","journal-title":"Gait Posture"},{"issue":"4","key":"10.3233\/JHD-220532_ref16","doi-asserted-by":"crossref","first-page":"363","DOI":"10.3233\/JHD-170279","article-title":"Cognitive dysfunction contributes to mobility impairments in Huntington\u2019s disease","volume":"6","author":"Kloos","year":"2017","journal-title":"J Huntingtons Dis"},{"key":"10.3233\/JHD-220532_ref17","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.3389\/fpsyg.2018.02061","article-title":"Cognitive-motor interference in neurodegenerative disease: a narrative review and implications for clinical management","volume":"9","author":"McIsaac","year":"2018","journal-title":"Front Psychol"},{"issue":"2","key":"10.3233\/JHD-220532_ref18","doi-asserted-by":"crossref","first-page":"125","DOI":"10.3233\/JHD-140109","article-title":"Unawareness of deficits in Huntington\u2019s disease","volume":"3","author":"Sitek","year":"2014","journal-title":"J Huntingtons Dis"}],"container-title":["Journal of Huntington's 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