{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:47:53Z","timestamp":1787165273421,"version":"build-2736575974"},"reference-count":63,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T00:00:00Z","timestamp":1671148800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JHD"],"published-print":{"date-parts":[[2022,12,16]]},"abstract":"<jats:p>Background: In 2020, our group published physical therapy clinical practice guidelines (CPG) for people with Huntington\u2019s disease (HD). The guideline recommendations were categorized according to six primary movement impairment classifications. Objective: To facilitate implementation of this CPG, we have developed guideline-based algorithms for physical therapy assessments and interventions and recommendations for therapists to overcome barriers to CPG implementation for people with HD. Methods: We conducted a literature review of papers that evaluated physical therapy interventions in individuals with HD (n\u200a=\u200a26) to identify assessments for each of the primary movement impairment classifications, and then searched for papers (n\u200a=\u200a28) that reported their clinometric\/psychometric properties in HD. Assessments were evaluated using modified Movement Disorder Society Committee on Rating Scales criteria and other relevant criteria. Results: We identified a \u201ccore set\u201d of physical therapy assessments for persons with HD, including the Six Minute Walk Test, Timed Up and Go Test, Berg Balance Scale, and the Medical Outcomes Study Short Form 36 (SF-36). We then developed guideline-based decision trees to assist in decision making and implementation of the CPG into practice for persons with HD across the continuum of care. Finally, we developed strategies for overcoming barriers to implementation, such as seeking specialized training in HD, engaging caretakers or family members to help the person with HD to exercise, and establishing clinical pathways that support early physical therapy referrals. Conclusion: Knowledge translation documents such as this are essential to promoting implementation of the physical therapy CPGs into clinical practice.<\/jats:p>","DOI":"10.3233\/jhd-220549","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T14:23:57Z","timestamp":1663683837000},"page":"435-453","source":"Crossref","is-referenced-by-count":6,"title":["Clinical Decision Trees to Guide Physical Therapy Management of Persons with Huntington\u2019s Disease"],"prefix":"10.1177","volume":"11","author":[{"given":"Nora E.","family":"Fritz","sequence":"first","affiliation":[{"name":"Departments of Health Care Sciences and Neurology, Wayne State University, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deb A.","family":"Kegelmeyer","sequence":"additional","affiliation":[{"name":"Physical Therapy Division, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwini K.","family":"Rao","sequence":"additional","affiliation":[{"name":"Program in Physical Therapy, Department of Rehabilitative and Regenerative Medicine, G.H. Sergievsky Center, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Quinn","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne D.","family":"Kloos","sequence":"additional","affiliation":[{"name":"Physical Therapy Division, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/JHD-220549_ref1","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/B978-0-444-63233-3.00017-8","article-title":"Huntington disease","volume":"147","author":"Ghosh","year":"2018","journal-title":"Handb Clin Neurol"},{"key":"10.3233\/JHD-220549_ref2","doi-asserted-by":"crossref","unstructured":"Yohrling G , Raimundo K , Crowell V , Lovecky D , Vetter L , Seeberger L . 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