Journal
PARKINSONISM & RELATED DISORDERS
Volume 31, Issue -, Pages 46-52Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.parkreldis.2016.06.023
Keywords
Huntington's disease; Exercise; Rehabilitation; Aerobic exercise; Strength training; Physical therapy
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Funding
- Jacques and Gloria Gossweiler Foundation HD - Elizabeth Casson Trust
- National Institute for Health Research, Oxford Biomedical Research Centre based at Oxford University Hospitals NHS Trust
- University of Oxford
- Medical Research Council [MR/L010305/1] Funding Source: researchfish
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Introduction: This study aimed to evaluate the feasibility and benefit of a structured exercise intervention in people with Huntington's Disease (HD). Methods: This study was conducted at 6 sites, and participants were randomized into either exercise or control (usual care) groups, and were assessed at baseline, 13 and 26 weeks. The intervention was a 12 week, three times per week progressive exercise program, including aerobic (stationary cycling) and upper and lower body strengthening exercise with tapered 1:1 support for 20 of 36 sessions. Results: 314 adults were assessed for eligibility: 248 did not meet inclusion criteria, 34 declined, and 32 were recruited and randomized. Three individuals in the intervention group were withdrawn within the first month due to concomitant medical conditions, resulting in 14 participants in intervention and 15 in control groups. There were two AEs in the intervention group, both related to previous medical conditions, and there were two SAEs, both in the control group. The intervention group had better fitness (predicted VO2 max difference: 492.3 ml min(-1), 95% CI: [97.1, 887.6]), lower UHDRS mMS (difference 2.9 points, 95% [-5.42, 0.32]) and lower weight at Week 13 (difference 2.25 kg, 95% CI: [-4.47, -0.03]). Conclusion: This study demonstrates that a short-term exercise intervention is safe and feasible. Individuals with HD may benefit from structured exercise, and intensity, monitoring and support may be key factors in optimizing response. Larger scale trials are now required to fully elucidate the extended clinical potential of exercise in HD. (C) 2016 The Authors. Published by Elsevier Ltd.
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