Restricted accessResearch articleFirst published online 2015-12
Optimising occupational performance through sensory modulation interventions: Case reports of two young adults diagnosed with juvenile Huntington's disease
People with juvenile Huntington's disease often experience difficulty engaging in occupations due to neuropsychiatric sequelae, such as impulse control difficulties, agitation and aggression. Occupational therapy using sensory modulation intervention strategies may be utilised to assuage behavioural symptoms in this population.
Critical reflection on practice
Through case reports, this practice analysis explores changes in occupational performance for two young adults diagnosed with juvenile Huntington's disease who received sensory modulation treatment.
Implications for practice
These inspiring reports could encourage occupational therapists to consider sensory modulation intervention to decrease psychiatric disturbance, thus optimising performance capacity among this rare population.
AbbruzzeseGBerardelliA (2003) Sensorimotor integration in movement disorders. Movement Disorders18(1): 231–240.
2.
AubeeluckABrewerH (2008) Huntington's disease. Part 2. Treatment and management issues in juvenile HD. British Journal of Nursing17(4): 260–263.
3.
AyresAJ (1972) Sensory Integration and Learning Disorders, Los Angeles: Western Psychological Services.
4.
BlassDMSteinbergMLeroiI (2001) Successful multimodality treatment of severe behavioral disturbance in a patient with advanced Huntington's disease. American Journal of Psychiatry15(12): 1966–1972.
5.
BoeckerHCeballos-BaumannABartensteinP (1999) Sensory processing in Parkinson’s and Huntington’s disease. Brain122(9): 1651–1665. .
ChalmersAHarrisonSMollisonK (2012) Establishing sensory-based approaches in mental health inpatient care: A multidisciplinary approach. Australasian Psychiatry20(35): 35–39.
8.
ChampagneTStrombergN (2004) Sensory approaches in inpatient psychiatric settings: Innovative alternatives to seclusion and restraint. Journal of Psychosocial Nursing42(9): 1–8.
9.
ChampagneTKoomarJOlsonL (2010) Sensory processing evaluation and intervention in mental health. American Occupational Therapy Association15(5): 1–8.
10.
CollierLTrumanJ (2008) Exploring the multi-sensory environment as a leisure resource for people with complex neurological disabilities. Neurorehabilitation23(4): 361–367.
11.
Department of HealthA New Mental Health Act for Victoria: Summary of Proposed Reforms2012Melbourne, Victoria: Department of Health.
12.
DuyaoMAmbroseCMyersR (1993) Trinucleotide repeat length instability and age of onset in Huntington's disease. Nature Genetics4: 387–392. .
13.
Kielhofner G (2008) Model of Human Occupation: Theory and Application. Philadelphia: Lippincott Williams and Wilkins.
14.
KingN (2005) Palliative care management of a child with juvenile onset Huntington's disease. International Journal of Nursing11(6): 278–283.
15.
LeeSJCoxAWhitecrossF (2010) Sensory assessment and therapy to help reduce seclusion use with service users needing psychiatric intensive care. Journal of Psychiatric Intensive Care6(2): 83–90.
16.
LengTWoodwardMStokesM (2003) Effects of multisensory stimulation in people with Huntington's disease: A randomized controlled pilot study. Clinical Rehabilitation17(1): 30–41.
17.
Nance (2009) The treatment of juvenile Huntington's disease. In: Quarrell O, Brewer H, Squitieri F, et al. (eds) Juvenile Huntington's Disease. New York: Oxford University Press.
18.
NanceMAMyersRH (2001) Juvenile onset Huntington's disease—Clinical and research perspectives. Mental Retardation and Developmental Disabilities Research Reviews7(3): 153–157.
19.
PaulsenJSReadyREHamiltonJM (2001) Neuropsychiatric aspects of Huntington's disease. Journal of Neurology Neurosurgery and Psychiatry71(3): 310–314. .
20.
QuarrellOO'DonovanKLBandmannO (2012) The prevalence of juvenile Huntington's disease: A review of the literature and meta-analysis. PLoS Currents7(4): Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3426104/ (accessed 12 February 2014).
21.
Van DuijnE (2010) Treatment of irritability in Huntington's disease. Current Treatment Options in Neurology12(15): 424–433.
22.
WalkerFO (2007) Huntington's disease. The Lancet369(9557): 218–228.
