Which PT intervention is recommended in the early stage of Huntington's disease?

• A. Environmental modification
• B. ROM and posture training
• C. Exercise program with balance and core strengthening
• D. Gait training only

Answer: (C)

In the early stage of Huntington's disease, preserving functional mobility hinges on building balance and trunk stability. A program that combines balance training with core strengthening directly targets postural control and dynamic stability, helping the body coordinate movements more effectively despite choreiform activity. Strengthening the core provides a solid proximal base, which supports accurate limb movement, reduces compensatory patterns, and lowers the risk of falls during daily tasks and gait.

Environmental modification is important for safety, but it doesn’t directly improve the physical capabilities needed to maintain mobility. ROM and posture training help flexibility and alignment but don’t address balance and core control as effectively as a targeted balance-plus-core program. Gait training alone focuses on walking technique without strengthening the trunk or enhancing postural stability, which limits its impact on overall function and fall prevention.