Motor activity was quantitatively assessed over a period of 5 days usi
ng a wrist-worn activity monitor in 14 patients with Huntington's dise
ase (of whom 4 used neuroleptic drugs) and 14 age- and sex-matched hea
lthy controls. Additionally, patients were rated for dementia, depress
ion, clinical impairment of motor tasks, chorea, and disability. A sig
nificant decrease in daytime motor activity was observed in patients c
ompared with controls, suggesting hypokinesia rather than hyperkinesia
. Hypokinesia tended to be more severe in patients using neuroleptic d
rugs. Lower activity levels were significantly related to lower scores
of functional disability, but not to other clinical measures, We conc
lude that hypokinesia is a prominent manifestation in Huntington's dis
ease that is worsened by the use of neuroleptics.